The Effects of a Wrist Extensors Exercise With Blood Flow Restriction (BFR) in Lateral Elbow Tendinopathy. (BFR)
Lateral Epicondylitis
About this trial
This is an interventional treatment trial for Lateral Epicondylitis focused on measuring tennis elbow, pain threshold, elbow tendinopathy, BFR, hypoalgesia
Eligibility Criteria
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 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
Sites / Locations
- University of West Attica
- University of West Attica
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Wrist extensor exercise with Blood Flow Restriction
Wrist extensor exercise without Blood Flow Restriction
Blood flow restriction training. Patients will execute a wrist extension exercise on standing position with the elbow extended. The load (dumbbells) will be set according to a pain monitoring approach ( exercise should not provoke pain >2/10) during wrist extension. Load is increased by 0.5 to 1kg. We will allow a 30 sec break. The session starts by calculating the arterial occlusion pressure in the standard anatomical position. Participants rest in the standing position for 3-5 minutes before measurement to ensure restoration of blood flow circulation and a cuff is placed in the most proximal part of their dominant upper-limb. BFR application is conducted by using an automatic personalized tourniquet system (Mad-Up Pro, France). An 40% occlusion pressure is set and subjects perform 4 sets of wrist extension (30-15-15-15 reps).
Patients will execute a wrist extension exercise on standing position with the elbow extended. The load (dumbbells) will be set according to a pain monitoring approach ( exercise should not provoke pain >2/10) during wrist extension. Load is increased by 0.5 to 1kg. We will allow a 30 sec break.