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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radial Extracorporeal Shock Wave Therapy | Active Comparator | Radial Extracorporeal Shock Wave Therapy will be given for 3 weeks, 1 days in a week. Moreover 10-12 minutes cold pack will apply for every session. |
|
| Deep Friction Massage | Active Comparator | Deep Friction Massage treatment will be 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radial Extracorporeal Shock Wave Therapy | Other | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Elbow and Forearm Pain | will assessed using by visual analog scale | Change from Baseline elbow and forearm pain at 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Functionality | will assessed using by Patient-Rated Tennis Elbow Evaluation Questionnaire | Change from baseline functionality at 3 weeks |
| Grip Strength | will assessed using by hand grip |
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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:
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| Name | Affiliation | Role |
|---|---|---|
| Ozge Gokalp, Asst. Prof | Eastern Mediterranean University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eastern Mediterranean University | Famagusta | 99628 | Cyprus |
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| ID | Term |
|---|---|
| D013716 | Tennis Elbow |
| D052256 | Tendinopathy |
| ID | Term |
|---|---|
| D000070639 | Elbow Tendinopathy |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D000092464 | Elbow Injuries |
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| Deep Friction Massage | Other | 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. |
|
| 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. | Change from baseline edema at 3 weeks |
| Range of motion of elbow joint | will evaluated using by goniometer | Change from baseline range of motion at 3 weeks |
| Change in the level of quality of life | will evaluated using by short form 36 | Change from baseline quality of life level at 3 weeks |
| D001134 |
| Arm Injuries |
| D014947 | Wounds and Injuries |
| D013708 | Tendon Injuries |