Effect of Extracorporeal Shock Wave Therapy (ESWT) and Phonophoresis Treatment on Pain, Function, Grip Strength and Tendon Thickness in Ultrasonography in Patients With Lateral Epicondylitis.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lateral Epicondylitis
- Sponsor
- Kirsehir Ahi Evran Universitesi
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Visual Analog Scale
- Status
- Completed
- Last Updated
- 4 months ago
Overview
Brief Summary
This study aimed to investigate the effects of Extracorporeal Shock Wave Therapy and phonophoresis treatment on pain, function, hand grip strength and tendon thickness in ultrasonography in patients with lateral epicondylitis.
Detailed Description
Lateral epicondylitis (LE) is tendinopathy of the forearm extensor muscles, often caused by overuse or repetitive use, forced wrist extension, or direct trauma to the epicondyle. It is the most common cause of lateral elbow pain. Although also known as tennis elbow, lateral epicondylitis often develops as a work-related condition and is therefore a significant public health problem. ESWT; It involves transmitting high-intensity acoustic pressure waves produced by electrohydraulic, electromagnetic or piezoelectric devices to the target area of the body in a short time through the gel. It has been reported that ESWT increases collagen synthesis in tendons, bones and other soft tissues, accelerates vascularization and reduces pain. ultrasound; It has been used for many years in the treatment of musculoskeletal disorders such as tendinitis, epicondylitis, tenosynovitis, bursitis and osteoarthritis. It produces acoustic waves through the conversion of electrical energy. These waves turn into heat as they pass through tissues at different resistance levels. Ultrasound is also used to enhance percutaneous absorption of drugs in phonophoresis applications.
Investigators
Nazife Kapan
Asst. Prof.
Kirsehir Ahi Evran Universitesi
Eligibility Criteria
Inclusion Criteria
- •Individuals aged 18-65
- •Those who signed the informed consent form
- •Painful palpation of the lateral epicondyle
- •Positive Mill\'s, Maudsley\'s and Cozen\'s tests
- •Patients who have had complaints for at least 3 months
Exclusion Criteria
- •Those who have had corticosteroid, PRP, prolotherapy, hyaluronic acid etc. injections into the elbow area within 3 months or those who have received physical therapy
- •Those with cervical radiculopathy
- •Those who have had surgery on the elbow
- •Those with an open wound on the elbow
- •Those with a history of malignancy
- •Those with rheumatological diseases
- •Those with neurological diseases
- •Pregnancy
- •Infection
Outcomes
Primary Outcomes
Visual Analog Scale
Time Frame: baseline, 2th week, 12th week
VAS is a pain rating scale with numbers 0 and 10. Here 0 means 'no pain' and 10 means 'unbearable pain'. The participant will rate the pain according to the scale. Patients' night, rest and activity pain will be evaluated separately.
Patient-based lateral epicondylitis assessment questionnaire
Time Frame: baseline, 2th week, 12th week
It is a specific assessment questionnaire for lateral epicondylitis. It consists of two parts. In the first part, the pain in the affected arm is evaluated, and in the second part, the level of functionality is evaluated. In the second part, the functionality level is divided into two parts: specific activities and daily activities. In total, the best score is evaluated as 0 and the worst score is evaluated as 100.
Secondary Outcomes
- Quick-DASH(baseline, 2th week, 12th week)
- hand grip strength(baseline, 2th week, 12th week)
- tendon thickness(baseline, 2th week, 12th week)