Mobilization With Movement and Progressive Strengthening Exercises in Lateral Epicondylitis

NCT05358054 | Completed DMC

• 1 other identifier: REC/00769 Amman Ullah Nazir
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to compare the mobilization with movement and progressive strengthening exercises in individuals with lateral epicondylitis on VAS, PRTEE and Hand Grip strength . A randomized clinical trial was conducted at Bone and Joint center and Khyaban medical center, Rawalpindi. The sample size was 40 calculated through open-epi tool . The participants were divided into two groups each having 20 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using enveloped sealed. Only 20 to 60 years participants with chronic lateral epicondylitis included in that study . Tools used in this study are SELF STRUCTURE QUESTIONNAIRE, VAS visual analogue scale range is 0 TO 10 O is no pain 10 is unbearable pain , PRTEE patient ratted tennis elbow evaluation 15 questionnaire form 3 sub-scale total 100 scores 0 is best 100 is worst, hand held Dynamo-meter , Data was collected before and immediately after the application of interventions. Data analyzed through SPSS version 21.

Conditions

Lateral Epicondylitis

Keywords

Mobilization with movement, PRE, PRTEE, VAS, HD.

Outcome Measures

Primary Outcomes (3)

• Visual Analogue Scale

  A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured.The VAS is pain numeric scale to find out pain intensity and pain level perceived by patients. The VAS is a subjective type pain scale measured the acute and chronic level pain. Score are marked between no pain and worst pain ( zero to 10)

  1st Day

• Patients Related Tennis Elbow Evaluation

  Measurements the patient functional status its 15 questionnaires In PRTEE First subscale is The Pain Subscale detail is 5 items Maximum or best score is 0 and worst score is 50 The Second Subscale or PRTEE is The Specific Activities detail is 6 items with finest score is 0 and least score is 60 The third one subscale of PRTEE the Usual Activities sub part 4 items with superior score is 0 and least score is 40. Third Fourth Part of PRTEE is The Function Subscale detail is performance bases specific activities and usual or regular activities Add up to specific or regular activities divided by 2 Maximum best score or prime score is 0 and least score is 50 Total detail Score of PRTEE is = Pain Subscale + Function Subscale Best Score= 0 Worst Score = 100 (pain and disability contribute equally to score)

  1st Day

• Hand Dynamometer Maximum Grip Strength

  A dynamometer with high accuracy and sensitivity has recently been developed to assess grip strength. It provides maximal isometric grip strength measured.Many sports activities hand dynamometer is used to find out athlete performance around hand and forearm muscle strength. Sports, like baseball and tennis, where the hand is utilized for tossing or lifting make use of dynamometers to test hand strength

  1st day

Study Arms (2)

GROUP A

EXPERIMENTAL

GROUP A

Other: Mobilization with movement lateral Glides and Conventional Physiotherapy; Other: Progressive Resistance Exercises and Conventional Physiotherapy

GROUP B

EXPERIMENTAL

GROUP B

Other: Mobilization with movement lateral Glides and Conventional Physiotherapy; Other: Progressive Resistance Exercises and Conventional Physiotherapy

Interventions

Mobilization with movement lateral Glides and Conventional Physiotherapy OTHER

(The Mobilization with movement technique is(lateral glide) applied to the patient by a physiotherapist to patients at supine level position. First we identify pain free region each patients. The lateral humerus above the condyle of elbow joint are fixed by therapist. Then therapist ask to patients perform the active movement ten times. The same procedure repeats number of 3 sets, 10 number of repetition. The rest of interval fifteen to twenty seconds with in the sets Grip strength (pain Free Strength ) was evaluated in kilogram using a dynamometer. The measurements using dynamometer patients posture is erect sit position , the elbow at 90 degree flexion , shoulder would be abducted , rest of joint forearm and wrist in neutral during measurements. conventional therapy list of conventional physiotherapy are therapeutic ultrasound , deep transverse friction massage and stretching

GROUP A; GROUP B

Progressive Resistance Exercises and Conventional Physiotherapy OTHER

4 STEPS Progressive resistive EXERCISES have a 4 step to application Step 1 Clenching fist strongly, resisted wrist Flexion, Extension, wrist rotation with a stick) Step 2 The therapeutic band exercised performed at wrist Flexion(WF), Wrist Extension(WE), Wrist Ulnar Deviation(WED) , and Wrist Radial Deviation(WRD).Step 3 Patient asked to perform combined wrist rotatory movements using e.g. table top as a support. Step 4 Soft ball compressing exercises, Transferring buttons from cup into another, Twisting a towel into the roll, Hand Rotating both directions at table AND CONVENTIONAL PHYSIOTHERAPY and list of conventional physiotherapy are therapeutic ultrasound , deep transverse friction massage and stretching

GROUP A; GROUP B

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• During Palpation found local tenderness over lateral side of epicondyle.
• Diagnosed clinically minimum 3 month duration from orthopedic doctors/ department.
• Positive Mills test or Cozen test.

You may not qualify if:

• Traumatic injury
• Any Positive history of ligament or tendon tear grade 3
• Any kind of surgery around elbow past two months
• Any History of systemic diseases
• Any kind of neurological conditions like stroke, MS, CVA.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Bone and joints centre

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (31)

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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

• Lal Gul Khan, MScPT

  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

Model Details: RCT

Study Record Dates

• First Submitted: April 28, 2022
• First Posted: May 3, 2022
• Study Start: June 30, 2020
• Primary Completion: January 20, 2021
• Study Completion: February 26, 2021
• Last Updated: May 3, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)