Telerehabilitation vs Supervised Physiotherapy for Medial Epicondylitis

Официальное название

Effectiveness of Telerehabilitation Versus Supervised Physiotherapy on Pain, Function, Strength, and Musculoskeletal Ultrasound Parameters in Patients With Medial Epicondylitis: A Randomized Controlled Trial

Обзор

This randomized controlled trial aims to compare the effectiveness of telerehabilitation and supervised physiotherapy in patients with medial epicondylitis. The primary outcome is improvement in pain and function using the Patient-Rated Elbow Evaluation (PREE). Secondary outcomes include pain intensity, grip strength, musculoskeletal ultrasound findings, adherence, and upper limb disability measured by Quick DASH.

Подробное описание

Medial epicondylitis is a tendinopathy affecting the common flexor origin of the elbow, resulting in pain and functional limitation. Supervised physiotherapy is commonly used; however, telerehabilitation provides an accessible and scalable alternative. Evidence comparing these two delivery models is limited.

This randomized controlled trial will compare telerehabilitation and supervised physiotherapy over an 8-week intervention period. Clinical outcomes will be assessed using PREE, pain intensity, grip strength, and QuickDASH. Musculoskeletal ultrasound will be used to evaluate tendon structural characteristics. The study will also explore the relationship between imaging findings and clinical outcomes.

Вмешательства

• Другое Telerehabilitation Exercise Program
  Participants will perform a home-based progressive loading program targeting the wrist flexor-pronator muscles three times per week for 8 weeks. The protocol will progress from isometric exercises in weeks 1-2 (4-5 × 30-45 s holds), to eccentric loading in weeks 3-4 (3 × 15 repetitions), followed by combined concentric-eccentric training in weeks 5-6 (3-4 × 10-12 repetitions), and heavy slow resistance in weeks 7-8 (3-4 × 6-8 repetitions at \~70-85% 1RM). Exercise intensity will be guided by a p
• Другое Supervised Physiotherapy Program
  Participants will undergo an identical progressive loading program targeting the wrist flexor-pronator muscles, administered three times per week for 8 weeks under direct physiotherapist supervision. The intervention will follow the same staged progression: will progress from isometric exercises in weeks 1-2 (4-5 × 30-45 s holds), to eccentric loading in weeks 3-4 (3 × 15 repetitions), followed by combined concentric-eccentric training in weeks 5-6 (3-4 × 10-12 repetitions), and heavy slow resis

Первичные конечные точки

• Change in Patient-Rated Elbow Evaluation (PREE) Score [Срок оценки: Baseline and 8 Weeks]

Вторичные конечные точки (3)

• Colour Ultrasonography [Срок оценки: Baseline and 8 Weeks]
• Grip Strength (hand dynamometer) [Срок оценки: Baseline and 8 Weeks]
• Pain Intensity (Visual Analog Scale) [Срок оценки: Baseline and 8 Weeks]

Критерии участия

Критерии включения

• Age 18 to 60 years
• Clinical diagnosis of medial epicondylitis
• Symptoms duration ≥6 weeks
• Pain with resisted wrist flexion
• Local tenderness at medial epicondyle

Критерии исключения

• Previous elbow surgery
• Corticosteroid injection within the past 3 months
• Cervical radiculopathy
• Systemic inflammatory disease
• Bilateral symptoms

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Outpatient clinic, faculty of Physical Therapy, Benha university — Banhā

Идентификаторы

NCT: NCT07582510 · Telerehabilitation of ME 2026

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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