Combined Isotonic Exercise in the Treatment of Lateral Epicondylitis

Inonu University

Status: Completed

Conditions: Lateral Epicondylitis (Tennis Elbow)

Treatments: Other: ECCENTRIC EXERCISE; Other: ESWT Aplication; Other: COMBINED ISOTONIC EXERCISE

Study type: Interventional

Funder types: Other

Identifiers

NCT07170839

2024/103

Details and patient eligibility

About

This study was designed to investigate the effectiveness of the combined isotonic exercise technique applied with extracorporeal shock waves in the treatment of lateral epicondylitis.

Individuals aged 39-65 diagnosed with lateral epicondylitis were randomized using a sealed envelope method to one of the following groups: extracorporeal shock wave therapy, eccentric exercise and extracorporeal shock wave therapy, or combined isotonic exercise and extracorporeal shock wave therapy. Patients in the combined isotonic exercise and eccentric exercise groups were enrolled in a rehabilitation program under the supervision of a physiotherapist three days a week for five weeks. Extracorporeal shock wave therapy was also administered once a week for five weeks for all three groups. Pain intensity was assessed using the Visual Analog Scale, pressure pain threshold algometer, muscle strength using a hand-held dynamometer, grip strength using a digital hand-held dynamometer, and functionality using the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH).

Enrollment: 40 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of lateral epicondylitis
• Having elbow pain lasting longer than 8 weeks
• Diagnosis of unilateral lateral epicondylitis
• Being a woman or man between the ages of 18 and 65
• No other lesions in or around the elbow

Exclusion criteria

• Cardiovascular, neurological, and neuromuscular diseases
• Prior trauma to the elbow area and previous elbow treatment
• Prior elbow surgery
• Peripheral nerve entrapment
• Corticosteroid injection within 6 months
• Bilateral elbow pain

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 3 patient groups

ESWT Application

Experimental group

Description:

A total of 5 sessions of ESWT were applied to all 3 groups, once a week for 5 weeks.

Treatment:

Other: ESWT Aplication

Eccentric Treatment Protocol

Experimental group

Description:

Patients in the eccentric exercise group underwent a protocol consisting of slow-progressive eccentric exercise of the wrist extensors combined with static stretching exercise, 3 times a week for 5 weeks.

Treatment:

Other: ECCENTRIC EXERCISE

Combined Isotonic Exercise

Experimental group

Description:

Patients in the combined isotonic exercise group underwent an eccentric-concentric exercise protocol combined with wrist isometric exercises 3 days a week for 5 weeks.

Treatment:

Other: COMBINED ISOTONIC EXERCISE