Cold Application in Lateral Epicondylitis

Study Overview
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Brief Summary
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Purpose: The purpose of this study was to investigate which cold application is more effective to regulate skin temperature in patients with lateral epicondylitis. Materials and Methods: Fifty-four patients with lateral epicondylitis were randomly divided into 2 groups as cooling gel (n=27) group and cold pack (n=27) group. Cooling gel and cold pack applications were applied on painful lateral epicondyle region for 15 minutes. Patients were assessed before and after the application. Assessments included the severity of pain during wrist extension, evaluated by Visual Analog Scale (VAS) and thermal imaging of lateral epicondyle region evaluated by Infrared Thermography (FLIR5 Thermal Camera).

Official Title
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Which Cold Application is More Effective in Patients With Lateral Epicondylitis?

Conditions
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Lateral Epicondylitis

Intervention / Treatment
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* Other: Cooling Gel
* Other: Cold Pack


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects with elbow pain for at least 3 months those between 20 and 40 years of age who did not have cold allergies Exclusion Criteria: With a different elbow problem or multiple elbow problems, having cervical or other upper extremity problems, elbow joint operation, tendon rupture, limited range of motion due to humerus, radius or ulna fracture individuals with a history of osteoporosis, malignancy, hemophilia, neurological effect, and cognitive dysfunction

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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
Interventional Model Description: Fifty-four volunteers diagnosed with lateral epicondylitis were included in our study and were randomly divided into two groups.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1<br>Cooling gel application | Other: Cooling Gel<br>* Cooling gel (Nelsons Arnicare Arnica Cooling Gel) was applied to the lateral epicondyle region with sponge head 3 times a day. The cooling gel was applied to the painful area around the lateral epicondyle<br>|
| Active Comparator: Group 2<br>Cold pack was applied | Other: Cold Pack<br>* Cold pack was applied to the painful area for 15 minutes on a moist towel placed on the painful area around the lateral epicondyle.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Severity | The severity of shoulder pain at rest, night and activity was evaluated by Visual Analogue Scale (VAS). Accordingly, in a line of 10 cm 0 point refers to no pain, 10 point was considered to be the maximum value of pain. Patients were asked to mark the severity of their pain and tape measurement was recorded in cm. | 15 minutes | 
| Thermographic Assessment | Infrared thermography (IRT) uses a thermal camera that receives and processes the infrared radiation emitted from the surface of the body. Thus, IRT records the temperature distribution of the skin. | 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Kinesio Tape, Thermal Analysis, Cold