Treatment of Lateral Epicondylitis With a Percussive Therapy Device

February 9, 2023 updated by: Michael Stone, Cedars-Sinai Medical Center

Treatment of Lateral Epicondylitis With a Percussive Therapy Device: Outcomes of a Randomized Controlled Trial

The purpose of this study is to assess the efficacy of using a percussive therapy device in addition to physical therapy to treat acute tennis elbow

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

The device the investigators intend to use is Class I and in a class of devices that is exempt from the FDA requirement for premarket notification/approval (exempt from 510K or PMA), which would not be "subject to section 510(k), 515, or 520(m) of the Federal Food, Drug, and Cosmetic Act" (ref: FDAAA Checklist)

Study Type

Interventional

Enrollment (Anticipated)

66

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • California
      • Los Angeles, California, United States, 90048
        • Cedars-Sinai Medical Center
        • Contact:
          • Michael A Stone, M.D
          • Phone Number: 310-423-4566

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Individuals 18 years old or older are included
  • Patients with atraumatic lateral epicondylitis symptoms
  • Symptoms persistent and present for at least 2 weeks
  • Presence of 2 of the following on clinical examination: +tenderness to palpation common extensor tendons and/or lateral epicondyle origin, pain over the lateral elbow with passive flexion of the wrist in an extended position, +pain with resisted supination, +pain with resisted middle finger extension.

Exclusion Criteria:

  • Any records flagged "break the glass" or "research opt out."
  • Patients with elbow osteoarthritis,
  • Patients with a history of traumatic injury to the elbow
  • Patients with workers compensation
  • Patients who received cortisol injection in the elbow
  • MRI evidence of common extensor tear
  • A history of surgery on the affected elbow,
  • Cognitive or behavioral problems which would preclude informed consent.
  • Patients with coagulopathies
  • Patients who are pregnant
  • Patients who had a cortisone injection within 3 months

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Percussive Therapy Device
Participants will be going to physical therapy - 1 session per week for 6 weeks and will use a percussive therapy device daily for 3-7 minutes
Same as group description
Other Names:
  • Theragun
Same as group description
ACTIVE_COMPARATOR: Control group
Participants will be going to physical therapy - 1 session per week for 6 weeks
Same as group description

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Time to Improvement of Symptoms
Time Frame: 3 months
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
PROMIS Upper Extremity
Time Frame: 3 months

Patient-Reported Outcomes Measurement Information System

Upper extremity - 0-100 indicating functionality of the upper extremity with higher scores representing more functionality

3 months
PROMIS Physical Functioning
Time Frame: 3 months

Patient-Reported Outcomes Measurement Information System

Physical function 0-100 indicating overall functionality with higher scores representing more functionality

3 months
PROMIS Pain Interference
Time Frame: 3 months

Patient-Reported Outcomes Measurement Information System

Pain interference 0-100 measures the extent to which pain hinders an individual's engagement with physical, mental, cognitive, emotional, recreational, and social activities with higher scores representing more interference

3 months
PROMIS Depression
Time Frame: 3 months

Patient-Reported Outcomes Measurement Information System

Depression - 0-100 assess self-reported negative mood (sadness, guilt), views of self (self- criticism, worthlessness), and social cognition (loneliness, interpersonal alienation), as well as decreased positive affect and engagement (loss of interest, meaning, and purpose) with higher scores indicating more depression

3 months
VAS pain score
Time Frame: 3 months
Visual Analog Score for pain - subjective measure for acute and chronic pain. Scaled 0-10
3 months
SANE score
Time Frame: 3 months
Single Assessment Numeric Evaluation - This is a single-question outcome measure that asks patients to rate their function, as it pertains to the area being treated, on a scale of 0 to 100
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Michael A Stone, M.D, Cedars-Sinai Medical Center

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ANTICIPATED)

March 1, 2023

Primary Completion (ANTICIPATED)

September 1, 2023

Study Completion (ANTICIPATED)

September 1, 2023

Study Registration Dates

First Submitted

January 30, 2023

First Submitted That Met QC Criteria

February 9, 2023

First Posted (ACTUAL)

February 13, 2023

Study Record Updates

Last Update Posted (ACTUAL)

February 13, 2023

Last Update Submitted That Met QC Criteria

February 9, 2023

Last Verified

February 1, 2023

More Information

Terms related to this study

Other Study ID Numbers

  • STUDY00002285

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

Yes

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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