TINLL vs Traditional Treatment for Tennis Elbow
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine which treatment is more effective for individuals with lateral elbow pain, commonly known as tennis elbow. Participants will receive either traditional treatments, such as stretching, soft tissue work, and TENS (a type of nerve stimulation), or non-traditional TINLL treatments, which focus on joint and tendon mobilization and muscle strengthening. This trial suits those experiencing elbow pain, particularly if they feel tenderness or pain when stretching or using their wrists. Researchers will test participants' grip strength, pain level, and function multiple times to assess improvement. As an unphased trial, this study offers participants the chance to explore innovative treatments and contribute to valuable research on managing elbow pain.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research shows that treatments like TINLL are being tested for tennis elbow, but solid information on their safety remains limited. TINLL involves movements and taping to alleviate nerve and muscle tension. Although specific safety data for TINLL is scarce, treatments involving movement and stretching are typically safe and well-tolerated.
In contrast, traditional treatments in this trial, such as stretching, taping, and electrical nerve stimulation, are commonly used and generally safe. These methods aim to reduce pain and improve movement, having been used for a long time with few side effects.
Overall, despite the lack of detailed safety data for TINLL, similar treatments have demonstrated safety. Researchers closely monitor participants in trials like this to ensure their safety throughout the process.12345Why are researchers excited about this trial?
Researchers are excited about TINLL for tennis elbow because it takes a unique approach by focusing on joint alignment and neural tension with targeted mobilization techniques. Unlike traditional treatments that primarily involve muscle strengthening and manipulation, TINLL uses elastic taping with specific stretch percentages to stabilize the radial head and inhibit muscle tension. Additionally, it incorporates a comprehensive strategy that includes stretching and strengthening not just the elbow but also the shoulder and scapular muscles, potentially offering a more holistic improvement in arm function.
What evidence suggests that this trial's treatments could be effective for lateral elbow pain?
This trial will compare the TINLL treatment with traditional treatments for managing tennis elbow. Research suggests that the TINLL treatment, which participants in this trial may receive, could help manage tennis elbow by using techniques like moving joints and tendons to improve their position and ease nerve tension. Studies have shown that similar methods can significantly reduce pain and improve function. In contrast, the traditional treatment arm, which includes stretching and strengthening exercises, has shown mixed results. Some research indicates these exercises can help reduce pain and improve grip strength, but the evidence is not consistent. Overall, while both approaches have potential, TINLL might offer a special focus on nerve-related issues that could be beneficial.12367
Are You a Good Fit for This Trial?
Adults over 18 with lateral elbow pain or lateral epicondylitis, who understand English and have not been effectively treated by other methods. They should experience tenderness or pain in specific elbow tests. People without these symptoms or conditions won't be eligible.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Participants undergo initial assessments including grip strength test, pinch test, pain level survey, and functional survey
Treatment
Participants receive either traditional or TINLL treatment for lateral elbow pain
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments at 2-week and 4-week intervals
Long-term Follow-up
Participants are contacted 6 months following treatment to assess pain, function, and use of taping and home exercises
What Are the Treatments Tested in This Trial?
Interventions
- TINLL
Trial Overview
The trial is testing two approaches for treating tennis elbow: traditional treatments including stretching, strengthening, and TENS versus the 'Think in Nerve Length and Layers' (TINLL) method focusing on nerve tension relief. Participants will receive treatment weekly for up to six weeks.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
* radial head mobilization * biceps tendon mobilization with movement to address joint alignment, neural tension, and the superficial sensory nervous system. * elastic tape cross fiber inhibition 50% stretch over distal biceps * elastic tape radial head stabilization with 80% stretch * biceps stretching/lengthening * pectoralis major stretching * scapular strengthening * triceps and supinator strengthening * ergonomic strategies
* stretching of the wrist extensors * isometric, concentric, and/or eccentric strengthening of the finger extensors, wrist extensors, pronator, and supinator muscles * elbow joint manipulation or mobilization (such as mobilization with movement (MWM) as developed by Mulligan) * soft tissue mobilization techniques to the forearm muscles * instrument-assisted soft tissue mobilization (IASTM) to the forearm muscles * rigid taping techniques and elastic taping application as part of a multimodal treatment program focused on common extensors * ergonomic strategies * transcutaneous electrical nerve stimulation (TENS) * wrist orthosis/splinting
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Vermont
Lead Sponsor
Citations
Comparing the Effectiveness of the 'Think in Nerve Length ...
Comparing the Effectiveness of the 'Think in Nerve Length and Layers' (TINLL) Approach to Traditional Treatment for Patients With Lateral Elbow ...
Nonoperative treatment of lateral epicondylitis: a systematic ...
A meta-analysis by Weber et al concluded that there was insufficient evidence to support physiotherapy for the treatment of tennis elbow. These inconsistent ...
Long Term Results in Refractory Tennis Elbow Using ... - PMC
The mean follow up was 5.7±1.72 (range 3 to 9 years). The mean pain score and Nirschl stage before the procedure was 3.3±0.9 and 6.2±0.82 respectively. At final ...
Comparative analysis of leucocyte poor vs ...
We performed a single arm meta-analysis of 26 studies involving 2034 patients. On analysis it was noted that significant improvement was noted in the VAS for ...
(PDF) Comparative effectiveness of laser, PRP, splinting, ...
All treatment groups demonstrated significant improvements in pain and function at 1 and 3 months (p < 0.05). HGS improved in all groups except ...
Long-term effectiveness of conservative management ...
Moreover, 80% cases of lateral epicondylitis resolve spontaneously within 6–12 months, whereas a substantial proportion of patients remain symptomatic and ...
Lateral Epicondylitis
Lateral epicondylitis, also commonly referred to as tennis elbow, describes an overuse injury that occurs secondary to an eccentric overload of the common ...
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