Mulligan Mobilization Versus Instrument Assissted Soft Tissue Mobilization In Chronic Iateral Epicondylitis

NCT05780528 | Unknown

• 1 other identifier: P.T.REC/012/004235
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to compare between mulligan mobilization and instrument assisted soft tissue mobilization on pain intensity, range of motion, hand grip strength, and hand function in the treatment of chronic lateral epicondylitis

Conditions

Lateral Epicondylitis

Keywords

instrumented assisted soft tissue mobilization; Mulligan Mobilization; lateral epiconylitis

Outcome Measures

Primary Outcomes (2)

• pain intensity

  pain will be measured by visual analogue scale. It is a vertical or horizontal 100 mm line graduated by different levels of pain, starting from 0 (no pain) till 100 (worst pain)

  up to four weeks

• shoulder disability

  The Arabic version of Disabilities of arm, shoulder, and hand (DASH) will be used for assessing shoulder function.DASH questionnaire includes 11 items with score from 0 to 100. A score of 0 represents no disability, while a score of 100 represents the most sever

  up to four weeks

Secondary Outcomes (2)

• range of motion

  up to four weeks

• hand grip strength

  up to four weeks

Study Arms (3)

mulligan mobilization

EXPERIMENTAL

the patients will receive mulligan mobilization three times a week for four weeks

Other: mulligan mobilization; Other: conventional treatment

instrumented assisted soft tissue mobilization

EXPERIMENTAL

the patients will receive instrumented assisted soft tissue mobilization three times a week for four weeks

Other: instrumented assisted soft tissue mobilization; Other: conventional treatment

conventional treatment

ACTIVE COMPARATOR

the patients will receive conventional treatment three times a week for four weeks

Other: conventional treatment

Interventions

mulligan mobilization OTHER

The patients will receive mobilization with movement technique of lateral glide. the patients will be in supine subject and pronate forearm, during the application of the lateral glide by the physiotherapist, each patient was asked to perform the closure of the fist (provocative but painless gesture in the execution of the technique) for 3 sets of 10 repetitions.

mulligan mobilization

instrumented assisted soft tissue mobilization OTHER

the participant will receive instrumented assisted soft tissue mobilization. The participant's elbow will rest on a table. A lubricant (Vaseline) will be applied to the skin around the elbow prior to treatment and the blade will be cleaned with an alcohol pad. First, the blade will be used to find the exact areas of restriction in the common extensor origin. Then the M2T blade will be used in the treatment planes 1, 2, and 3, to apply slow strokes along the muscle, without causing any discomfort or pain, from the muscle origin to its insertion (sweeping technique)

instrumented assisted soft tissue mobilization

conventional treatment OTHER

the patients will receive conventional treatment in the form of Ultrasound therapy, conventional transcutaneous electrical nerve stimulation (TENS) - hot pack - stretching and strengthening exercises and wrist rest splints

conventional treatment; instrumented assisted soft tissue mobilization; mulligan mobilization

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All patients will be diagnosed with chronic lateral epicondylitis from both genders.
• Patients with chronic lateral epicondylitis were diagnosed by orthopedists. Positive clinical manifestation in all patients. Patients' age will be ranged from 18 to 80 years, Pain onset is more than 3 months. All participants must be medically stable and not be treated with analgesics or any medication which may cause misleading results.
• All patients have a body mass index between 18.5 and 29.9 kg/m2.

You may not qualify if:

• Patients who received an intra-articular injection for a duration of less than 3 months.
• Patients receiving oral or injected corticosteroids for the last 3 months at least.
• History of elbow surgery/fracture. Acute synovitis/arthritis including infectious. Presence of malignancy. Pregnancy. Patients with, topical lesions, contact dermatitis, and a history of cutaneous hypersensitivity

Sponsors & Collaborators

• Cairo University: lead

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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelop
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator nora yehia helmy Abdelrahem

Model Details: mulligan mobilization and instrumented-assisted soft tissue mobilization

Study Record Dates

• First Submitted: March 10, 2023
• First Posted: March 22, 2023
• Study Start: March 25, 2023
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: March 22, 2023

Record last verified: 2023-03