This randomised controlled trial will evaluate the role of manual therapy and therapeutic exercise and corticosteroid injections in the treatment of lateral epicondylalgia (tennis elbow).
A Pragmatic, Randomised Controlled Trial of Physiotherapy and Corticosteroid Injections in Lateral Epicondylalgia
Tennis Elbow, Musculoskeletal Diseases
Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measures:
- General improvement
- Assessors assessment of severity
- Pain free grip strength
Secondary Outcome Measures:
- Global perceived effect score
- Pain Visual Analogue Scale
- Function Visual Analogue Scale
- Impact on occupational and recreational activities
- Stratford pain free function questionnaire
- Patient rated evaluation questionnaire
- Pressure pain threshold
- Maximum grip strength
- Pain visual analogue scale with gripping
- Tests of motor control (reaction time, speed, accuracy, coordination)
March 2002; Study completion: June 2005
Eligibility & Criteria
- Ages Eligible for Study: 18 Years – 65 Years
- Genders Eligible for Study: Both
- Elbow pain for at least 6 weeks and satisfy the widely accepted diagnostic criteria of lateral epicondylalgia
- Diagnostic criteria are pain over the lateral humeral epicondyle that is provoked by gripping activities
- Reduced grip strength and increased sensitivity to manual palpation over the lateral epicondyle
- Reproduction of pain with stretching of the forearm extensor muscles or with specific resisted static contraction of extensor carpi radialis brevis is also usually present.
- In the preceding 6 months, had consulted a health care practitioner for neck or arm pain or injury, other than lateral epicondylalgia, which has prevented participation in usual work or recreational activities
- Had treatment with physiotherapy or corticosteroid injections for lateral epicondylalgia in the preceding 6 months
- Upper limb fractures
- Diseases of the bone, muscle and nervous systems that preclude treatment by any of the treatments being evaluated in the project.
Musculoskeletal Pain & Injury Research Unit, Division of Physiotherapy, The University of Queensland, Brisbane, Queensland, 4072, Australia
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