Shock Wave
Conditions
Keywords
tennis elbow
Brief summary
Tennis Elbow (or Lateral Epicondylalgia) is one of the most common overload injuries that it is the most frequent cause of lateral elbow pain, occurring to people between 40-60 years of age. It is characterized by pain on the outside of the elbow, usually near the lateral epicondyle bone where the extensor carpi Brevis tendon attaches, aggravated by gripping or wringing activities During menopause period, declining estrogen levels can negatively impact tendon health. Estrogen plays a protective role in tendons, contributing to their strength and ability to withstand load.
Detailed description
As estrogen decreases, tendons may become weaker, less resilient, and more susceptible to injury, potentially leading to conditions like tendinopathy. This can often add to these feelings of pain and limit of function ; and possibly limit your movements in day to day activities. Multimodal electrotherapy ( low level laser therapy plus interferential current) and extracorporeal shock wave therapy can be used to improve this problem.
Interventions
subjects will receive multimodal approach of electrotherapy (LLLT , and IFC) with conventional physical therapy modalities in the form of (stretch and strengthen exercises ) 3 sessions every week for 6 weeks
OTHERshock wave therapy
subjects will receive shock wave therapy with conventional physical therapy modalities 3 sessions every week for 6 weeks.
OTHERexercise
subjects will receive with conventional physical therapy modalities only in the form of (stretching and strengthening therapeutic exercises ) 3 sessions every week for 6 weeks.
Sponsors
October 6 University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
1\) forty five menopausel females suffer from chronic lateral epicondylitis from Department of out patient orthopedic clinic of 6 october hospital . (2) Their age ranged from 45 \_55 years old 3) Their BMI will be 18.5 to 24.9 kg/m2. 4) Point tenderness at the lateral epicondyle. 5) Positive Cozen test 6) Symptoms duration of minimum 3 months
Exclusion criteria
1. Patients with cervical radiculopathy ,thoracic outlet syndrome , 2. dysfunction in shoulder or elbow with corticosteroid injection in previous three months. 3. Their BMI more than 25 kg/m2. 4. Unrelated to any traumatic conditions 5. Any previous fracture elbow, wrist or hand \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale | 6 weeks | The VAS consists of a 10-cm line, with the left extremity indicating ''no pain'' and the right extremity indicating ''unbearable pain.'' Participants asked to use the scale to indicate their current level of pain Higher values suggest more intense pain ,It was found that VAS provide valid and reliable assessments for the affective magnitude, as well as the sensation intensity of pain. |
| hand grip | 6 weeks | Grip hand strength will be assessed by hand held dynamometer |
Countries
Egypt
Contacts
CONTACTHeba ahmed, doctoral
CONTACTMenna Mohmed, doctoral
Outcome results
None listed