Comparative Effects of Shockwave Therapy and Eccentric Exercises in Patients With Lateral Epicondylitis

April 5, 2026 updated by: Ibadat International University, Islamabad

Comparative Effects of Shockwave Therapy and Eccentric Exercises on Pain, Functional Ability, Quality of Life, Grip Strength and Range of Motion in Patients With Lateral Epicondylitis

The goal of this randomized controlled trial is to compare the effects of shockwave therapy and eccentric exercises on pain, functional ability, quality of life, grip strength and range of motion in patients with lateral epicondylitis. Participants will be randomly assigned to either Group A (Shockwave therapy) or Group B (Eccentric Exercises) using a computer-generated random number tables method.

The intervention will be provided over five weeks, with three sessions per week (total of 15 sessions):

Group A (Shockwave therapy): Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.

Group B (Eccentric Exercises): Participants will receive eccentric exercises, repeating each 10 repetitions 3 sets per session with a 1 min rest between each of them.

Outcomes will be assessed at baseline, week 0 and week 5 to evaluate which exercise program is more effective in reducing symptoms and improving functional outcomes.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Pakistan
      • Islamabad, Pakistan
        • Recruiting
        • Faculty of Allied Health & Biological Sciences
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients diagnosed with Lateral epicondylitis
  • Patients with 20-50 years
  • Both males and females
  • Willing to participate and provide informed consent

Exclusion Criteria:

  • Patients with recent trauma (fractures, injury etc.)
  • Patients with blood clotting disorder (including thrombosis), oral anti-coagulants, and pacemaker, tumors at site of treatment, infected area or skin rupture or abrasion at the site of treatment, pregnancy.
  • Cervical Radiculopathy or any diseases that mimic or refer pain to elbow.
  • Patients who received steroid injection within 6 weeks.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Shock Wave Therapy
Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Other: Shockwave Therapy
Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Experimental: Eccentric exercises
Participants will receive eccentric exercises, repeating each exercise 10 repetitions 3 sets per session with a 1 min rest between each of them
Other: Eccentric exercises
Participants will receive eccentric exercises, repeating each 10 repetitions 3 sets per session with a 1 min rest between each of them

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain Intensity
Time Frame: Assessment will be done at baseline and on Week 5
Pain intensity will be measured by Visual Analogue Scale
Assessment will be done at baseline and on Week 5
Functional Ability
Time Frame: Assessment will be done at baseline and on Week 5
Functional ability will be measured by Patient-Related Tennis Elbow Evaluation
Assessment will be done at baseline and on Week 5
Quality of Life of Patients
Time Frame: Assessment will be done at baseline and on Week 5
Quality of Life will be measured by SF-36 short form
Assessment will be done at baseline and on Week 5
Grip Strength
Time Frame: Assessment will be done at baseline and on Week 5
Grip Strength will be measured by Dynamometer
Assessment will be done at baseline and on Week 5
Range of Motion
Time Frame: Assessment will be done at baseline and on Week 5
Range of Motion will be measured by Goniometer.
Assessment will be done at baseline and on Week 5

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ibadat International University, Islamabad

Investigators

  • Principal Investigator: Muhammad Nazim Farooq, PhD-PT, Ibadat International University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 2, 2026

Primary Completion (Estimated)

June 16, 2026

Study Completion (Estimated)

June 30, 2026

Study Registration Dates

First Submitted

April 5, 2026

First Submitted That Met QC Criteria

April 5, 2026

First Posted (Actual)

April 13, 2026

Study Record Updates

Last Update Posted (Actual)

April 13, 2026

Last Update Submitted That Met QC Criteria

April 5, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • IIUI/RERC/ADT/2026/01/210

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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