The Effects of a Wrist Extensors Exercise With Blood Flow Restriction (BFR) in Lateral Elbow Tendinopathy.

Last updated: July 6, 2023
Sponsor: University of West Attica
Overall Status: Active - Enrolling

Phase

N/A

Condition

Tennis Elbow

Tendon Injuries

Sprains

Treatment

Exercise with Blood Flow Restriction (BFR)

Exercise without Blood Flow Restriction (BFR)

Clinical Study ID

NCT05919914
11168 - 06/02/2023
  • Ages 18-60
  • All Genders

Study Summary

A randomized cross-over trial comparing the immediate effects of a wrist extensor exercise with and without blood flow restriction (BFR) on pain perception in patients with lateral elbow tendinopathy (LET).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Men and women diagnosed with Lateral Elbow Tendinopathy (LET)
  • Symptoms for over 2 weeks
  • Pain provoked by palpation on the lateral epicondyle
  • Positive: Cohen's test, Maudsley test, Mill's test
  • decrease in pain grip strength >5% in elbow extension compared to flexion

Exclusion

Exclusion Criteria:

  • Shoulder tendinopathy
  • Cervical radiculopathy
  • Rheumatoid arthritis
  • Neurological deficit
  • Radial nerve entrapment
  • Past treatment for the elbow before entering the study
  • Professional athletes
  • Lateral elbow tendinopathy of the same side in the last 3 years
  • Serious cardiovascular diseases
  • Venous deficiency
  • History of heart surgery
  • Cancer history
  • Breast surgery
  • Orthopaedic surgeries during the last 6 months
  • Thrombosis
  • Body mass Index ≥ 30
  • Crohn syndrome
  • Family or personal history of pulmonary embolism

Study Design

Total Participants: 20
Treatment Group(s): 2
Primary Treatment: Exercise with Blood Flow Restriction (BFR)
Phase:
Study Start date:
April 29, 2023
Estimated Completion Date:
May 31, 2024

Study Description

Patients with LET will participate in the study performing an exercise with and without blood flow restriction (BFR) in a randomized order (two occasions). A target of 20 patients for enrollment has been set for 80% power, p<0.05 (Effect size= 1). Two interventions will be used lasting 40 minutes each.

Intervention: A wrist extension exercise (concentric-eccentric) with Blood Flow Restriction (30-15-15-15 reps). Exercises will be performed using dumbbells according to a pain monitoring approach (<2/10 in numerical pain rating scale).

Control Group: A wrist extension exercise (concentric-eccentric) without Blood Flow Restriction (30-15-15-15 reps). Exercises will be performed using dumbbells according to a pain monitoring approach (<2/10 in numerical pain rating scale).

Primary outcomes: pressure pain thresholds lateral epicondyle, cervical spine and tibialis anterior (bilateral).

Secondary outcome: pain free grip strength

Connect with a study center

  • University of West Attica

    Aigáleo, Attiki 12243
    Greece

    Site Not Available

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