Physiotherapy Applications in Lateral Epicondylitis

NCT ID: NCT07028840

Last Updated: 2025-06-25

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-10

Study Completion Date

2020-12-30

Brief Summary

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This study aims to compare the effectiveness of extracorporeal shock wave therapy (ESWT) and high-intensity laser therapy (HILT) in improving pain, grip strength, and function in patients with lateral epicondylitis. A total of 42 volunteer patients aged 18-65 were enrolled at Balıkesir Private Sevgi Hospital physical medicine polyclinic. Participants were randomly assigned into three groups: group 1 received conventional physiotherapy, group 2 received physiotherapy plus ESWT, and group 3 received physiotherapy plus HILT. Physiotherapy was applied for 2 weeks, totaling 10 sessions. ESWT and HILT were each administered twice weekly for 2 weeks, totaling 4 sessions. Pain was measured using the visual analog scale (VAS), grip strength with a hand dynamometer, and function using the Duruöz Hand Index and PRTEE-T questionnaire. Evaluations were performed before treatment, after 2 weeks, and one month post-treatment.

Detailed Description

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This randomized controlled clinical trial investigates the effects of extracorporeal shock wave therapy (ESWT) and high-intensity laser therapy (HILT) on pain, grip strength, and function in patients diagnosed with lateral epicondylitis. The study was conducted at the physical medicine polyclinic of Balıkesir Private Sevgi Hospital and included 42 patients aged 18 to 65 who were referred for therapeutic physical therapy after being diagnosed for the first time with lateral epicondylitis.

Participants were randomly divided into three groups:

Group 1: received conventional physiotherapy including hot pack application, transcutaneous electric nerve stimulation (TENS), and stretching/strengthening exercises. Physiotherapy was administered 5 times per week for 2 weeks (total of 10 sessions).

Group 2: received the same physiotherapy as group 1, plus extracorporeal shock wave therapy (ESWT) administered twice per week for 2 weeks (total of 4 sessions).

Group 3: received the same physiotherapy as group 1, plus high-intensity laser therapy (HILT) administered twice per week for 2 weeks (total of 4 sessions).

Pain severity was evaluated using the visual analog scale (VAS), grip strength using a hand dynamometer, and functional status using the Duruöz Hand Index and patient-rated tennis elbow evaluation (PRTEE-T). All outcome measures were assessed at three time points: baseline (before treatment), post-treatment (after 2 weeks), and at 1-month follow-up. The primary objective was to assess whether either ESWT or HILT offers additional benefit over standard physiotherapy and whether one modality is superior to the other in treating lateral epicondylitis.

Conditions

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Lateral Epicondylitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Physiotherapy

This group received conventional physiotherapy only

Group Type ACTIVE_COMPARATOR

Physiotherapy

Intervention Type OTHER

10 sessions over 2 weeks, including TENS, cold therapy, ultrasound, and exercise therapy, 5 sessions per week.

Physiotherapy + ESWT

This group received conventional physiotherapy and additional extracorporeal shock wave therapy (ESWT)

Group Type ACTIVE_COMPARATOR

Physiotherapy

Intervention Type OTHER

10 sessions over 2 weeks, including TENS, cold therapy, ultrasound, and exercise therapy, 5 sessions per week.

Extracorporeal Shock Wave Therapy (ESWT)

Intervention Type DEVICE

4 sessions total, applied 2 times per week for 2 weeks.

Physiotherapy + HILT

This group received conventional physiotherapy and additional high-intensity laser therapy (HILT).

Group Type ACTIVE_COMPARATOR

Physiotherapy

Intervention Type OTHER

10 sessions over 2 weeks, including TENS, cold therapy, ultrasound, and exercise therapy, 5 sessions per week.

High-Intensity Laser Therapy (HILT)

Intervention Type DEVICE

4 sessions total, applied 2 times per week for 2 weeks.

Interventions

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Physiotherapy

10 sessions over 2 weeks, including TENS, cold therapy, ultrasound, and exercise therapy, 5 sessions per week.

Intervention Type OTHER

Extracorporeal Shock Wave Therapy (ESWT)

4 sessions total, applied 2 times per week for 2 weeks.

Intervention Type DEVICE

High-Intensity Laser Therapy (HILT)

4 sessions total, applied 2 times per week for 2 weeks.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Being over the age of 18,
* Being diagnosed with lateral epicondylitis,
* Not having received lateral epicondylitis treatment in the last 3 months

Exclusion Criteria

* Stopping the treatment,
* Those who have been traumatized in the last 3 months,
* Those who use drugs that can affect muscle strength or pain level (muscle relaxants, analgesics, gabapentinoids, etc.)
* Those with open wounds in the elbow area, Those with elbow fractures, Those with drug allergies, Pregnant and breastfeeding women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pamukkale University

OTHER

Sponsor Role lead

Responsible Party

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Suat EREL

HEAD OF THE DEPARTMENT OF ORTHOPEDIC REHABILITATION

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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SUAT EREL, PROF.DR.

Role: STUDY_DIRECTOR

PAMUKKALE UNİVERSİTY

Locations

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Pamukkale University

Denizli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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674325

Identifier Type: -

Identifier Source: org_study_id

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