Effect of Scapular Stabilization Exercises and ESWT in Patients With Lateral Epicondylitis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: ESWT + Scapular stabilization exercise program.
- Who it may be relevant to
- Registry conditions: Lateral Epicondylitis, Tennis Elbow. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Investigation of the Effect of Scapular Stabilization Exercises Applied in Addition to Extracorporeal Shock Wave Therapy on Pain, Muscle Strength, Functional Status, and Quality of Life in Patients With Lateral Epicondylitis
Overview
We aim to investigate the effects of adding scapular stabilization exercises to the extracorporeal shock wave therapy (ESWT) protocol in the treatment of lateral epicondylitis on pain, muscle strength, functional status, and quality of life.
Detailed description
Forty eight volunteer participants with lateral epycondilitis aged 18 to 65 years were included in the study. Participants were randomly divided into two groups as study and control group. In the control group, a protocol including ESWT, stretching of the ECRB muscle and wrist extensor muscles, and isometric, eccentric, and concentric strengthening exercises for the wrist extensors will be applied.
In the study group, the same protocol will be administered (ESWT, stretching of the ECRB and wrist extensor muscles, and strengthening exercises), with the addition of scapular stabilization exercises.
The exercise program will be conducted twice a week for 8 weeks. At the beginning of the treatment and at the end of the eighth week, pain, muscle strength, functional status, and Quality of Life were evaluated between groups
Interventions
- Other ESWT + Scapular stabilization exercise program
Participants in the study group will follow a treatment protocol consisting of extracorporeal shock wave therapy (ESWT) - 5 sessions, once per week - combined with stretching exercises for the extensor carpi radialis brevis (ECRB) and wrist extensor muscles, strengthening exercises for the wrist extensors, and an additional scapular stabilization exercise program. This combined program will be performed twice per week for a duration of 8 weeks. The scapular stabilization component will include
Primary outcome measures
- Pain Assessment: Visual Analog Scale (VAS) [Time frame: From baseline assesment to the end of treatment at 8 weeks]
- Scapular Position Assessment: (Lateral Scapular Slide Test) [Time frame: From enrollment to the end of treatment at 8 weeks]
- Pressure Pain Threshold Measurement [Time frame: From enrollment to the end of treatment at 8 weeks]
- Grip Strength [Time frame: From enrollment to the end of treatment at 8 weeks]
- Muscle Strength [Time frame: 0 and 8 week]
- Functional Status [Time frame: From enrollment to the end of treatment at 8 weeks]
Eligibility criteria
Inclusion criteria
- Aged between 18 and 65 years.
- Diagnosed with lateral epicondylitis by a physician, with positive Mill's, Cozen's, or Thomsen tests.
- Experiencing pain and tenderness over and around the lateral epicondyle for at least 3 months, with symptoms exacerbated by resisted elbow extension, wrist extension, gripping, and supination.
- Willing to voluntarily participate in the study.
Exclusion criteria
- • Individuals with serious systemic or cardiovascular diseases that contraindicate exercise of the hand and upper extremity.
- Those diagnosed with upper extremity entrapment neuropathies.
- Patients with a diagnosis of malignancy.
- Individuals with open wounds on the hand or upper extremity.
- Pregnant women or those suspected of being pregnant.
- Patients who have received physiotherapy and/or injection treatments within the last 6 weeks.
- Patients with diabetes mellitus, rheumatologic diseases, or neurological disorders.
- Individuals who have undergone upper extremity surgery or had an upper extremity fracture within the last 6 months.
- Patients with coagulation disorders or those receiving anticoagulant therapy.
- Individuals with conditions causing degenerative changes in the hand and upper extremity.
- Patients diagnosed with carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, medial epicondylitis, radiohumeral bursitis, or cervical disc pathology.
- Patients using analgesic or anti-inflammatory medications other than acetaminophen (paracetamol).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Büşra Yalçın — Istanbul
Identifiers
NCT: NCT07238413 · TR ISTANBU60