Aim of the work : 1. To detect if there is any change would occur in the neovascularity and echogenicity after using cervical and upper thoracic SNAG or not in ME patients. 2. To find the effect of cervical and upper thoracic SNAG on pain, function of upper extremities, grip strength in ME comparing with traditional treatment alone
medial epicondylitis(ME) of the elbow is a condition characterized by aggravation of pain in the outer part of the elbow during active wrist flexion , and presentation of pain on direct palpation of the medial epicondyle, or proximal muscle belly . Biomechanical and sensorimotor deficits can occur and adversely impact upper extremity function .These functional deficits may interfere with occupational tasks and activities of daily living The study's results: Measuring the changes that will be produced by using therapeutic growth of the cervical and thoracic vertebrae on the pathological changes that persist in the tendons of the tens of the tibialis cruciate ligaments in detecting excess weight resulting from the disease of the middle epicondyle, such as increased blood vessels in the tendon and decreased echogenicity of the tendon, in addition to measuring the changes that occurred in the extent of pain sensation and the extent of functional performance of the shoulder and elbow joints. Patients will be directly selected jointly according to the patient's specifications for the research and written consent will be obtained from the patient after a detailed explanation of the research steps and what is required of him. The vocal function of the tendon will be evaluated, with the exception of functional pain of the successful upper extremity and the strength of the hand muscles before and after the experiment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
SNAG : type of mobilization of vertebral coulmn
Faculty of Physical Therapy, Beni-Suef University
Banī Suwayf, Egypt
RECRUITINGChange in hypervascularity and hypoechogencity measured by colour sonography ( grade 1: grade 4)
Change in hypervascularity and hypoechogencity measured by colour sonography ( grade 1: grade 4)
Time frame: 2 months
Change in shoulder disability measured by DASH SCALE and elbow disability by PRTEE scale )
Change in shoulder disability measured by DASH SCALE and elbow disability by PRTEE scale )
Time frame: 2 MONTHS
Change in pain intensity measured by Visual Analogue Scale (VAS, 0-10 points)
Change in pain intensity measured by Visual Analogue Scale (VAS, 0-10 points)
Time frame: 2 months
Change in grip muscle strength measured by hand held dynamometer points
Change in grip muscle strength measured by hand held dynamometer points
Time frame: 2 months
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