Active Release Technique and Graston Technique in Patients With Lateral Epicondylitis

NCT05070559 | Completed DMC

• 1 other identifier: Iqra Shabbir
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a randomized control trial and will be conducted in Pakistan Railway Hospital Rawalpindi. A sample of 36 participants will be taken. Patients will be divided into two groups by sealed envelop method. Patients in group A will receive Active Release Technique along with conventional therapy while Patients in group B will receive instrument assisted soft tissue mobilization along with conventional therapy. The study includes intervention protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks. The outcome measures Numeric pain rating scale(NPRS), Hand Dynamometer and Patient-Rated Tennis Elbow Evaluation (PRTEE) will be measured at baseline and at the end of 4th week. Data will be analyzed by SPSS 25

Conditions

Lateral Epicondylitis

Keywords

lateral Epicondylitis; Graston Technique; Active Release Technique; Grip Strength

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  The Numeric Pain Rating Scale that is a unidimensional measure of pain intensity in adults. The 11-point numeric scale ranges from '0' representing one pain extreme (no pain) to '10' representing the other pain extreme (or "worst pain imaginable"). The intrarater reliability with ICC = 0.67.

  4 Weeks

• Hand Dynamometer

  hand dynamometer is the most reliable and acceptable tool for measuring grip strength. It detects and quantitatively determines the degree of weak grip strength. (ICC = 0.99)

  4 Weeks

• Patient-Rated Tennis Elbow Evaluation

  The Patient-Rated Tennis Elbow Evaluation questionnaire is a specific questionnaire available for assessing the functional status of patients with lateral epicondylitis. (ICC = 0.96)

  4 Weeks

Study Arms (2)

Active Release Technique Group

EXPERIMENTAL

Patients in this group will receive Active Release Technique along with conventional therapy

Other: Active Release Technique

Graston Technique Group

EXPERIMENTAL

Patients in this group will receive Instrumental Assisted Soft Tissue Mobilization along with conventional therapy

Other: Graston Technique Group

Interventions

Active Release Technique OTHER

Patients in this group will receive Active Release Technique along with conventional therapy. ART will be given with patient seated, elbow flexed and resting on the treatment table, forearm in midprone \& wrist in neutral position and then the therapist will work on the common extensor tendon by applying pressure to the tendon distal to their attachment at the elbow. The patient will start with the elbow bent and wrist straight. As the therapist hold the muscles, the patient will extend the elbow and pronate and flex the wrist while the therapist move the pressure proximally, attempting to release adhesions around and between muscle planes. Total of 15 repetitions for of 10 minutes. CONVENTIONAL THERAPY: * Hot pack for 15 minutes * TENS for 15 minutes * Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Active Release Technique Group

Graston Technique Group OTHER

Patients in this group will receive IASTM along with conventional therapy. In graston technique proper application of GT3 which include application of a cream to the common extensor tendon. The GT3will be then used to common extensor tendon. In areas of increased tissue restriction, more required pressure with GT3 is applied using increased force and shorter strokes over the areas of restriction. Ice will be offered as needed for pain management after each session. The study includes interventional protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks. CONVENTIONAL THERAPY: * Hot pack for 15 minutes * TENS for 15 minutes * Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Graston Technique Group

Eligibility Criteria

• Age: 15 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Chronic lateral epicondylitis, complaints for at least 3 months or more
• Pain intensity level between 3 to 6 on 0-10 point numerical pain rating scale

You may not qualify if:

• Acute/ sub-acute lateral epicondylitis
• Any cervical spine or any other upper limb dysfunction
• Any other neurological disease, cardiovascular disease, osteoporosis
• Bilateral complaints

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rawal General Hospital Rawalpindi

Rawalpindi, Punjab Province, 44000, 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 Officials

• Sajjad Ali, Ms-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 27, 2021
• First Posted: October 7, 2021
• Study Start: November 1, 2021
• Primary Completion: February 16, 2022
• Study Completion: February 16, 2022
• Last Updated: April 18, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)