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出境医 / 临床实验 / Effectiveness of the "Tecaretherapy" in Patients With Lateral Elbow Tendinopathy

Effectiveness of the "Tecaretherapy" in Patients With Lateral Elbow Tendinopathy

Study Description
Brief Summary:

This RCT aims at investigating the effectiveness of the "Tecaretherapy" in patients with lateral elbow tendinopathy.

60 patients will be randomized into one of the following 3 groups:

  • "Conventional physiotherapy treatment (CPT)" (massage, eccentric exercises, stretching);
  • "CPT + Tecare" (idem CPT group + tecaretherapy during the eccentric exercises)
  • "CPT + Placebo Tecare" (idem "CPT + Tecare" group but with an inactive Tecare device) The treatment will include 18 30-minute sessions

Condition or disease Intervention/treatment Phase
Tendinopathy Other: Active Tecaretherapy Other: Inactive Tecaretherapy Other: CPT Not Applicable

Detailed Description:

This RCT aims at investigating the effectiveness of the "Tecaretherapy" in patients with lateral elbow tendinopathy.

60 patients will be randomized into one of the following 3 groups:

  • "Conventional physiotherapy treatment (CPT)" (massage, eccentric exercises by means of an isokinetic dynamometer, stretching);
  • "CPT + Tecare" (idem CPT group + Tecaretherapy during the eccentric exercises)
  • "CPT + Placebo Tecare" (idem "CPT + Tecare" group but with an inactive "Tecare" device) The treatment will include 18 30-minute sessions.

The "Tecaretherapy" consists in using a specific device providing high frequencies (between 300 kHz and 1 MHz) supposed to accelerate the tissues healing process.

Outcome sessions will be organized at baseline, after the first 9 sessions, at the end of the treatment as well as 3 and 6 months after the initial treatment session.

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Randomized controlled Trial
Masking: Double (Participant, Outcomes Assessor)
Masking Description: The patients receiving the "Placebo Tecare" will be blinded by using an identical device as in the active group but which cannot provide any current
Primary Purpose: Treatment
Official Title: Effectiveness of High Frequency Currents (Tecarethérapie) in Patients With Lateral Elbow Tendonopathy
Actual Study Start Date : April 25, 2019
Estimated Primary Completion Date : September 2020
Estimated Study Completion Date : September 2021
Arms and Interventions
Arm Intervention/treatment
"Conventional PT treatment (CPT)"
All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching;
Other: CPT
Conventional physiotherapy treatment (massage, eccentric exercises, stretching)

Experimental: "CPT + Tecare"
All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching (idem CPT group). However, an active Tecaretherapy is also provided during the sessions
Other: Active Tecaretherapy
The "Tecaretherapy": consists of using a specific device providing high frequencies (between 300 kHz and 1 MHz) supposed to accelerate the tissues healing process

Other: CPT
Conventional physiotherapy treatment (massage, eccentric exercises, stretching)

Sham Comparator: "CPT + Placebo Tecare"
All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching (idem CPT group). However, an inactive Tecaretherapy is also provided during the sessions
Other: Inactive Tecaretherapy
Inactive "Tecaretherapy": the device will not provide any current.

Other: CPT
Conventional physiotherapy treatment (massage, eccentric exercises, stretching)

Outcome Measures
Primary Outcome Measures :
  1. change in the "Patient-Rated Tennis Elbow Evaluation" score [ Time Frame: up to 6 months ]
    This questionnaire, developped for patients with elbow tendinopathy, consists of one part dealing with pain and a second part dealing with function. Each of the 5 items in part 1 is scored using a NRS, ranging from 0 (no pain) to 10 (worst pain imaginable). Part 2 is subdivided into Specific Activities (6 items) and Usual Activities (4 items). The 10 items of part 2 use a scale of 0 (no difficulty) to 10 (unable to perform an activity) to rate function. The total score is the combined score that rates pain and disability of equal importance. The pain score total (out of 50 points) and the functional subscale (60 points for specific activities, plus 40 points for usual activities to give a function subscale out of 100 points /2 to provide the remaining 50%) provide a total score, ranging from 0 (no pain and no functional impairment) to 100 (worst pain imaginable with a very significant functional deficit).


Secondary Outcome Measures :
  1. change in pain Intensity [ Time Frame: up to 6 months ]
    0-10 Numeric rating scale (0 = no pain, 10 = worst imaginable pain)

  2. change in pain Pressure thresholds [ Time Frame: up to 6 months ]
    Measured by means of an algometer


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patient suffering from a chronic lateral elbow tendinopathy confirmed by echography

Exclusion Criteria:

Patients:

  • with contra-indications for a Tecaretherapy (Pace maker, insuline pump, pregnancy, infection, fever, cancer, thrombophlebitis)
  • reporting injections and/or shockwaves in the past (for the tendinopathy)
  • with an associated neurogenic dysfunction
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Christophe Demoulin, PhD +3243663895 christophe.demoulin@uliege.be

