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

Study Overview
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Brief Summary
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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).

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

Conditions
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Tennis Elbow, Lateral Epicondylitis, Tendinopathy

Intervention / Treatment
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* Other: Radial Extracorporeal Shock Wave Therapy
* Other: Deep Friction Massage


Participation Criteria
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Eligibility Criteria
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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: 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.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 66 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Radial Extracorporeal Shock Wave Therapy<br>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. | Other: Radial Extracorporeal Shock Wave Therapy<br>* 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<br>|
| Active Comparator: Deep Friction Massage<br>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. | Other: Deep Friction Massage<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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 | 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 |