Ozonated Gel Phonophoresis On Chronic Lateral Epicondylitis

Study Overview
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Brief Summary
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Comparison between 2 groups of chronic lateral epicondylitis, to determine the effect of ozonated media phonophoresis on chronic lateral epicondylitis.

Detailed Description
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40 patients (male and female), patients age would be ranged from 30 to 50 years, would be randomly allocated using sealed envelope into randomly two matched group (A and B), Group A (Experimental): 20 patients would receive ultrasonic with ozonated gel as a coupling medium (phonophoresis) (1 MHz, 1 W/cm2continuous mode) for 5 min. plus, conventional physical therapy program consists of (conventional TENS (100 Hz) for 30 min - hot pack for 20 min- stretching and strengthening exercises, wrist rest splints). 3 times per week for 4 weeks. Group B (control):20 patients will receive conventional physical therapy program consists of (conventional TENS (100 Hz) for 30 min - hot pack for 20 min- stretching and strengthening exercises, wrist rest splints) 3times per week for 4 weeks.

Official Title
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Influence Of Ozonated Gel Phonophoresis In The Treatment Of Chronic Lateral Epicondylitis

Conditions
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Epicondylitis

Intervention / Treatment
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* Device: phonophoresis
* Other: conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients would be diagnosed as chronic lateral epicondylitis from both genders. Patients with chronic lateral epicondylitis that diagnosed by orthopedist. Positive clinical manifestation in all patients. Pain onset is more than 3 months. All participants must be medically stable and not be treated with analgesics or any medication which may cause misleading results. All patients had body mass index between 18.5 and 29.9 kg/m2. Exclusion Criteria: Subjects would be excluded if they have: Received intra articular injection from duration less than 3 months. Elbow instability. History of cancer. Pregnancy Infection. Skin diseases on elbow area. Open wound in elbow. Shoulder or elbow fractures Systemic diseases such as rheumatoid arthritis, Reiter's syndrome, or diabetes. Neurological diseases. Severe medical or psychiatric disorders. Elbow surgery. Entrapment of the radial nerve. Arthritis and effusion of the elbow.

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 50 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>this group of 20 subjects will receive the ozonated media phonophoresis plus conventional physical therapy program 3 times weekly for 4 weeks. | Device: phonophoresis<br>* 1 MHz, 1 W/cm2continuous mode of ultrasound therapy for 5 min. using ozonated gel as a coupling medium<br>* Other names: Ultrasound with ozonated medium gel;Other: conventional physical therapy<br>* conventional TENS (100 Hz) for 30 min - hot pack for 20 min- stretching and strengthening exercises, wrist rest splints 3times per week for 4 weeks.<br>* Other names: Tens and exercises;|
| Other: Control group<br>this group of 20 subjects will receive only conventional physical therapy program 3 times weekly for 4 weeks. | Other: conventional physical therapy<br>* conventional TENS (100 Hz) for 30 min - hot pack for 20 min- stretching and strengthening exercises, wrist rest splints 3times per week for 4 weeks.<br>* Other names: Tens and exercises;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain status | assessment of pain using (visual analogue scale)s a horizontal line, 100 mm in length, anchored by word descriptors at each end. 2) The patient mark millimeters ed on the line the point that they feel ed represents their perception of their current state. The VAS score is determined by measuring in from the start point of the line to the point that the patient marks It was used to evaluate pain intensity. The VAS is a self. reported pain meas urement scale. The extremes of the line are labelled as no pain and worst pain. Each subject was asked to mark the point on the line that exactly corresponded to his/her pain . | 4 weeks | 
| wrist ROM | Measurment of wrist range of motion using universal goniometer | 4 weeks | 
| Hand grip strength | measurment of hand grip strength using hand grip dynamometer | 4 weeks |