Effects of Mills Manipulation and Nirschel Exercises in Patients With Lateral Epicondylitis
1 other identifier
interventional
32
1 country
1
Brief Summary
To find effects of mills manipulation versus NIRSCHL EXERCISES on pain ,strength and function in patients with lateral epicondylitis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2022
CompletedFirst Submitted
Initial submission to the registry
June 7, 2022
CompletedFirst Posted
Study publicly available on registry
June 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2023
CompletedJune 10, 2022
June 1, 2022
12 months
June 7, 2022
June 7, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Numeric Pain Rating scale (NPRS)
The NPRS is used to access the patient intensity of pain. Its score ranges from 0-10 with 0 is being the least painful while 10 is worst. Patient is asked to make three pain ratings, corresponding to current, best and worst pain experienced over the last 24 hours. The average of the 3 ratings is used to represent the patient's level of pain over the previous 24 hours. The NPRS is found to be valid and reliable method for measuring patients perceived pain.
10 months
Hand dynamometer
Hand dynamometer is used to measure the grip strength of the patients. It is considered as a primary clinical measure according to internationally accepted normal hand grip strength ratings in Kgs in patients with various musculoskeletal conditions associated with decreased hand grip strength.
10 MONTHS
Patient Rated Tennis Elbow Evaluation(PRTEE)
Patient related tennis elbow evaluation is used to access pain and functional disability of LE patients. The index has two subscales,5 questions are related to pain are scored 0-10, for each question related to pain 0 refereed to no pain while 10 referred as worst pain imaginable. The functional disability scale 0 referred to no difficulty while 10 being referred to unable to do.PRTEE is a valid and reliable instrument for LE patients.
10 Months
Study Arms (2)
Mills manipulation in addition to myofasical release therapy
EXPERIMENTALmills manipulation
Nirschl exercises in addition to myofascial release therapy
EXPERIMENTALNirschel exercises
Interventions
Group A will receive Mills manipulation in addition to myofasical release therapy as baselin
Group B will receive Nirschl exercises in addition to myofascial release therapy as baseline
Eligibility Criteria
You may qualify if:
- Pain on lateral epicondyle of humerus when palpated, in the age group of 40-60 years
- Both male and female are included
- Unilateral symptomatic lateral epicondylitis
- Tenderness over palpation of extensor carpi radialis brevis muscle muscle (ECRB)
- Patients with positive cozens test (resisted wrist extension and radial deviation is painful) ,mills test (passive elbow extension \& wrist flexion is painful) and maudsley test(resisted middle finger extension is painful)
- Patients having symptoms of lateral epicondylitis for \> 3 months
You may not qualify if:
- Radial nerve entrapment
- Cervical radiculopathy
- Corticosteroid injection within 4 weeks
- Had received any conservative treatment for lateral epicondylitis in last 4 weeks before entering the study
- Post-surgery patients of lateral epicondylitis
- Radiological findings of extensor tendon calcification
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
PSRD hospital Ferozpur Road LAHORE
Lahore, Punjab Province, Pakistan
Related Publications (4)
Pitsillides A, Stasinopoulos D. Cyriax Friction Massage-Suggestions for Improvements. Medicina (Kaunas). 2019 May 21;55(5):185. doi: 10.3390/medicina55050185.
PMID: 31117314BACKGROUNDMa KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Pain Res Manag. 2020 May 5;2020:6965381. doi: 10.1155/2020/6965381. eCollection 2020.
PMID: 32454922BACKGROUNDLandesa-Pineiro L, Leiros-Rodriguez R. Physiotherapy treatment of lateral epicondylitis: A systematic review. J Back Musculoskelet Rehabil. 2022;35(3):463-477. doi: 10.3233/BMR-210053.
PMID: 34397403BACKGROUNDYan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, Liu J, Xue H, Abududilibaier A, Mi B, Liu G. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. J Orthop Surg Res. 2019 Aug 6;14(1):248. doi: 10.1186/s13018-019-1290-y.
PMID: 31387611BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Saba Rafique, ppdpt
Riphah International University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 7, 2022
First Posted
June 10, 2022
Study Start
March 1, 2022
Primary Completion
February 28, 2023
Study Completion
March 31, 2023
Last Updated
June 10, 2022
Record last verified: 2022-06
Data Sharing
- IPD Sharing
- Will not share