Immediate and Longterm Effects of Mulligan Mobilization With and Without Myofascial Release on Pain,Grip Strength and Function in Patients With Lateral Epicondylitis

NCT05566418 | Completed

• 1 other identifier: 898
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

This study will help to determine the immediate and long term effects of Mulligan mobilization with and without myofascial release on pain, grip strength and function in patients with lateral epicondylitis

Conditions

Lateral Epicondylitis

Outcome Measures

Primary Outcomes (1)

• change from baseline in pain at week 4th

  Numeric pain rating scale will be used to assess the pain level. A score of 0 means there is no pain, while a score of 10 means the worst pain

  baseline and 4th week

Other Outcomes (2)

• change from baseline in grip strength at week 4th

  baseline and 4th week

• change from baseline in functional ability at week 4th

  baseline and 4th week

Study Arms (2)

Group A

NO INTERVENTION

Group A will get standard therapy and the Mulligan mobilization technique for 12 sessions. A Mulligan mobilization belt will be wrapped around the subject's proximal forearm, close to the elbow joint line, and then wrapped around the therapist's shoulder. This will be done with the therapist's other hand on the distal humerus. The belt will give the subject's forearm a 10-to 15-second lateral glide. The patient will be instructed to constantly extend their wrists while the therapist applies manual resistance to their attempts, and the therapist will continue to work on the patient. When the user can fully extend their wrist without discomfort, the lateral glide will be abolished. Three repeats will be performed, each separated by a fifteen-to twenty-second interval.

Group B

EXPERIMENTAL

In addition to the standard treatment, Group B participants will receive 12 sessions of myofascial release technique and Mulligan mobilization. Participants will be instructed to lie supine on the plinth with the afflicted arm internally rotated, elbow slightly flexed and pronated, and palm of hand on the plinth. While standing on the side of the body affected by the ailment being treated, the therapist turned their body to face the affected hand. Myofascial release will be performed on the patient The therapeutic session will last five minutes and will be repeated twice.

Other: mulligan mobilization; Other: myofascial release

Interventions

mulligan mobilization OTHER

Mulligan mobilization belt will be wrapped around the subject's proximal forearm, close to the elbow joint line, and then wrapped around the therapist's shoulder. This will be done with the therapist's other hand on the distal humerus. The belt will give the subject's forearm a 10-to 15-second lateral glide.

Also known as: transcutaneous electric nerve stimulation,Cryo-therapy, Ultrasonic therapy, strengthening exercises

Group B

myofascial release OTHER

Myofascial release will be performed on the patient, commencing at the common extensor origin and progressing all the way to the extensor retinaculum in the wrist. The periosteum will be engaged with the fingertips, with contact progressing inferiorly to the common extensor tendon and then to the wrist's extensor retinaculum

Group B

Eligibility Criteria

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

You may qualify if:

• Age group 20 years to 40 years ,both males and females
• Diagnosed cases of lateral epicondylitis by senior physiotherapist
• Acute and sub-acute cases
• Numeric Pain Rating Scale 4 and above
• Positive cozen test, Mills test, middle finger extension test

You may not qualify if:

• H/o
• Active medications.
• Dermatitis, malignancy or hazardous to myofascial release.
• Recent trauma, fracture
• Prior surgeries of elbow, tendon ruptures
• Any Neurological conditions like nerve compression
• Swelling around the elbow joint

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

Sumra Riaz

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Tennis Elbow

Interventions

Ultrasonic Therapy; Myofascial Release Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Diathermy; Hyperthermia, Induced; Therapeutics; Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Physical Therapy Modalities; Rehabilitation

Study Officials

• Sumra Riaz, MS-PTM

  University of Lahore

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: This study will be single blinded. Patients will be assessed by a senior Physiotherapist then divided into two groups for treatments. The assessor will be unaware of the treatment given to both groups
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Parallel designed randomised controlled trial

Study Record Dates

• First Submitted: September 28, 2022
• First Posted: October 4, 2022
• Study Start: October 13, 2021
• Primary Completion: August 16, 2022
• Study Completion: September 16, 2022
• Last Updated: October 4, 2022

Record last verified: 2022-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)