Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 10

The Effect of Phonophoresis Versus Iontophoresis in Lateral Epicondylitis-RCT

Aher Ravindra Karbhari*

Department of Krishna college of Physiotherapy, Karad, Maharashtra, India

*Corresponding Author: Aher Ravindra Karbhari, Department of Krishna college of Physiotherapy, Karad, Maharashtra, India.

Received: August 19, 2022; Published:


Background: Lateral Epicondylitis is prevalent in 95% of non-tennis players and predominantly in women. Current literature supports the effectiveness of the Phonophoresis and Iontophoresis with Dexamethasone in treating lateral epicondylitis but studies regarding its safety and effectiveness are not done. The study is intended to find the superiority of Phonophoresis and Iontophoresis on lateral epicondylitis by using Dexamethasone.

Aims and objectives: To find out the effect of Phonophoresis and Iontophoresis in patients with lateral epicondylitis.

Materials and Methods: One year of Study was done at Krishna hospital in patients diagnosed with lateral epicondyltis. Patients assigned randomly into three Groups A, B and C (n = 3). Subjects were treated by Phonophoresis, Iontophoresis and ultrasound respectively for 2 weeks, and the outcome were measured and documented.

Results: Significant improvement in pain relief was measured by VAS in Group A than B and C (p = 0.0332) and improved grip strength was better in Group B than Group A and C (p = 0.5745).

Conclusion: Phonophoresis and Iontophoresis are effective in pain reduction and increased grip strength as proved statistically and clinically.

