Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.

NCT03848117 | Completed DMC

• 1 other identifier: IIRS-1702-M.Phil OPT-006
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Lateral epicondylitis (LE) is a pain causing musculoskeletal disease which mainly occurs due to the over exertion or over use of extensors of wrist mainly ECRB and pain is felt at the origin of common extensor tendon. This study was focused to assess the effectiveness of cyriax approach and mulligan approach to improve the functional status of sub acute lateral epicondylitis patients through patient related tennis elbow evaluation form.

Conditions

Lateral Epicondylitis

Keywords

Patient Rated Tennis Elbow Evaluation (PRTEE); Mobilization with movement; Deep Transverse friction massage

Outcome Measures

Primary Outcomes (2)

• Patient related tennis elbow evaluation pain scale

  Pain associated with daily tasks is measured through Patient related tennis elbow evaluation pain scale with categories as "0" for no pain and "10" for worst imaginable pain.

  Upto 4 weeks

• Patient related tennis elbow evaluation functional disability scale

  Degree of difficulty in performing daily tasks associated with elbow joint is measured through Patient related tennis elbow evaluation functional disability scale in categories as "0" for no difficulty in task and "10" for unable to do a task.

  Upto 4 weeks

Secondary Outcomes (1)

• Hand grip strength chart index

  Upto 4 weeks

Study Arms (2)

(DTF massage & Mill's manipulation)(Group 1)

ACTIVE COMPARATOR

For any given subject in group 1, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in 1st group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.

Other: Cyriax approach i.e. DTF massage and Mill's manipulation

( Taping & MWM) (Group 2).

ACTIVE COMPARATOR

For any given subject in group 2, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.

Other: Mulligan approach i.e. Taping and MWM

Interventions

Cyriax approach i.e. DTF massage and Mill's manipulation OTHER

Each patient in group I i.e. Cyriax group was given 20-minute session. Each session started in sitting position and initially deep transverse friction massage was done at lateral compartment of the elbow joint and immediately after that mill's manipulation at elbow joint with flexion at wrist joint in pronated arm position. This session was repeated three times a week for one month (Total 12 sessions/ one month).

(DTF massage & Mill's manipulation)(Group 1)

Mulligan approach i.e. Taping and MWM OTHER

Each patient in group II i.e. Mulligan group was given 30 to 45-minute session. Each session started in sitting position and it included mobilization with movement which was given in such a way that initially lateral glide at elbow joint was performed and after holding it, I asked the patient to make a fist and open the fist. In this way, I repeated this procedure 36 times and after 12 repetitions, a short rest period was given. Taping was applied after mobilization around the elbow joint over extensor carpi radialis muscles. This session was repeated three times a week for one month (Total 12 sessions/ one month).

( Taping & MWM) (Group 2).

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group 20-50 years of both gender.
• Vas \< 7
• Positive mills test and cozens test.
• Local tenderness on palpation over lateral epicondyle of the humerus.
• From sub-acute to chronic more than 2 weeks.

You may not qualify if:

• Any previous pathology of bone around elbow.
• Corticosteroid injection in the preceeding 3 months.
• Absence of clinical signs of tennis elbow.
• Any other systemic illness like metabolic, metastatic, infective disorders.
• Any other neurological abnormalities.
• Allergies to Mulligan tape.

Sponsors & Collaborators

• Isra University: lead

Study Sites (1)

Sammar Abbas

Rawalpindi, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Tennis Elbow

Condition Hierarchy (Ancestors)

Elbow Tendinopathy; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Model Details: Patients were randomly assigned into two groups: Cyriax Approach group and Mulligan approach group. A coin was flipped at start of data collection for the first patient to be assigned odd number and included in cyriax group. Later on odd and even numbered patients were included in specific group. Additionally, data was collected from lateral epicondylitis patients visiting the DHQ Hospital Bahawalnagar.

Study Record Dates

• First Submitted: January 26, 2019
• First Posted: February 20, 2019
• Study Start: March 1, 2019
• Primary Completion: September 30, 2019
• Study Completion: October 15, 2019
• Last Updated: November 13, 2019

Record last verified: 2019-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR

Locations

PA (1)