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

Comparison of Effects of Radial Extracorporeal Shock Wave Therapy and Deep Friction Massage on Individuals With Chronic Lateral Epicondylitis

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).

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.