ESWT vs HILT in Chronic Lateral Epicondylitis (ESWT vs HILT)
2026년 6월 12일 업데이트: Mohammed Ali Saleh Alghamdi, Kafrelsheikh University
Effectiveness of Shockwave Therapy Versus High-Power Laser Therapy in the Management of Chronic Lateral Epicondylitis: A Double-Blind Randomized Controlled Trial
This randomized controlled trial aims to compare the effectiveness of Extracorporeal Shock Wave Therapy (ESWT) and High-Intensity Laser Therapy (HILT) in patients with chronic lateral epicondylitis.
연구 개요
상태
아직 모집하지 않음
상세 설명
Participants will be randomly assigned into three groups receiving either conventional physiotherapy alone, ESWT plus conventional physiotherapy, or HILT plus conventional physiotherapy.
Clinical assessments will be performed before and after treatment
연구 유형
중재적
등록 (추정된)
72
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: mohammed ALI alghamdi
- 전화번호: =966538500550
- 이메일: pt.mohammedhajar@gmail.com
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
아니
설명
Inclusion Criteria:
• Age 40-50 years.
- Clinically diagnosed chronic lateral epicondylitis.
- Symptoms lasting more than 3 months.
- Positive clinical provocation tests.
- Localized tenderness over the lateral epicondyle.
Exclusion Criteria:
• Previous elbow surgery.
- Corticosteroid injection within the last 6 months.
- Cervical radiculopathy.
- Peripheral nerve entrapment.
- Rheumatologic or systemic inflammatory disorders.
- Elbow fracture.
- Severe elbow instability
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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활성 비교기: 그룹 A
기존의 물리 치료
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The conventional program will include TENS for twenty minutes in elbow region; the use of pulse ultrasound with duty cycle 80% on the lateral epicondyle for five minutes with an intensity of 0.8 W per every cm'; the use of ice for ten minutes; training for correcting the daily activities to minimize pressure on the elbow (preferentially, holding, lifting and pressing the objects will be asked to be carried out in supination); and, stretch and strain wrist muscle strengthening exercises (Fekri et al., 2019).
The exercise therapy method involved six elbow joint exercises.
They are a total of six exercises (Fig. 2) for patients with tennis elbow.
Each exercise will be performed three times a day, with each session involving five repetitions of the movement, over four weeks, gradually increasing weight until the movement is effective but below the pain threshold.
Painful movements will be avoided, and exercises causing pain or discomfort will be discontinued following consultation from a p
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활성 비교기: Group B
ESWT + Conventional Physical Therapy
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The conventional program will include TENS for twenty minutes in elbow region; the use of pulse ultrasound with duty cycle 80% on the lateral epicondyle for five minutes with an intensity of 0.8 W per every cm'; the use of ice for ten minutes; training for correcting the daily activities to minimize pressure on the elbow (preferentially, holding, lifting and pressing the objects will be asked to be carried out in supination); and, stretch and strain wrist muscle strengthening exercises (Fekri et al., 2019).
The exercise therapy method involved six elbow joint exercises.
They are a total of six exercises (Fig. 2) for patients with tennis elbow.
Each exercise will be performed three times a day, with each session involving five repetitions of the movement, over four weeks, gradually increasing weight until the movement is effective but below the pain threshold.
Painful movements will be avoided, and exercises causing pain or discomfort will be discontinued following consultation from a p
The Group will receive ESWT plus conventional physiotherapy treatment program.
Regarding ESWT protocol, the group will receive 1,000, 1,500, and 2,000 pulses during the first, second, and third through fifth treatments, respectively (pressure, 2.5 bar; frequency, 8 Hz; energy density, 0.4 mJ/mm2).
The patients received 5 ESWT treatments once per week.
The treatments were performed using a Rosetta ESWT (CR Technology, Korea).
Ultrasound gel was applied between the apparatus head and skin.
The procedure was performed in the area with the most intense pain.
Treatment was administered at the anterior aspect of the LE and three points around it at a radius of 1.5-2 cm.
