Effect of Eswt on Muscle Architecture

NCT04410705 | Unknown

• 1 other identifier: 2018-01
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the research is to investigate the effect of Ekstracorpereal shock wave treatment (ESWT) on muscle strength, flexibility and architecture of the lower extremity tendinopathies when applied using the frequencies specified in the literature with min and max frequency frequencies. Our hypothesis as researchers is ESWT treatment has an effect on muscle strength, flexibility and muscle architecture.

Conditions

Tendinopathy

Keywords

Extracorporeal shockwave theraphy; Ultrasonography; muscle strength

Outcome Measures

Primary Outcomes (3)

• muscle pannation angle

  'Logiq s7 Expert' US device including b-flow, semi-quantification and elastography, flow quantification, contrast imaging, b-steer and volume imaging device and with 11 L-D linear volume convex and linear probe will use for the measurements. During the evaluation, the muscles will place in the most relaxed position and no contraction will request. Pennation angle will measure as the angle between muscle fibre and the deep fascia of the muscle

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment. Change of pannation angle in 3 weeks

• muscle fiber length

  'Logiq s7 Expert' US device including b-flow, semi-quantification and elastography, flow quantification, contrast imaging, b-steer and volume imaging device and with 11 L-D linear volume convex and linear probe will use for the measurements. During the evaluation, the muscles will place in the most relaxed position and no contraction will request. Fiber length will measure as the length of the fascicular path between the superficial and deep aponeurosis. For the measuring of the fiber length , the most clearly measure areas will be taken into consideration. If the fascicle extended off the image, the missing portion will estimate via linear extrapolation of the fascicle and aponeurosis

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment.Change of fiber length in 3 weeks

• muscle thickness

  'Logiq s7 Expert' US device including b-flow, semi-quantification and elastography, flow quantification, contrast imaging, b-steer and volume imaging device and with 11 L-D linear volume convex and linear probe will use for the measurements. During the evaluation, the muscles will place in the most relaxed position and no contraction will reques thickness will measure in transversal as the distance between the superficial and the deep fascia at distance

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment.Change of thickness in 3 weeks

Secondary Outcomes (6)

• Quadriceps muscle flexibility

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment.Change of flexibility in 3 weeks

• Hamstring muscle flexibility

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment..Change of flexibility in 3 weeks

• Gastrocinemius muscle flexibility

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment..Change of flexibility in 3 weeks

• Quadriceps muscle strength

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment..Change of strength in 3 weeks

• hamstring muscle strength

  Measurements will perform prior to ESWT,immidiately after the first ESWT and last ESWT treatment. Change of strength in 3 weeks

Study Arms (1)

Tendinopathy patients

EXPERIMENTAL

Patients with tendinopathy will be administered ESWT

Other: Extracorporeal shockwave theraphy for hamstring tendinopathy; Other: Extracorporeal shockwave theraphy for quadriceps tendinopathy; Other: Extracorporeal shockwave theraphy for achilles tendinopathy

Interventions

Extracorporeal shockwave theraphy for hamstring tendinopathy OTHER

For hamstring tendinopathy; a total of 2000 impulses will be done. We will apply twice a week and 5 times in total.

Tendinopathy patients

Extracorporeal shockwave theraphy for quadriceps tendinopathy OTHER

Energy flux density will be 0.58mJ/mm2 (2 bar) with 2000 impulses. We will perform twice a week, 5 times in total.

Tendinopathy patients

Extracorporeal shockwave theraphy for achilles tendinopathy OTHER

Each session consisted of 2400 impulses will be administered with an energy flux density ranged from 0.17 to 0.25 mJ/mm2 (1.7-2.5 bar). We will perform once a week, 3 times in total.

Tendinopathy patients

Eligibility Criteria

• Age: 21 Years - 52 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may not qualify if:

• Patients who failed to show up to any treatment and measurement sessions,
• Patients who cannot tolerate treatment
• having systemic inflammatory disease,
• lower or upper motor lesion

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Gaziantep Private Hatem Hospital

Gaziantep, 27000, Turkey (Türkiye)

RECRUITING

Related Publications (18)

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  PMID: 21617986 BACKGROUND

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• Arya S, Kulig K. Tendinopathy alters mechanical and material properties of the Achilles tendon. J Appl Physiol (1985). 2010 Mar;108(3):670-5. doi: 10.1152/japplphysiol.00259.2009. Epub 2009 Nov 5.

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MeSH Terms

Conditions

Tendinopathy

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Tendon Injuries; Wounds and Injuries

Central Study Contacts

Tüzün FIRAT, Associate professor

CONTACT

+90 532 671 06 35; tuzun75@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc. physiotherapist

Model Details: ESWT

Study Record Dates

• First Submitted: May 11, 2020
• First Posted: June 1, 2020
• Study Start: May 11, 2020
• Primary Completion: July 5, 2020
• Study Completion: September 1, 2021
• Last Updated: February 16, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)