Effect of Extracorporeal Shock Wave Therapy (ESWT) and Phonophoresis Treatment in Patients With Lateral Epicondylitis
NCT ID: NCT06603181
Last Updated: 2025-12-29
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2024-09-25
2025-04-30
Brief Summary
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Detailed Description
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ESWT; It involves transmitting high-intensity acoustic pressure waves produced by electrohydraulic, electromagnetic or piezoelectric devices to the target area of the body in a short time through the gel. It has been reported that ESWT increases collagen synthesis in tendons, bones and other soft tissues, accelerates vascularization and reduces pain.
ultrasound; It has been used for many years in the treatment of musculoskeletal disorders such as tendinitis, epicondylitis, tenosynovitis, bursitis and osteoarthritis. It produces acoustic waves through the conversion of electrical energy. These waves turn into heat as they pass through tissues at different resistance levels. Ultrasound is also used to enhance percutaneous absorption of drugs in phonophoresis applications.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Group A
Conventional Treatment Patients in this group will be given activity modification and home exercise program training, including stretching and eccentric strengthening exercises. Patients will be asked to perform the exercise treatment in 3 sets of 10 repetitions. Additionally, a splint will be recommended to rest the arm.
conventional treatment
exercise and splint
GroupB
Conventional Treatment and Phonophoresis Patients in this group will receive phonophoresis treatment in addition to a home exercise program and splint. A US device (Intelect 2776 Combo; Chattanoga Group, Inc, Chattanoga, TN) will be used for phonophoresis. The gel containing 10% naproxen will be mixed with aquasonic us gel to better deliver the drug through the body. Continuous mode at 1watt/cm2 1mhz frequency will be applied around the lateral epicondyle for 5 minutes. Sessions will be applied 5 sessions per week for 2 weeks.
conventional treatment
exercise and splint
phonophoresis
exercise, splint and phonophoresis
Group C
Conventional Treatment and Ekstrakorporeal shock wave therapy Patients in this group will receive ESWT treatment in addition to a home exercise program and splint. ESWT; With the MODUS ESWT system, 2 sessions per week will be applied to the lateral epicondyle (2.4 bar intensity, 15 Hz frequency, 1500 pulses) for 2 weeks (Modus ESWT® RadialShockwaveTherapy).
conventional treatment
exercise and splint
extracorporeal shock wave therapy
exercise, splint and ESWT
Interventions
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conventional treatment
exercise and splint
phonophoresis
exercise, splint and phonophoresis
extracorporeal shock wave therapy
exercise, splint and ESWT
Eligibility Criteria
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Inclusion Criteria
* Those who signed the informed consent form
* Painful palpation of the lateral epicondyle
* Positive Mill\'s, Maudsley\'s and Cozen\'s tests
* Patients who have had complaints for at least 3 months
Exclusion Criteria
* Those with cervical radiculopathy
* Those who have had surgery on the elbow
* Those with an open wound on the elbow
* Those with a history of malignancy
* Those with rheumatological diseases
* Those with neurological diseases
* Pregnancy
* Infection
18 Years
65 Years
ALL
Yes
Sponsors
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Kirsehir Ahi Evran Universitesi
OTHER
Responsible Party
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Nazife Kapan
Asst. Prof.
Locations
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Kırşehir Ahi Evran University
Kırşehir, Kırşehir, Turkey (Türkiye)
Countries
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Other Identifiers
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AEÜ-NK-LE
Identifier Type: -
Identifier Source: org_study_id