Investigation of Acute Effect of ESWT and ESWT+KT on Pain and Grip Strength

Study Overview
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Brief Summary
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The aim of this study was to investigate the acute effect of CT application in combination with ESWT and ESWT on pain and grip strength in athletes/patients with lateral epicondylitis.It is planned that at least 30 athletes aged 18-40 who are at the Ministry of Youth and Sports, Ministry of Health, Ministry of Health Affairs and who have been diagnosed with LE by specialist doctor. After taking the information about birth dates, height, weight and dominant sides of the athletes who are willing to participate in the study, pain intensities and hand grip strengths will be evaluated. Then the athletes will be randomly divided into 2 groups according to closed envelope method. First group ESWT application; 4 sessions will be held for 4 weeks. The second group included ESWT + CT; 4 sessions will be held for 4 weeks. Pain severity and hand grip strength will be evaluated again after treatment.

Detailed Description
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Lateral epicondylitis (LE); the most common cause of elbow pain. It is typically characterized by pain around the lateral epicondyle during resistant wrist extension. This condition has been reported to occur as a result of degenerative angiofibroblastic hyperplasia of the wrist extensor tendons due to repetitive microtrauma. Although conservative treatments are usually used in lateral epicondylitis, many of them do not have sufficient evidence. In some cases, the healing phase lasts for months, which may be long enough to affect quality of life and sport performance. Extracorporeal shock wave therapy (ESWT) is used in musculoskeletal problems with a possible mechanism of action, including hyperstimulation analgesia, neovascularization, and induction of the healing process. However, this method is a painful method due to the shock wave applied and may cause temporary redness in the area of application. This may cause the subcutaneous fascia of the affected area to be affected by the application pressure. Kinesiotaping (KT) is widely used in the treatment of various musculoskeletal problems. The band, invented by the Japanese chiropractor Kenzo Kase in the 1970s, is a heat-sensitive acrylic adhesive and an elastic woven cotton stripe with a maximum tensile strength of up to about 40-60% of its total length. Many effects of KT have been hypothesised, including improvement of feedback and correction of the articular alignment disorder. KT has an effect on the skin and fascia. recovery will be provided faster. The aim of this study is to compare the effects of ESWT application with ESWT + KT application. In this study, our hypothesis is that ESWT + KT application will have more effect on pain and muscle strength in LE patients than ESWT alone.

Official Title
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Investigation of Acute Effect of Extracorporeal Shock Wave Therapy and Extracorporeal Shock Wave Therapy+Kinesyotaping on Pain and Grip Strength in Patients/Athletes With Lateral Epicondylitis

Conditions
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Pain, Muscle Strength, Lateral Epicondylitis, Kinesio Taping

Intervention / Treatment
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* Device: ESWT
* Other: Kinesiotaping Application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of Lateral Epicondylitis Disease has been doing professional sports for at least three years Exclusion Criteria: Having systemic problems, Having health problems, Has undergone any surgical operation in the upper extremity Has suffered upper extremity injury in the last three months Lack of inclusion criteria Neurological and orthopedic problems of the upper extremity.

Ages Eligible for Study
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Minimum Age: 18 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
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: ESWT<br>the first group:The group that will receive Extra corporeal shock wave therapy | Device: ESWT<br>* Extracorporeal Shock Wave Therapy=ESWT<br>|
| Experimental: ESWT+KT<br>the second group:The group that will receive Extra corporeal shock wave therapy + Kinesiotaping application | Device: ESWT<br>* Extracorporeal Shock Wave Therapy=ESWT<br>Other: Kinesiotaping Application<br>* Kinesiotaping=KT (CT)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Level: visual analog scale | The pain level will evaluate By visual analog scale;min:0=no pain, maximum 10=irresistible pain | 4 weeks | 
| Muscle Strength | The muscle strength will evaluate by hand grip strength by dynamometer, is evaluating by mmHg bigger means stronger | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Disability Level/Functionality | By the DASH (Disability arm shoulder hand) questionaire, min =0, maks 100 the bigger point means worse functionality | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tennis Elbow, Taping, Grip Strength, Pain