The treatment of first choice for lateral epicondylalgia humeri is conservative therapy. Recent findings indicate that spinal manual therapy is effective in the treatment of lateral epicondylalgia. We hypothesized that thoracic spinal mobilization in patients with epicondylalgia would have a positive short–term effect on pain and sympathetic activity. Thirty patients (all analyzed) with clinically diagnosed (physical examination) lateral epicondylalgia were enrolled in this randomized, sample size planned, placebo-controlled, patient-blinded, monocentric trial. Pain-free grip, skin conductance and peripheral skin temperature were measured before and after the intervention. The treatment group (15 patients) received a one-time 2-min T5 costovertebral mobilization (2 Hz), and the placebo group (15 patients) received a 2-min one-time sham ultrasound therapy. Mobilization at the thoracic spine resulted in significantly increased strength of pain-free grip + 4.6 kg ± 6.10 (p = 0.008) and skin conductance + 0.76 μS ± 0.73 (p = 0.000004) as well as a decrease in peripheral skin temperature by − 0.80 °C ± 0.35 (p < 0.0000001) within the treatment group. A thoracic costovertebral T5 mobilization at a frequency of 2 Hz shows an immediate positive effect on pain-free grip and sympathetic activity in patients with lateral epicondylalgia. German clinical trial register DRKS00013964, retrospectively registered on 2.2.2018.

中文翻译：

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肱骨外上con痛患者的胸椎手法治疗对无痛抓地力和交感神经活动的影响。一项随机，样本量的计划，安慰剂对照，患者盲单中心试验

肱骨外上d痛的首选治疗方法是保守治疗。最近的发现表明，脊柱手工疗法对外侧上epi痛有效。我们假设上epi上痛患者的胸椎动员对疼痛和交感神经有积极的短期影响。这项随机，样本量计划，安慰剂对照，患者盲法，单中心试验纳入了30例经临床诊断（体格检查）外侧上con痛的患者（全部进行了分析）。干预前后测量无痛抓地力，皮肤电导率和周围皮肤温度。治疗组（15名患者）接受了一次为时2分钟的T5肋椎动员（2 Hz），安慰剂组（15例患者）接受了2分钟的一次性假超声治疗。胸椎动员可显着提高无痛握力+ 4.6 kg±6.10（p = 0.008）和皮肤电导+ 0.76μS±0.73（p = 0.000004），并使周围皮肤温度降低-0.80治疗组内的°C±0.35（p <0.0000001）。频率为2 Hz的胸椎肋椎T5动员对外侧上con痛患者的无痛抓握和交感神经活动立即产生积极影响。德国临床试验注册证DRKS00013964，追溯注册于2.2.2018。000004）以及治疗组内周围皮肤温度降低− 0.80°C±0.35（p <0.0000001）。频率为2 Hz的胸椎肋椎T5动员对外侧上con痛患者的无痛抓握和交感神经活动立即产生积极影响。德国临床试验注册证DRKS00013964，追溯注册于2.2.2018。000004）以及治疗组内周围皮肤温度降低− 0.80°C±0.35（p <0.0000001）。频率为2 Hz的胸椎肋椎T5动员对外侧上con痛患者的无痛抓握和交感神经活动立即产生积极影响。德国临床试验注册证DRKS00013964，追溯注册于2.2.2018。