Comparison of Mobilization and MET Post-Traumatic Elbow Stiffness

NCT05258162 | Completed

• 1 other identifier: Riphah/RCRS/REC/00939
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to find the effects of Mobilization and Muscle energy technique in patients with post-traumatic elbow stiffness.

Conditions

Elbow Fracture

Keywords

Post Traumatic Elbow Stiffness; Pain; Elbow; Disability; Fracture

Outcome Measures

Primary Outcomes (5)

• Numeric pain rating scale

  Changes from baseline Numeric pain rating scale is a self-administered, or analyst reported, measuring instrument comprising of a scale that shows numerical ranges usually from 0-10 or 0-100. In this scale extreme or farthest point shows having 'no pain' to having 'extreme pain'.

  3rd week

• ROM Elbow (Flexion)

  Changes from baseline range of motion( ROM) of elbow joint flexion is taken by using Goniometer.

  3rd week

• ROM Elbow (Extension)

  Changes from baseline range of motion( ROM) of elbow joint extension is taken by using Goniometer.

  3rd week

• ROM Forearm (Supination)

  Changes from baseline range of motion( ROM) of forearm supination is taken by using Goniometer.

  3rd week

• ROM Forearm (Pronation)

  Changes from baseline range of motion (ROM) of forearm pronation is taken by using Goniometer.

  3rd week

Secondary Outcomes (2)

• Disability

  3rd week

• kinesiophobia (fear of movement)

  3rd week

Study Arms (2)

Mobilization

EXPERIMENTAL

Mobilizations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals. Oscillations for 2 minutes at 2-3 oscillations per second.

Other: Mobilization

Muscle Energy Technique

EXPERIMENTAL

Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.

Other: Muscle Energy Technique

Interventions

Mobilization OTHER

Hot pack for ten minutes. Active and active-assisted exercises for the: * Elbow flexion and extension * Wrist flexion and extension * Forearm supination and pronation * Lock and key exercises. * Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for; * Elbow flexion and extension * Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Mobilisations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals. 3 days per week for 3 weeks. Oscillations for 2 minutes at 2-3 oscillations per second.

Also known as: Hot pack, Range of Motion Exercises, Isometrics

Mobilization

Muscle Energy Technique OTHER

Hot pack for ten minutes. Active and active-assisted exercises for the: * Elbow flexion and extension * Wrist flexion and extension * Forearm supination and pronation * Lock and key exercises. * Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for; * Elbow flexion and extension * Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction. 3 days per week for 3 weeks.

Also known as: Hot pack, Range of Motion Exercises, Isometrics

Muscle Energy Technique

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with post-operative elbow stiffness after distal end extra-articular humerus fractures.
• Patients with proximal radius ulna fractures.
• Minimum immobilization period of 3 weeks

You may not qualify if:

• Any ligament injury
• Patients with Diabetes
• Patients with RA
• Patients with Pathological fractures
• Revision surgeries
• Neuro-vascular disorders.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Benazir Bhutto Hospital

Rawalpindi, Punjab Province, 46300, Pakistan

Location

MeSH Terms

Conditions

Elbow Fractures; Pain; Fractures, Bone

Interventions

Range of Motion, Articular; Exercise

Condition Hierarchy (Ancestors)

Elbow Injuries; Arm Injuries; Wounds and Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Motor Activity; Movement

Study Officials

• Muhammad Affan Iqbal, PhD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2022
• First Posted: February 28, 2022
• Study Start: January 18, 2021
• Primary Completion: January 30, 2022
• Study Completion: January 30, 2022
• Last Updated: February 28, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)