Comparative Effects of Shockwave Therapy and Eccentric Exercises on Pain, Functional Ability, Quality of Life, Grip Strength and Range of Motion in Patients With Lateral Epicondylitis
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Ibadat International University, Islamabad
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Pain Intensity
Overview
Brief Summary
The goal of this randomized controlled trial is to compare the effects of shockwave therapy and eccentric exercises on pain, functional ability, quality of life, grip strength and range of motion in patients with lateral epicondylitis. Participants will be randomly assigned to either Group A (Shockwave therapy) or Group B (Eccentric Exercises) using a computer-generated random number tables method.
The intervention will be provided over five weeks, with three sessions per week (total of 15 sessions):
Group A (Shockwave therapy): Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Group B (Eccentric Exercises): Participants will receive eccentric exercises, repeating each 10 repetitions 3 sets per session with a 1 min rest between each of them.
Outcomes will be assessed at baseline, week 0 and week 5 to evaluate which exercise program is more effective in reducing symptoms and improving functional outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Masking Description
Participants will be informed that both interventions are effective physiotherapy treatments for lateral epicondylitis but will not be told which group they belonged to. The outcome assessor will remain blinded to group allocation throughout data collection at baseline and week 5.
To maintain blinding, participants will be instructed not to disclose their exercise details during assessment, and all data will be recorded using coded identifiers (Group A or B).
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients diagnosed with Lateral epicondylitis
- •Patients with 20-50 years
- •Both males and females
- •Willing to participate and provide informed consent
Exclusion Criteria
- •Patients with recent trauma (fractures, injury etc.)
- •Patients with blood clotting disorder (including thrombosis), oral anti-coagulants, and pacemaker, tumors at site of treatment, infected area or skin rupture or abrasion at the site of treatment, pregnancy.
- •Cervical Radiculopathy or any diseases that mimic or refer pain to elbow.
- •Patients who received steroid injection within 6 weeks.
Arms & Interventions
Shock Wave Therapy
Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Intervention: Shockwave Therapy (Other)
Eccentric exercises
Participants will receive eccentric exercises, repeating each exercise 10 repetitions 3 sets per session with a 1 min rest between each of them
Intervention: Eccentric exercises (Other)
Outcomes
Primary Outcomes
Pain Intensity
Time Frame: Assessment will be done at baseline and on Week 5
Pain intensity will be measured by Visual Analogue Scale
Functional Ability
Time Frame: Assessment will be done at baseline and on Week 5
Functional ability will be measured by Patient-Related Tennis Elbow Evaluation
Quality of Life of Patients
Time Frame: Assessment will be done at baseline and on Week 5
Quality of Life will be measured by SF-36 short form
Grip Strength
Time Frame: Assessment will be done at baseline and on Week 5
Grip Strength will be measured by Dynamometer
Range of Motion
Time Frame: Assessment will be done at baseline and on Week 5
Range of Motion will be measured by Goniometer.
Secondary Outcomes
No secondary outcomes reported