Comparative study of the effects of shock wave therapy and dry needling on pain, Functional disability and ultasonographic changes on common extensors tendon in semiprofessional rocket athletes with tennis elbow

Comparative study of the effects of shockwave therapy and dry needling on pain, Functional disability and ultasonographic changes on common extensors tendon in semiprofessional rocket athletes with tennis elbow

clinical trial with double blind, 30 patients,Block randomized

Patients are divided into two groups of 15 people, shock wave and dry needling and are evaluated before, after and one month after the treatment And the pain visual scale score, elbow functional questionnaire score and their tendon thickness are recorded. In this study, the evaluator and the researcher are two different people, and the evaluator and the statistician are blinded

Thirty patients between 18 and 40 years of age who have a semi-professional sports history (at least 3 days a week) for at least 1 year in racket sports (tennis, badminton, ping pong, squash) with a definite diagnosis of tennis elbow for at least 6 weeks and 4 to 7 on the VAS scale and not received any anti-inflammatory treatment during the treatment period. Exclusion conditions include patients with cervical radiculopathy or interosseous nerve entrapment, active infection, diffuse inflammatory rheumatic disease, history of surgery in the external epicondyle area, injury in the elbow area

patients are divided into two groups of 15 ، shockwave and dry needling, patients are treated for 10 sessions in total, 3 sessions a week and receive interventions 2 sessions a week.In the shockwave group, this method is applied with a frequency setting of 15 Hz in the form of 2BAR and 2000 pulses, and in the dry needling group, the needles are inserted in the trigger point areas, which are the most painful areas in the external epicondyle of the elbow.

pain, functional disability ultasonographic changes (tendon thickness)

Randomization method: Permuted block randomization Randomization unit: Person Stratified randomization: Not done Randomization instrument: ٌRandom allocation software (Excel) Random sequence generation: each block containing 4 people allocation concealment: not done

In this study, the therapist (the physiotherapist who performs the intervention) and the assessor (the one who performs the ultrasound imaging) are two different people, and the evaluator who performs the ultrasound imaging does not know what intervention the patient receives. Also, the statistician is blind to the data.