Short and Long Term Effects of IASTM and ESWT Therapy in Individuals With Lateral Epicondylitis

NCT05683275 | Completed

• 1 other identifier: KaratayUH6
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Pain, decreased grip strength, and loss of function are observed in individuals with lateral epicondylitis. The aim of this study is to investigate the effects of ESWT and IASTM applications on pain, grip strength and function in individuals with lateral epicondylitis.

Conditions

Lateral Epicondylitis

Keywords

Lateral epicondylitis; pain; function; grip strength

Outcome Measures

Primary Outcomes (1)

• Change from Baseline Pain assessed by Visual Analog Scale.

  Pain will be evaluated with Visual Analog Scale. 0 means no pain, 10 means unbearable pain.

  Baseline, 4 weeks

Secondary Outcomes (2)

• Grip strength

  Baseline, 4 weeks

• Function assessed by Patient-rated Forearm Evaluation Questionnaire

  Baseline, 4 weeks

Study Arms (3)

IASTM

EXPERIMENTAL

In addition to the home exercise program application, IASTM application will be made for 4 weeks. IASTM will be applied to the affected extremity twice a week for 4 weeks, in total 8 sessions. Participants will be asked to sit comfortably in a chair with back support. IASTM will be applied to the wrist extensor muscles of the participants for 90 seconds in the position where the muscle is tense, with a frequency of 60 beats per minute (Cheatham et al., 2019). The instruments will be applied to the soft tissue at 30º-60º angles, using vaseline as an intermediate, with a multidirectional "stroking" movement.

Other: IASTM

ESWT

EXPERIMENTAL

ESWT will be applied to the affected elbow two days a week for 4 weeks, a total of 8 sessions, each session 2000 shock 10 Hz frequency, 2.5 bar intensity point and circumferential application. Ultrasound gel will be used as an intermediate in the application. No anesthetic substance will be used before and after the application. Cold applications will be recommended for those who have pain after the application.

Other: ESWT

Home Exercise

EXPERIMENTAL

Static stretching and eccentric strengthening exercises specific to the forearm muscles will be taught and they will be asked to perform 2 sets (morning-lunch-evening) 10 repetitions per day, 5 days a week, for 4 weeks. For strengthening exercises, all patients will be asked to use green (medium resistance) elastic bands, hold them in a tense position for 10 seconds, let them back passively, and rest for 1 minute between sets. In the stretching exercise, they will be asked to stay in the most tense position for 30-45 seconds and rest for 30 seconds between stretching. In case of a painful situation, they will be asked to be informed about their information.

Other: Home Exercise

Interventions

IASTM OTHER

IASTM will be applied to the affected extremity twice a week for 4 weeks, in total 8 sessions. Participants will be asked to sit comfortably in a chair with back support. IASTM will be applied to the wrist extensor muscles of the participants for 90 seconds in the position where the muscle is tense, with a frequency of 60 beats per minute.

IASTM

ESWT OTHER

ESWT will be applied to the affected elbow two days a week for 4 weeks, a total of 8 sessions, each session 2000 shock 10 Hz frequency, 2.5 bar intensity point and circumferential application.

ESWT

Home Exercise OTHER

Special static stretching and eccentric strengthening exercises for the forearm muscles will be taught and they will be asked to perform 2 sets (morning-lunch-evening) 10 repetitions per day, 5 days a week, for 4 weeks.

Home Exercise

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• being diagnosed with chronic LET by a physician
• visual analog scale (VAS) pain score ≥ 3

You may not qualify if:

• any accompanying pathology in the wrist and forearm, such as a fracture or dislocation of the elbow;
• treatment with corticosteroid injections in the past 6 months

Sponsors & Collaborators

• KTO Karatay University: lead

Study Sites (1)

KTO Karatay University

Konya, Karatay, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Tennis Elbow; Pain

Condition Hierarchy (Ancestors)

Elbow Tendinopathy; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 28, 2022
• First Posted: January 13, 2023
• Study Start: December 28, 2022
• Primary Completion: March 7, 2023
• Study Completion: March 7, 2023
• Last Updated: March 14, 2023

Record last verified: 2022-12

Locations

TU (1)