Lateral Epicondylitis
Conditions
Keywords
Lateral Epicondylitis, High Intensive Laser Therapy, Extracorporeal Shock Wave Therapy, Musculoskeletal ultrasound
Brief summary
Objectives: This study aims to evaluate and compare the short-term efficacy of high-intensity laser therapy (HILT) and extra corporeal shock wave therapy(ESWT) on pain, sensitivity, handgrip strength, and functions in the treatment of lateral epicondylitis (LE). Material and methods: Forty five participants (age range, 18 to 65 years) with unilateral elbow pain were randomized into two groups. HILT group (n = 22) and the ESWT group (n = 23). The HILT and ESWT were administered three times a week for three weeks, and each treatment was combined with exercises. All patients in both groups were evaluated with ultrasonography for common extensor tendon(CET) thickness. A visual analog scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (QDASH), and hand grip strength test were used to evaluate the patients before, one, and six weeks after treatment.
Interventions
DEVICEhigh intensive laser
high-intensity laser ,three times in a week, for three weeks, 9 session
DEVICEextracorporeal shock wave therapy
extracorporeal shock wave therapy, once a week, for three weeks ,3 times,
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
two different treatment modalities were applied in two groups
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Clinical diagnosis of Lateral epicondylitis * Age \>18
Exclusion criteria
* Operation history about elbow * Received physical therapy, or had a steroid injection to the elbow in the three months * Cervical radiculopathy, * Elbow deformities, * Fibromyalgia syndrome, * Carpal tunnel syndrome, * Neurological impairments in the upper extremity, * Chronic inflammatory conditions, * Hemophilia, * Pregnant, * History of malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale | Baseline, 1 week and 6 weeks | score 0-10, 0 minimum value, mean is no pain, score 10 is maximum value, pain is very severe |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quick Disability Arm, Shoulder and Hand questionary, | Baseline, 1 week and 6 weeks | Quick Disability Arm, Shoulder and Hand questionary, minimum score 0 maximum score 100, high score value is associated with poor functional status |
| hand grip strength | Baseline, 1 week and 6 weeks | evaluates the maximum isometric contraction strength of hand and forearm muscles, 20-69 age male 47-40kg, female 30-24kg is normal value. ow value is associated with poor function |
| musculoskeletal ultrasonography | Baseline, 1 week and 6 weeks | common extensor tendon thickness;\>0.40-0.41cm measurement result is associated with thickening of the tendon |
Countries
Turkey (Türkiye)
Outcome results
None listed