Clinical trial NCT06267027: Comparison of Different Physical Therapy Modalities in Lateral Epicondylitis
Official title: Comparison Of The Effects Of Kinesiotaping And High Intensity Laser Therapy In Patients With Lateral Epicondylitis: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lateral Epicondylitis
Keywords: Lateral epicondylitis
Kinesiotaping
High intensity laser
Lead sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Sponsor class: OTHER_GOV
First posted: 2024-02-20
Enrollment: 55
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: RANDOMIZED CONTROLLED STUDY
Primary purpose: TREATMENT

Brief summary: Comparison of the effects of kinesiotaping and high intensity laser therapy in patients with lateral epicondylitis: a randomized controlled study

Detailed description: In this study, it was aimed to compare the effects of exercise therapy, kinesiology taping and high-intensity laser therapy on pain, muscle strength and functional status in patients with LE. Patients who applied to the outpatient clinic of the Sadi Konuk Training and Research Hospital Physical Medicine and Rehabilitation clinic due to elbow pain and were diagnosed with unilateral LE will be included. The study was planned as randomized, prospective and controlled. Patients will be randomized using a random (randomized) numbers table and distributed equally to the groups. Only exercise will be applied to the first group, high-intensity laser therapy and exercise to the second group, and kinesiology taping and exercise treatments to the third group. Sixty people will be included in the study. Patients will be evaluated before treatment, immediately after treatment, and at 4 weeks post-treatment. In the evaluation of the patients, the severity of pain during rest and activity measured with the Visual Analogue Scale (VAS), Quick Disability of the Arm, Shoulder and Hand (QuickDASH), Patient Based Lateral Epicondylitis Evaluation Test - Patient Rated Tennis Elbow Evaluation (PRTEE), Jamar' Hand grip strength will be evaluated with the hand dynamometer.

Eligibility criteria: Inclusion Criteria:

- Volunteer patients diagnosed with unilateral lateral epicondylitis

Exclusion Criteria:

* Those who have previously received treatment for lateral epicondylitis
* Current extremity fracture or surgical history
* Presence of congenital deformity in the upper extremity
* Cervical radiculopathy, myelopathy, plexopathy, entrapment neuropathies
* Presence of neurological disease such as stroke, Parkinson's, multiple sclerosis, epilepsy and muscle disease
* Presence of skin lesion, infection and open wound on the affected extremity
* Presence of metal implant in the affected extremity
* Rheumatological disease
* Pregnancy
* Pacemaker presence
* Malignancy
* Cognitive dysfunction
* Presence of psychiatric illness

Primary outcomes:
measure: Patient Rated Tennis Elbow Evaluation (PRTEE)
timeFrame: Initial, Week 3, Week 7
Secondary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: Initial, Week 3, Week 7
measure: Quick Disabilities of the Arm, Shoulder and Hand (qDASH)
timeFrame: Initial, Week 3, Week 7
measure: Jamar's handheld dynamometer
timeFrame: Initial, Week 3, Week 7
Other outcomes:
Locations:
city: Bakırköy
country: Turkey
facility: BakirkoySadiKonuk
state: İstanbul
Study officials:
affiliation: Bakırkoy Dr. Sadi Konuk Training and Research Hospital
name: Sibel CAGLAR
role: PRINCIPAL_INVESTIGATOR
affiliation: Bakırkoy Dr. Sadi Konuk Training and Research Hospital
name: Hasan YUKSEL
role: STUDY_CHAIR
References:
citation: Cho YT, Hsu WY, Lin LF, Lin YN. Kinesio taping reduces elbow pain during resisted wrist extension in patients with chronic lateral epicondylitis: a randomized, double-blinded, cross-over study. BMC Musculoskelet Disord. 2018 Jun 19;19(1):193. doi: 10.1186/s12891-018-2118-3.
citation: Kaydok E, Ordahan B, Solum S, Karahan AY. Short-term Efficacy Comparison of High-intensity and Low-intensity Laser Therapy in the Treatment of Lateral Epicondylitis: A Randomized Double-blind Clinical Study. Arch Rheumatol. 2019 Apr 24;35(1):60-67. doi: 10.5606/ArchRheumatol.2020.7347. eCollection 2020 Mar.
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citation: Haidar SG, Kumar D, Bassi RS, Deshmukh SC. Average versus maximum grip strength: which is more consistent? J Hand Surg Br. 2004 Feb;29(1):82-4. doi: 10.1016/j.jhsb.2003.09.012.
citation: Halpern CA, Fernandez JE. The effect of wrist and arm postures on peak pinch strength. J Hum Ergol (Tokyo). 1996 Dec;25(2):115-30.
citation: Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J. Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S174-88. doi: 10.1002/acr.20630. No abstract available.
citation: Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther. 1999 Jan-Mar;12(1):31-7. doi: 10.1016/s0894-1130(99)80031-3.
citation: Altan L, Ercan I, Konur S. Reliability and validity of Turkish version of the patient rated tennis elbow evaluation. Rheumatol Int. 2010 Jun;30(8):1049-54. doi: 10.1007/s00296-009-1101-6. Epub 2009 Aug 26.