Comparison of Different Physical Therapy Modalities in Lateral Epicondylitis
- Conditions
- Lateral Epicondylitis
- Interventions
- Behavioral: ExerciseDevice: High intensity laser therapyDevice: Kinesiotaping
- Registration Number
- NCT06267027
- Lead Sponsor
- Bakirkoy Dr. Sadi Konuk Research and Training Hospital
- Brief Summary
Comparison of the effects of kinesiotaping and high intensity laser therapy in patients with lateral epicondylitis: a randomized controlled study
- Detailed Description
In this study, it was aimed to compare the effects of exercise therapy, kinesiology taping and high-intensity laser therapy on pain, muscle strength and functional status in patients with LE. Patients who applied to the outpatient clinic of the Sadi Konuk Training and Research Hospital Physical Medicine and Rehabilitation clinic due to elbow pain and were diagnosed with unilateral LE will be included. The study was planned as randomized, prospective and controlled. Patients will be randomized using a random (randomized) numbers table and distributed equally to the groups. Only exercise will be applied to the first group, high-intensity laser therapy and exercise to the second group, and kinesiology taping and exercise treatments to the third group. Sixty people will be included in the study. Patients will be evaluated before treatment, immediately after treatment, and at 4 weeks post-treatment. In the evaluation of the patients, the severity of pain during rest and activity measured with the Visual Analogue Scale (VAS), Quick Disability of the Arm, Shoulder and Hand (QuickDASH), Patient Based Lateral Epicondylitis Evaluation Test - Patient Rated Tennis Elbow Evaluation (PRTEE), Jamar' Hand grip strength will be evaluated with the hand dynamometer.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 55
- Volunteer patients diagnosed with unilateral lateral epicondylitis
- Those who have previously received treatment for lateral epicondylitis
- Current extremity fracture or surgical history
- Presence of congenital deformity in the upper extremity
- Cervical radiculopathy, myelopathy, plexopathy, entrapment neuropathies
- Presence of neurological disease such as stroke, Parkinson's, multiple sclerosis, epilepsy and muscle disease
- Presence of skin lesion, infection and open wound on the affected extremity
- Presence of metal implant in the affected extremity
- Rheumatological disease
- Pregnancy
- Pacemaker presence
- Malignancy
- Cognitive dysfunction
- Presence of psychiatric illness
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Kinesiotaping and exercise Exercise This study groups will be trained on a home exercise program and kinesiotaping. Kinesiotaping, muscle inhibition and fascia correction techniques will be applied in the forearm as described by Kase et al. High intensity laser therapy and exercise High intensity laser therapy This study groups will be trained on a home exercise program and high intensity laser therapy. Exercise Exercise All study groups will be trained on a home exercise program that includes stretching and eccentric strengthening exercises. Kinesiotaping and exercise Kinesiotaping This study groups will be trained on a home exercise program and kinesiotaping. Kinesiotaping, muscle inhibition and fascia correction techniques will be applied in the forearm as described by Kase et al. High intensity laser therapy and exercise Exercise This study groups will be trained on a home exercise program and high intensity laser therapy.
- Primary Outcome Measures
Name Time Method Patient Rated Tennis Elbow Evaluation (PRTEE) Initial, Week 3, Week 7 It consists of pain and function subscales that assess the level of pain in the affected arm in the last 1 week and the degree of difficulty experienced during specific and daily activities. The pain assessment consists of 5 questions and the functional assessment consists of 10 questions, totaling 15 questions. The questions are evaluated with a 10-point Likert scale, as in the VAS, with numbers written side by side from 0 to 10. It is calculated by averaging the pain score and functional score. The total score ranges from 0-100, with a higher score indicating an increase in pain and functional loss. Validation of turkish version is available.
- Secondary Outcome Measures
Name Time Method Jamar's handheld dynamometer Initial, Week 3, Week 7 Hand grip strength was evaluated with the Jamar hand dynamometer recommended by the American Society for Surgery of the Hand. The recommended hand grip strength measurement was evaluated with the patient in a sitting position, shoulder in adduction and neutral rotation, elbow in 90 degree flexion, forearm and wrist in neutral position. The patient's grip strength until the onset of pain is used for measurement. Three measurements are made with a one-minute interval between each measurement and averaged. All measurements were performed in both hands, first on the pain-free arm and then on the side with LE.
Visual Analogue Scale (VAS) Initial, Week 3, Week 7 The VAS is a simple, subjective measurement method used to assess the patient's pain intensity and response to treatment. On a 10 cm chart, patients are asked to indicate the severity of their pain within 24 hours, with 0 representing no pain and 10 representing unbearable pain.
Quick Disabilities of the Arm, Shoulder and Hand (qDASH) Initial, Week 3, Week 7 Quick-DASH is a shortened version of the 30-question DASH questionnaire used to assess participation and activity limitations in upper extremity musculoskeletal disorders. Patients strain during activities of daily living in the past week is assessed with 11 questions. Answers are scored from 1 to 5 on a scale from good to bad (1: no difficulty, 2: mild difficulty, 3: moderate difficulty, 4: extreme difficulty, 5: unable to do at all). The total score ranges from 0-100. Validation of turkish version is available.
Trial Locations
- Locations (1)
BakirkoySadiKonuk
🇹🇷Bakırköy, İstanbul, Turkey