Ignite Creation Date:
2024-05-06 @ 7:25 PM
Last Modification Date:
2024-10-26 @ 3:06 PM
Study NCT ID:
NCT06001944
Status:
RECRUITING
Last Update Posted:
2023-08-21
First Post:
2023-06-01
Brief Title:
Investigation of the Efficacy of Blood Flow Restricted Training in Lateral Elbow Tendinopathy
Sponsor:
Istanbul University - Cerrahpasa IUC
Organization:
Istanbul University - Cerrahpasa IUC
Study Overview
Official Title:
Investigation of the Efficacy of Blood Flow Restricted Training in Lateral Elbow Tendinopathy
Status:
RECRUITING
Status Verified Date:
2023-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The investigators believe that blood flow-restricted training can result in increased caste hypertrophy and strength without stressing the tendon in lateral elbow tendinopathy and that changes in local metabolic activities can be effective in the process of tendon healing The researchers aim in the study is to investigate the effectiveness of blood flow restriction training in lateral elbow tendinopathy for 8 weeks in addition to the 2 days a week multi-modal physiotherapy program which will be applied by limiting blood flow by 40-50 occlusion recommended for the upper extremity using the patients systolic pressure to the severity of 20-30 of 1 maximum repetition 75 repetitions including 30-15-15-15 repetitions and 30 seconds rest period between sets remaining attached to the recommended 10-15 minutes period for the top extremity
Detailed Description:
Physiotherapy is the first step in the treatment algorithm for lateral elbow tendinopathy LET which is characterized by pain in the lateral epicondyl of the humerus during wrist extension and which limits hand-to-hand movements such as grabbing and thinning and consequently negatively affects hand functions Extender carpi radialis brevis ECRB and extender digitorum communis EDC are the muscles that contribute most to the onset of symptoms Exercise either alone or as part of a multimodal physiotherapy program is central to the management of many patients with LDT Exercise in patients with chronic LDT has been shown to result in more and faster relief of pain less use of illness less medical consultation and increased working capacity In literature loading with recommended exercises is considered necessary to re-form the tendon while on the other hand some patients may not tolerate this loading For rehabilitation practitioners it is quite difficult to design optimal exercise programs that facilitate musculo-skeletal system MSK adaptations while also enabling biological healing and safe loading of the injured body In these cases there has been a search for a new method that can generate physiological benefits associated with higher intensity training with exercise at lower loads Increasing evidence supports the use of resistance training at a reduced load along with blood flow restriction BFR therapy to increase hypertrophic and force responses in skeletal muscle The American Association of Sports Physicians ACSM recommends that at least 65 of the 1 maximum repetition similar to exercising at high intensity with 8-12 repetition resistant weight lifting strength training can be used in low loads such as 20 to 30 of 1 maximum repeat in the treatment to caste hypertrophy and strength Effects of blood flow-restricted training on muscle lithium excitement mechanical tension metabolic stress systemic and local hormones vascular endothelial growth factor VEGF and oxidative stress mechanisms have been There have been no randomized controlled studies in the literature on the effectiveness of BFR training in tendinopathies However case studies and series of cases have been included and no contraindications of BFR have been for patients with tendinopathy The increasing number of studies on various diseases in the literature is a proof of this
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None