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The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial
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The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial
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The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial
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Journal Article
The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial
2020
Overview
Background
The treatment of first choice for lateral epicondylalgia humeri is conservative therapy. Recent findings indicate that spinal manual therapy is effective in the treatment of lateral epicondylalgia. We hypothesized that thoracic spinal mobilization in patients with epicondylalgia would have a positive short–term effect on pain and sympathetic activity.
Methods
Thirty patients (all analyzed) with clinically diagnosed (physical examination) lateral epicondylalgia were enrolled in this randomized, sample size planned, placebo-controlled, patient-blinded, monocentric trial. Pain-free grip, skin conductance and peripheral skin temperature were measured before and after the intervention. The treatment group (15 patients) received a one-time 2-min T5 costovertebral mobilization (2 Hz), and the placebo group (15 patients) received a 2-min one-time sham ultrasound therapy.
Results
Mobilization at the thoracic spine resulted in significantly increased strength of pain-free grip + 4.6 kg ± 6.10 (
p
= 0.008) and skin conductance + 0.76 μS ± 0.73 (
p
= 0.000004) as well as a decrease in peripheral skin temperature by − 0.80 °C ± 0.35 (
p
< 0.0000001) within the treatment group.
Conclusion
A thoracic costovertebral T5 mobilization at a frequency of 2 Hz shows an immediate positive effect on pain-free grip and sympathetic activity in patients with lateral epicondylalgia.
Clinical trial registration
German clinical trial register
DRKS00013964
, retrospectively registered on 2.2.2018.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Adult
/ Consent
/ Elbow
/ Female
/ Humans
/ Male
/ Medicine
/ Musculoskeletal Manipulations - methods
/ Musculoskeletal Pain - diagnosis
/ Musculoskeletal Pain - etiology
/ Musculoskeletal Pain - physiopathology
/ Musculoskeletal Pain - therapy
/ Pain
/ Patients
/ physical therapy and occupational health
/ Sensors
/ Skin
/ Sympathetic activity, musculoskeletal pain
/ Tennis
/ Tennis Elbow - complications
/ Tennis Elbow - physiopathology
/ Time
