Lateral Epicondylitis Treatment High Intensive Laser Therapy and Extracorporeal Shock Wave Therapy

Ankara City Hospital Bilkent40 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Lateral Epicondylitis

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Visual analog scale

score 0-10, 0 minimum value, mean is no pain, score 10 is maximum value, pain is very severe

Time frame: Baseline, 1 week and 6 weeks

Secondary Outcomes

Quick Disability Arm, Shoulder and Hand questionary,

Quick Disability Arm, Shoulder and Hand questionary, minimum score 0 maximum score 100, high score value is associated with poor functional status

Time frame: Baseline, 1 week and 6 weeks

hand grip strength

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

Time frame: Baseline, 1 week and 6 weeks

musculoskeletal ultrasonography

common extensor tendon thickness;\>0.40-0.41cm measurement result is associated with thickening of the tendon

Time frame: Baseline, 1 week and 6 weeks

Lateral Epicondylitis Treatment High Intensive Laser Therapy and Extracorporeal Shock Wave Therapy

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes