Evidence map›Paper›PMID 39806585›Full record

Trial reportBMJ open2024

Heavy slow resistance training, radial extracorporeal shock wave therapy or advice for patients with tennis elbow in the Norwegian secondary care: a randomised controlled feasibility trial.

Håkon Sveinall, Jens Ivar Brox, Kaia B Engebretsen, Aasne Fenne Hoksrud, Cecilie Røe, Marianne Bakke Johnsen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04803825 (The Feasibility of Heavy-slow Resistance Training, Radial Extracorporeal Shockwave Therapy), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04803825 nacompletednot on this map

The Feasibility of Heavy-slow Resistance Training, Radial Extracorporeal Shockwave Therapy (rESWT) and Information and Advice. The NOrwegian Tennis Elbow (NOTE) Study

TypeinterventionalSponsorOslo University HospitalRan2021 to 2023Enrolled100ConditionsLateral Epicondylitis, Tennis Elbow, Tendinopathy, ElbowArmsHeavy Slow Exercises, Extracorporeal Shock wave therapy, Information and advice
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Håkon SveinallDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-9622-4636
Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway j.i.brox@medisin.uio.no.ORCID http://orcid.org/0000-0002-2507-1812
Kaia B EngebretsenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Aasne Fenne HoksrudNorwegian Olympic and Paralympic Committee and Confederation of Sports, Oslo, Norway.
Cecilie RøeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Marianne Bakke JohnsenDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0003-4300-5250

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the feasibility of recruitment, appointment adherence, intervention compliance, acceptance and comprehensibility, in addition to retention rate and data completeness. An ancillary aim was to describe within-group changes in the secondary outcome measures (patient-reported and performance-based).

designA single-centre, three-armed, randomised controlled feasibility trial with a parallel design, with follow-up after 3 and 6 months.

settingParticipants were recruited from the outpatient clinic at Oslo University Hospital.

participantsPatients with lateral epicondylalgia, commonly known as tennis elbow.

interventionsParticipants were randomised in a 1:1:1 ratio to heavy slow resistance training, radial extracorporeal shock wave therapy or information and advice.

main outcome measuresFeasibility was assessed according to a priori criteria for success.

resultsIn total, 89 patients were screened for eligibility, and 69 (78%) patients were eligible for randomisation. 60 (92%) participants were randomised which gave a recruitment rate of 3.4 per month (against an a priori success cut-off of 3.75). The participants rated all the interventions as acceptable and comprehensive. Only 6 of 19 (32%) did comply with heavy slow resistance training. Retention rate and completeness of data were successful at 3 months. At 6 months, the retention rate was below the criteria for success. Patient-reported and performance-based outcomes improved in all groups.

conclusionThe current study shows that the process of recruitment and the retention rate at follow-up can be feasible with minor amendments. Participants had low compliance with heavy slow resistance training mainly due to pain aggravation, which suggests that this intervention was not suitable for patients with tennis elbow. Shock wave therapy and information and advice should be investigated further in a full-scale randomised controlled trial including sham shock wave therapy. TRIAL REGISTRATION NUMBER: NCT04803825.

Indexed as

Extracorporeal Shockwave TherapyPatient Education as TopicResistance TrainingTennis ElbowAdultFeasibility StudiesFemaleHumansMaleMiddle AgedNorwayPatient ComplianceTreatment OutcomeElbow TendinopathyFeasibility StudiesPhysical Therapy ModalitiesRandomized Controlled TrialSPORTS MEDICINETennis Elbow

Identifiers

PMID39806585
PMCPMC11667321

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.