Research as to the effect of a set of treatment techniques on pain, functional disability and grip strength in patients with lateral epicondylitis: a randomized placebo controlled clinical trial.

Item

Title
Research as to the effect of a set of treatment techniques on pain, functional disability and grip strength in patients with lateral epicondylitis: a randomized placebo controlled clinical trial.
Abstract
NAME: Roosen Ann-Sofie TUTOR: Ceyssens Tom METHODOLOGICAL TUTOR: Quaghebeur Jörgen YEAR: 2019 TITLE: Osteopathy and lateral epicondylitis RESEARCH TITLE: Research as to the effect of a set of treatment techniques on pain, functional disability and grip strength in patients with lateral epicondylitis: a randomized placebo controlled clinical trial. BACKGROUND: Lateral epicondylitis (LE) is one of the most common pathologies of the elbow. It is a prevalent musculoskeletal disorder as a result of overload. Due to an overuse contraction of the wrist extensor muscles, repetitive microtrauma occurs. The pathophysiology of this disease is multidimensional in which three interactive components seems to play a role. The diagnose of LE is mainly clinical, based on symptoms and based on findings of physical examination. Subjects with LE report pain, unique discomfort and depending on the severity of the symptoms weakness in grip. This results in significant functional disability from work, sports and free time activities and entails high medical costs due to productivity loss and health care use. LE has a number of risk factors. OBJECTIVE: To examine the effect of a set of treatment techniques on pain, functional disability and grip strength in patients with LE. METHOD: Subjects with LE (n=25) were randomised in a placebo (PG) and an experimental group (EG). The PG underwent a sham ultrasound intervention on the lateral epicondyle of the humerus. The EG underwent a set of osteopathic treatment techniques, aimed to reduce pain and functional discomfort and to improve grip strength. RESULTS: The EG and the PG showed no statistical differences in gender, age and BMI (t-test: p>0.05). The experimental treatment improved significantly compared to controls for all of the seven measured variables using the t-test: pain score: p=0.02, UA score: p=0.008, SA score: p=0.004, function score: p=0.003, total PRTEE score: p=0.006, gripflex score: p=0.006, gripme score: p=0.003. DISCUSSION: Further studies are needed to examine the long-term effects of a complete osteopathic treatment on pain, functional disability and grip strength in LE, with a larger sample size. CONCLUSION: The set of osteopathic techniques showed a significant improvement in subjects with LE for pain reduction, decreased functional discomfort and an improved grip strength.
Key words: lateral epicondylitis, lateral elbow pain, musculoskeletal disorder, work-related risk factors, grip force, osteopathy
presented at
FICO
Date Accepted
2019
Date Submitted
18.7.2019 10:17:56
Type
osteo_thesis
Language
English
Number of pages
109
Submitted by:
4625
Pub-Identifier
16465
Inst-Identifier
1169
Recommended
0
Item sets
Thesis

“Research as to the effect of a set of treatment techniques on pain, functional disability and grip strength in patients with lateral epicondylitis: a randomized placebo controlled clinical trial.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathicresearch.com/s/orw/item/1525