Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID07238413

Effect of Adding Scapular Stabilization Exercises to Extracorporeal Shock Wave Therapy on Pain, Muscle Strength, Functional Status, and Quality of Life in Patients With Lateral Epicondylitis

Led by Saglik Bilimleri Universitesi · Updated on 2025-12-04

48

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of adding scapular stabilization exercises to extracorporeal shock wave therapy (ESWT) for treating lateral epicondylitis, also known as tennis elbow. The study aims to assess how this combination affects pain, muscle strength, functional status, and quality of life in adults aged 18 to 65 with this condition. Forty-eight participants are included and randomly assigned to two groups for comparison. One group receives ESWT once a week for five sessions, along with stretching and strengthening exercises for wrist extensor muscles. The other group receives the same ESWT and exercises plus additional scapular stabilization exercises targeting specific shoulder muscles, performed twice a week over eight weeks. The scapular exercises include scapular clock, wall push-up, and wall slide or ball slide movements. Participants will be evaluated at the start and after eight weeks of treatment for pain using the Visual Analog Scale, scapular position, pressure pain threshold, grip strength, muscle strength, and functional status. These assessments aim to measure improvements and changes due to the treatments. The study will monitor participants closely during the treatment period to observe these outcomes and their quality of life.

CONDITIONS

Brief Title

Effect of Scapular Stabilization Exercises and ESWT in Patients With Lateral Epicondylitis

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 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 around the lateral epicondyle for at least 3 months
  • Symptoms worsened by resisted elbow extension, wrist extension, gripping, and supination
  • Willing to voluntarily participate in the study
Not Eligible

You will not qualify if you...

  • Serious systemic or cardiovascular diseases that prevent exercise of the hand and upper extremity
  • Diagnosis of upper extremity entrapment neuropathies
  • Diagnosis of malignancy
  • Open wounds on the hand or upper extremity
  • Pregnant or suspected pregnancy
  • Received physiotherapy or injection treatments within the last 6 weeks
  • Diagnosed with diabetes mellitus, rheumatologic diseases, or neurological disorders
  • Upper extremity surgery or fracture within the last 6 months
  • Coagulation disorders or receiving anticoagulant therapy
  • Conditions causing degenerative changes in the hand and upper extremity
  • Diagnosed with carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, medial epicondylitis, radiohumeral bursitis, or cervical disc pathology
  • Using analgesic or anti-inflammatory medications other than acetaminophen (paracetamol)

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants receive extracorporeal shock wave therapy (ESWT) combined with stretching and strengthening exercises. The study group also performs scapular stabilization exercises targeting specific shoulder muscles.

Twice weekly exercise sessions and 5 weekly ESWT sessions

Trial Site Locations

Total: 1 location

1

Büşra Yalçın

Istanbul, Turkey (Türkiye)

Actively Recruiting

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Research Team

B

büşra yalçın, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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