Keywords: Lateral epicondylitis; Phonophoresis; Iontophoresis; Ultrasound


  1. Ebnezar J. “Essentials of Rehabilitation for Orthopedic Surgeons”. New Delhi: Jaypee Brothers (2004): 232-234.
  2. Hutson AM. “Work-Related Upper Limb Disorders: Recognition and Management” (1997): 54-62.
  3. Brukner P and Khan K. “Elbow joint. Clinical Sports Medicine”. 3rd Sydney: McGraw-Hill (2008): 289-299.
  4. Brotzman SB and Wilk EK. “Clinical orthopaedic rehabilitation”. 2nd Pennsylvania: Mosby (1996).
  5. Ranney D., et al. “Upper limb musculoskeletal disorders in highly repetitive industries: precise anatomical physical findings”. Ergonomics 38 (1995): 1408-1423.
  6. Kelley J., et al. “Electromyographic and cinematographic analysis of elbow function in Tennis players with lateral epicondylitis”. American Journal of Sports Medicine 22 (1994): 359-363.
  7. Gruchow H and Pelletier D. “An epidemiologic study of Tennis elbow. Incidence, recurrence, and effectiveness of prevention strategies”. American Journal of Sports Medicine 7 (1979): 234-238.
  8. Murtagh J. “Tennis Elbow”. Australian Family Physician 17 (1988): 90-95.
  9. Ollivierre C and Nirschl R. “Tennis Elbow: Current Concepts of Treatment and Rehabilitation”. Sports Medicine2 (1996): 133-139.
  10. Vincenzo B and Wright A. “Lateral Epicondylalgia. A Review of Epidemiology, Pathophysiology, Aetiology and Natural history”. Physical Therapy 1 (1996): 23-34.
  11. Norkin C and Levangie P. “Joint Structure and Function”. 3rd Thiladelpia: FA Davis And Company the Tabers publisher (2001): 226-250.
  12. Magee DJ. “Orthopedic physical assessment”. 5th St. Louis, Missouri: Elsevier (2009): 361-395.
  13. Zuluaga M. “Sports Physiotherapy: Applied Science and Practice”. Melbourne: Churchill Livingstone (1995).
  14. Ann Thomson., et al. “Tidy’s physiotherapy”. 12th Mumbai: Varghese (1996): 60-63.
  15. Cameron Michelle. “Physical agents in rehabilitation”. 3rd Portland, Oregon: Elsevier; year of publication (2009).
  16. McNeill SC., et al. “Local enhanced topical drug delivery (LETD) of drugs: does it truly exist?” Pharmaceutical Research 9 (1992): 1422-1427.
  17. Franklin ME., et al. “Effect of Phonophoresis with dexamethasone on adranal function”. Journal of Orthopaedic and Sports Physical Therapy3 (1995): 103-107.
  18. Singh P and Maibach HI. “Iontophoresis in drug delivery: Basic principles and application”. Critical Reviews in Therapeutic Drug Carrier Systems 11 (1994): 161.
  19. Wingard LB., et al. “Human pharmacology”. Louis: Mosby-Year Book (1991): 484-493.
  20. Tripathi KD. “Medical pharmacology”. 6th New Delhi: Jaypee (2010).
  21. Bisset L., et al. “A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia”. British Journal of Sports Medicine 39 (2005): 411-422.
  22. Donatelli AR and Wooden JM. “Orthopaedic Physical Therapy”. 2nd Pennsylvania: Churchill Livingstone (2001).
  23. Craig VE. “Clinical Orthopaedics”. Pennsylvania: Lippin Cott Williams and Williams (1999).
  24. Terri H and Charles D. “Is there evidence that Phonophoresis is more effective than ultrasound in treating pain associated with lateral epicondylitis?” Physical Therapy 86 (2006): 136-140.
  25. Valma J., et al. “A Review of Therapeutic Ultrasound: Effectiveness Studies”. Physical Therapy 81 (2001): 1339-1350.
  26. Klaiman MD., et al. “Phonophoresis versus ultrasound in the treatment of common musculoskeletal conditions”. Sports Exercise9 (1998): 1349-1355.
  27. Nancy N Byl. “The Use of Ultrasound as an Enhancer for Transcutaneous Drug Delivery: Phonophoresis”. Physical Therapy 75 (1995): 539-553.
  28. Cameron H., et al. “Relative Transmission of Ultrasound by Media Customarily Used for Phonophoresis”. Physical Therapy Journal 72 (1992): 142-148.
  29. Singh PK., et al. “Iontophoretic Delivery of Drugs: Maximizing Treatment Effectiveness”. International Journal of Pharmacy and Pharmaceutical Sciences 2 (2011): 28-33.
  30. Stefanou A., et al. “The use of Iontophoresis for Treatment of Lateral Epicondylitis” (2010).
  31. Batheja P., et al. “Transdermal Iontophoresis”. Expert Opinion on Drug Delivery (2007): 46-48.
  32. Jean-PS., et al.In Vitro Optimization of Dexamethasone Phosphate Delivery by Iontophoresis”. Physical Therapy 88 (2008): 1177-1185.
  33. “Iontophoretic adminitration of dexamethasone sodium phosphate for acute lateral epicondylitis. A double blinded placebo- controlled study”. American Journal of Sports Medicine 31.2 (2003): 189-195.
  34. Bolin DJ. “Tansdermal approaches to pain in sports injury management”. Journal of Sports Medicine 6 (2003): 303-309.
  35. Anderson CR., et al. “Effect of Iontophoresis current magnitude and duration on Dexamethasone deposition and localized drug retention”. Physical Therapy 83 (2003): 161-170.
  36. Charles T., et al. “Iontophoresis: applications in transdermal medication delivery”. Physical Therapy 75 (1995): 554-563.
  37. Jean LC., et al. “An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy”. British Journal of Sports Medicine 41 (2007): 269-275.
  38. Stasinopoulos D., et al. “An exercise programme for the management of lateral elbow tendinopathy”. British Journal of Sports Medicine 39 (2005): 944-947.
  39. Christine Kaegi., et al. “The Interrater Reliability of Force Measurements Using a Modified Sphygmomanometer in Elderly subjects”. Physical Therapy10 (1998): 1095-1103.
  40. George F., et al. “Measurement grip strength: validity and reliability of the sphygmomanometer and jamar grip dynamometer”. Sports Physiotherapy 16 (1992): 215-219.
  41. Price DD., et al. “A comparison of pain characteristics of mechanical visual analog and simple numerical rating scales”. Pain 56 (1994): 217-226.
  42. Price DD., et al. “The validation of visual analog scales as ratio measures for chronic and Experimental”. Pain 17 (1983): 45-56.
  43. Fess EE and Moran CA. “Clinical assessment recommendations booklet”. American Society of Hand Therapists (1981).
  44. Draper NR and Smith H. “Applied Regression Analysis”. 2nd New York: Lohn Wiley and Sons (1981): 47-51.
  45. Amit V., et al. “Cyriax Physiotherapy versus Phonophoresis with Supervised Exercise in Subjects with Lateral Epicondylalgia: A Randomized Clinical Trial”. Journal of Manual and Manipulative Therapy 3 (2009): 171-178.


Citation: Aher Ravindra Karbhari., et al. “The Effect of Phonophoresis Versus Iontophoresis in Lateral Epicondylitis-RCT".Acta Scientific Orthopaedics 5.10 (2022): 00-00.


Copyright: © 2022 Aher Ravindra Karbhari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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