Lateral Epicondylitis Clinical Trial
Official title:
Piezowave Myofascial Acoustic Compression Therapy on Lateral and Medial Tendinopathies
Within the outpatient rehabilitation clinic, therapists provide therapeutic interventions to
treat patients with various tendinopathies, including lateral and medial epicondylosis.
Current conservative treatment includes immobilization for forced rest of the inflamed
tendons and muscles, as well as mobilizations to focus stimulation of synovial fluid, provide
movement to nourish cartilage, promote periarticular extensibility, and provide sensory and
proprioceptive input. Musculoskeletal disorders can accompany both local and referred pain
patterns that need to be assessed and treated. When an acute trauma or repetitive
micro-trauma occurs, that may result in decreased range of motion and increased pain causing
the onset of weakness and function of the affected extremity. An alternative approach is
through the provision of Piezowave Myofascial Acoustic Compression Therapy (MyACT), which
provides mechanical stimuli delivery to improve circulation and provide relief of pain. The
focused sound waves produced by the Piezowave MyACT device are classified by a pressure
surge, which is followed by a drop in pressure and a brief negative pressure phase low
energy/low pressure application. It is this transformation of mechanical stimuli into
biochemical signals, or mechanotransduction, which yields the treatment of myofascial and
musculoskeletal pain. There is currently limited research to support the benefit in regards
to increased function and decreased pain when the Piezowave MyACT is used for the treatment
of lateral and medial epicondylosis. Of the limited research available, treatment with
non-invasive shock wave therapy, complications are low and effect is achieved in most cases
within three to five sessions.
If Piezowave Myofascial Acoustic Compression Therapy (MyACT)) is applied as treatment for
symptoms of lateral and medical elbow tendinopathies, then the patient will experience
increased function demonstrated by Quick DASH (Disability of the Arm, Shoulder and Hand)
score and decreased pain demonstrated by subjective reporting on the numeric pain rating
scale.
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