Lateral Epicondylitis Clinical Trial
Official title:
Comparing the Efficacy of Extracorporeal Shock Wave Therapy, Ultrasound and Phonophoresis Treatments in Lateral Epicondylitis: A Randomized Controlled Trial
Verified date | January 2023 |
Source | Bezmialem Vakif University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study; to determine the effectiveness of ESWT, ultrasound and phonophoresis treatments on pain, grip strength, functionality and quality of life in patients with lateral epicondylitis and to determine the superiority of the treatments to each other.
Status | Completed |
Enrollment | 68 |
Est. completion date | January 6, 2023 |
Est. primary completion date | September 15, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Aged between 18-65 years - Pain on the lateral side of the elbow for at least 4 weeks - Tenderness over the lateral epicondyle - Positive in at least two of the lateral epicondylitis spesific tests (Cozen test, Maudley test and Mills test) Exclusion Criteria: - Be younger than 18 - Having had ESWT treatment in the elbow area before - History of injection, surgery, physical therapy in the elbow area in the last 3 months - Previous elbow surgery - History of radius/ulna fracture - A history of cervical and shoulder problems - having bilateral symptoms - concomitant medial epicondylitis - Malignancy - Pregnancy - Systemic rheumatologic disease or systemic infection - inserted cardiac pacemaker - presence of coagulation disorders - Cognitive disfunction |
Country | Name | City | State |
---|---|---|---|
Turkey | Bezmialem Vakif university | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Bezmialem Vakif University |
Turkey,
Bayram K, Yesil H, Dogan E. Efficacy of extracorporeal shock wave therapy in the treatment of lateral epicondylitis. North Clin Istanb. 2014 Aug 3;1(1):33-38. doi: 10.14744/nci.2014.77487. eCollection 2014. — View Citation
Stasinopoulos D, Johnson MI. Cyriax physiotherapy for tennis elbow/lateral epicondylitis. Br J Sports Med. 2004 Dec;38(6):675-7. doi: 10.1136/bjsm.2004.013573. — View Citation
Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015 Aug 25;16:223. doi: 10.1186/s12891-015-0665-4. — View Citation
Yalvac B, Mesci N, Geler Kulcu D, Yurdakul OV. Comparison of ultrasound and extracorporeal shock wave therapy in lateral epicondylosis. Acta Orthop Traumatol Turc. 2018 Sep;52(5):357-362. doi: 10.1016/j.aott.2018.06.004. Epub 2018 Jun 28. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Visual Analog Scale | The self-evaluation of pain severity during rest, activity,night and with palpation was calculated using a 10-cm VAS scale | Change from Baseline at 1 month after treatment. | |
Secondary | Patient-Rated Tennis Elbow Evaluation (PRTEE) scales | The PRTEE is a 15-item questionnaire designed to measure forearm pain and disability in patients with lateral epicondylitis | Change from Baseline at 1 month after treatment. | |
Secondary | Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire score | The Quick DASH is an 11-item measure of the magnitude of disability and symptoms specific to the upper extremity. The first 6 items measure the degree of difficulty in performing various physical activities because of a shoulder, arm, and hand problem, and the other 5 items related to quality of sleeping, social activities, and daily activities, and the intensity of pain and numbness | Change from Baseline at 1 month after treatment. | |
Secondary | Roles and Maudsley Score | The Roles and Maudsley score was used to evaluate pain and activity limitation as classified in four categories: 1 point = excellent, 2 points = good, 3 points = fair and 4 points = poor. | Change from Baseline at 1 month after treatment. | |
Secondary | Health Assessment Questionnaire (HAQ) score | This is a self-reported questionnaire covering 20 items in eight domains related to measuring difficulty in performing activities of daily living: dressing, arising, eating, walking, hygiene, reach, grip, and common daily activities | Change from Baseline at 1 month after treatment. | |
Secondary | Grip Strength score | Grip strength of the affected upper extremity was calculated using a Hydraulic Hand Dynamometer | Change from Baseline at 1 month after treatment. |
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