Comparison of Two Different Treatment Effects on Individuals With Chronic Lateral Epicondylitis

Eastern Mediterranean University30 enrolled

Overview

The aim of this study is to compare the effects of Radial Extracorporeal Shockwave Therapy (rESWT) treatment and Deep Friction Massage (DFM) treatment on pain, functionality, grip strength (GS), edema, range of motion (ROM) of the elbow and quality of life in individuals with chronic lateral epicondylitis (CLE). 36 individuals diagnosed with CLE will be randomly divided into two equal groups. rESWT treatment will be applied to Group 1 and DFM treatment to Group 2. Visual analogue scale will be used to assess pain severity, functionality with Patient-Rated Elbow Evaluation Turkish version (PRTEE-T), GS with digital dynamometer, ROM of the elbow joint with goniometer, edema with environmental measurement, and quality of life with Short Form 36 (SF-36).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Tennis Elbow Lateral Epicondylitis Tendinopathy

Interventions

Radial Extracorporeal Shock Wave TherapyOTHER

Radial Extracorporeal Shock Wave Therapy will given for 3 weeks, 1 days in a week. moreover 10-12 minutes cold pack will apply for every session

Deep Friction MassageOTHER

Deep Friction Massage will given for 3 weeks, 3 days in a week. Massage duration will be 10-15 min. for each session. Moreover 10-12 minutes cold pack will apply for every session. Also Mill's manipulation technique will applied once a week during 3 weeks.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 66 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals with pain on the lateral epicondyle or proximal musculotendinous area of the forearm extensor muscles for at least 3 months, * Individuals with a positive Thomsen Test , \- Individuals who have not received physical therapy for lateral epicondylitis, * Individuals with a positive Maudsley Test will be included. Exclusion Criteria: * Individuals who have received any physical therapy, * Individuals with reflected pain due to cervical and shoulder pathologies, * Individuals with elbow osteoarthritis, * Individuals with previous elbow fractures or elbow joint operations, * Individuals with a history of systemic inflammatory disease, * Individuals with osteoporosis, * Individuals with cardiovascular problems will not be included in the study.

Outcomes

Primary Outcomes

Elbow and Forearm Pain

will assessed using by visual analog scale

Time frame: Change from Baseline elbow and forearm pain at 3 weeks

Secondary Outcomes

Functionality

will assessed using by Patient-Rated Tennis Elbow Evaluation Questionnaire

Time frame: Change from baseline functionality at 3 weeks

Grip Strength

will assessed using by hand grip

Time frame: Change from baseline grip strength at 3 weeks

Change in the level of elbow and forearm edema

Elbow and forearm circumference area will be measured by using a tape measure.

Time frame: Change from baseline edema at 3 weeks

Range of motion of elbow joint

will evaluated using by goniometer

Time frame: Change from baseline range of motion at 3 weeks

Change in the level of quality of life

will evaluated using by short form 36

Time frame: Change from baseline quality of life level at 3 weeks