The treatment time did not exceed 10 minutes.
During the treatments, the patients did not receive any drugs (Lizis, 2015).
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활성 비교기: Group C:
HILT + Conventional Physical Therapy
|
The conventional program will include TENS for twenty minutes in elbow region; the use of pulse ultrasound with duty cycle 80% on the lateral epicondyle for five minutes with an intensity of 0.8 W per every cm'; the use of ice for ten minutes; training for correcting the daily activities to minimize pressure on the elbow (preferentially, holding, lifting and pressing the objects will be asked to be carried out in supination); and, stretch and strain wrist muscle strengthening exercises (Fekri et al., 2019).
The exercise therapy method involved six elbow joint exercises.
They are a total of six exercises (Fig. 2) for patients with tennis elbow.
Each exercise will be performed three times a day, with each session involving five repetitions of the movement, over four weeks, gradually increasing weight until the movement is effective but below the pain threshold.
Painful movements will be avoided, and exercises causing pain or discomfort will be discontinued following consultation from a p
The Group will receive HILT plus conventional physiotherapy treatment program.
High-power laser used in the present research paper was MLS Laser, Model M6 (ASA), that will be included in class four lasers device, with maximum 25-Watt power, average power of 3.3 Watts, wavelength of 808 nm in a continuous state.
The target region diameter in this device will be 5 cm and the energy used for treating the patients will be 272.4
Jules, and the energy density will be 13.89
Jules per cm' with a 700-hertz frequency for a period of three minutes on the lateral epicondyle and the origin of the wrist's extensor muscles (Fekri et al., 2019).
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
|
1. Pain intensity measured using Visual Analogue Scale (VAS).
기간: at baseline 4 weeks and 8 weeks
|
at baseline 4 weeks and 8 weeks
|
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2. Grip strength measured using Hand Dynamometer.
기간: at baseline 4 weeks and 8 weeks
|
at baseline 4 weeks and 8 weeks
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3. Upper limb disability measured using QuickDASH Questionnaire.
기간: at baseline 4 weeks and 8 weeks
|
at baseline 4 weeks and 8 weeks
|
2차 결과 측정
결과 측정 |
기간 |
|---|---|
|
1. Pressure Pain Threshold using Algometer.
기간: at baseline 4 weeks and 8 weeks
|
at baseline 4 weeks and 8 weeks
|
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2. Pinch Strength Measurement.
기간: at baseline 4 weeks and 8 weeks
|
at baseline 4 weeks and 8 weeks
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3. Elbow Range of Motion (ROM).
기간: at baseline 4 weeks and 8 weeks
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at baseline 4 weeks and 8 weeks
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4. Oxford Elbow Score (OES).
기간: at baseline 4 weeks and 8 weeks
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at baseline 4 weeks and 8 weeks
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 연구 의자: MAHMOUD MOHAMMED EWIDA, PHD, Professor of Basic Sciences for Physical Therapy Department of Basic Sciences for Physical Therapy Faculty of Physical Therapy Kafrelsheikh University
- 연구 책임자: MOHAMMED FATHY ABDEL-GALIL, Lecturer of Basic Sciences for Physical Therapy Department of Basic Sciences for Physical Therapy Faculty of Physical Therapy Kafrelsheikh University
- 연구 책임자: HOSSAM MOHAMMED GAD, PHD, Professor of Orthopaedic Surgery Department of Orthopaedic Surgery Faculty of medicine Kafrelsheikh University
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (추정된)
2026년 8월 1일
기본 완료 (추정된)
2026년 10월 30일
연구 완료 (추정된)
2027년 4월 1일
연구 등록 날짜
최초 제출
2026년 6월 12일
QC 기준을 충족하는 최초 제출
2026년 6월 12일
처음 게시됨 (실제)
2026년 6월 17일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2026년 6월 17일
QC 기준을 충족하는 마지막 업데이트 제출
2026년 6월 12일
마지막으로 확인됨
2026년 6월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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