Locations
Layout table for location information
Belgium
CHU Liege Recruiting
Liège, Belgium, 4000
Contact: Jean-François Kaux, Prof    +3243668241    jfkaux@chuliege.be   
Sponsors and Collaborators
University of Liege
Investigators
Layout table for investigator information
Principal Investigator: Marc Vanderthommen, Prof University of Liege
Principal Investigator: Bénédicte Forthomme, Prof University of Liege
Tracking Information
First Submitted Date  ICMJE May 1, 2019
First Posted Date  ICMJE May 6, 2019
Last Update Posted Date May 6, 2019
Actual Study Start Date  ICMJE April 25, 2019
Estimated Primary Completion Date September 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: May 3, 2019)
change in the "Patient-Rated Tennis Elbow Evaluation" score [ Time Frame: up to 6 months ]
This questionnaire, developped for patients with elbow tendinopathy, consists of one part dealing with pain and a second part dealing with function. Each of the 5 items in part 1 is scored using a NRS, ranging from 0 (no pain) to 10 (worst pain imaginable). Part 2 is subdivided into Specific Activities (6 items) and Usual Activities (4 items). The 10 items of part 2 use a scale of 0 (no difficulty) to 10 (unable to perform an activity) to rate function. The total score is the combined score that rates pain and disability of equal importance. The pain score total (out of 50 points) and the functional subscale (60 points for specific activities, plus 40 points for usual activities to give a function subscale out of 100 points /2 to provide the remaining 50%) provide a total score, ranging from 0 (no pain and no functional impairment) to 100 (worst pain imaginable with a very significant functional deficit).
Original Primary Outcome Measures  ICMJE Same as current
Change History No Changes Posted
Current Secondary Outcome Measures  ICMJE
 (submitted: May 3, 2019)
  • change in pain Intensity [ Time Frame: up to 6 months ]
    0-10 Numeric rating scale (0 = no pain, 10 = worst imaginable pain)
  • change in pain Pressure thresholds [ Time Frame: up to 6 months ]
    Measured by means of an algometer
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Effectiveness of the "Tecaretherapy" in Patients With Lateral Elbow Tendinopathy
Official Title  ICMJE Effectiveness of High Frequency Currents (Tecarethérapie) in Patients With Lateral Elbow Tendonopathy
Brief Summary

This RCT aims at investigating the effectiveness of the "Tecaretherapy" in patients with lateral elbow tendinopathy.

60 patients will be randomized into one of the following 3 groups:

  • "Conventional physiotherapy treatment (CPT)" (massage, eccentric exercises, stretching);
  • "CPT + Tecare" (idem CPT group + tecaretherapy during the eccentric exercises)
  • "CPT + Placebo Tecare" (idem "CPT + Tecare" group but with an inactive Tecare device) The treatment will include 18 30-minute sessions
Detailed Description

This RCT aims at investigating the effectiveness of the "Tecaretherapy" in patients with lateral elbow tendinopathy.

60 patients will be randomized into one of the following 3 groups:

  • "Conventional physiotherapy treatment (CPT)" (massage, eccentric exercises by means of an isokinetic dynamometer, stretching);
  • "CPT + Tecare" (idem CPT group + Tecaretherapy during the eccentric exercises)
  • "CPT + Placebo Tecare" (idem "CPT + Tecare" group but with an inactive "Tecare" device) The treatment will include 18 30-minute sessions.

The "Tecaretherapy" consists in using a specific device providing high frequencies (between 300 kHz and 1 MHz) supposed to accelerate the tissues healing process.

Outcome sessions will be organized at baseline, after the first 9 sessions, at the end of the treatment as well as 3 and 6 months after the initial treatment session.

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Randomized controlled Trial
Masking: Double (Participant, Outcomes Assessor)
Masking Description:
The patients receiving the "Placebo Tecare" will be blinded by using an identical device as in the active group but which cannot provide any current
Primary Purpose: Treatment
Condition  ICMJE Tendinopathy
Intervention  ICMJE
  • Other: Active Tecaretherapy
    The "Tecaretherapy": consists of using a specific device providing high frequencies (between 300 kHz and 1 MHz) supposed to accelerate the tissues healing process
  • Other: Inactive Tecaretherapy
    Inactive "Tecaretherapy": the device will not provide any current.
  • Other: CPT
    Conventional physiotherapy treatment (massage, eccentric exercises, stretching)
Study Arms  ICMJE
  • "Conventional PT treatment (CPT)"
    All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching;
    Intervention: Other: CPT
  • Experimental: "CPT + Tecare"
    All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching (idem CPT group). However, an active Tecaretherapy is also provided during the sessions
    Interventions:
    • Other: Active Tecaretherapy
    • Other: CPT
  • Sham Comparator: "CPT + Placebo Tecare"
    All treatment sessions include massage, eccentric exercises by means of an isokinetic dynamometer and stretching (idem CPT group). However, an inactive Tecaretherapy is also provided during the sessions
    Interventions:
    • Other: Inactive Tecaretherapy
    • Other: CPT
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: May 3, 2019)
60
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE September 2021
Estimated Primary Completion Date September 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Patient suffering from a chronic lateral elbow tendinopathy confirmed by echography

Exclusion Criteria:

Patients:

  • with contra-indications for a Tecaretherapy (Pace maker, insuline pump, pregnancy, infection, fever, cancer, thrombophlebitis)
  • reporting injections and/or shockwaves in the past (for the tendinopathy)
  • with an associated neurogenic dysfunction
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 55 Years   (Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Christophe Demoulin, PhD +3243663895 christophe.demoulin@uliege.be
Listed Location Countries  ICMJE Belgium
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03939247
Other Study ID Numbers  ICMJE TECARE
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Christophe Demoulin, University of Liege
Study Sponsor  ICMJE University of Liege
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Marc Vanderthommen, Prof University of Liege
Principal Investigator: Bénédicte Forthomme, Prof University of Liege
PRS Account University of Liege
Verification Date May 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP