Comparison of Post Facilitation Stretch and Maitland Mobilization in Post-traumatic Stiff Elbow

NCT06049238 | Completed

• 1 other identifier: RCRAHS-ISB/REC/MS-PT/01608
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This research study aims to bridge the gap in the existing literature by comparing the efficacy of Maitland mobilization and PFS techniques in the treatment of post-traumatic stiff elbow. While existing research has shown the favorable effects of joint mobilization and muscle energy techniques in other musculoskeletal conditions, there is a notable gap in understanding their efficacy in post-traumatic stiff elbow, particularly in Pakistan where no such study has been conducted. By investigating the comparative outcomes of these techniques, this research will contribute valuable clinical insights, potentially guiding clinicians in selecting the most effective treatment approach and laying the foundation for evidence-based treatment protocols tailored to patients with post-traumatic stiff elbow.

Conditions

Post Traumatic Stiff Elbow

Keywords

Post facilitation stretch.; Maitland.; Stiff elbow

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'.

  4 weeks

• ROM Elbow (Flexion)

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

  4 weeks

• ROM Elbow (Extension)

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

  4 weeks

• ROM Forearm (Supination)

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

  4 weeks

• ROM Forearm (Pronation)

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

  4 weeks

Secondary Outcomes (1)

• Disability

  4 weeks

Study Arms (2)

Maitland Mobilization

EXPERIMENTAL

Maitland mobilization will be applied 2-3 oscillations per second for 1 minute, 5 set each day, 5 days a week for 4 weeks.

Other: Maitland Mobilization

post facilitation stretch

ACTIVE COMPARATOR

PFS will be performed 6-10s isometric contraction with 100 % force followed by 15s passive stretch, 4-5 repetitions per day, 5 days a week for 4 weeks.

Other: Post facilitation stretch

Interventions

Maitland Mobilization OTHER

* Hot Pack for 10 mints * Active and active-assisted exercises (10 reps x 3 sets) for the * Elbow flexion and extension * Wrist flexion and extension * Forearm supination and pronation

Maitland Mobilization

Post facilitation stretch OTHER

* Hot Pack for 10 mints * Active and active-assisted exercises (10 reps x 3 sets) for the * Elbow flexion and extension * Wrist flexion and extension * Forearm supination and pronation

post facilitation stretch

Eligibility Criteria

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

You may qualify if:

• Age 18 - 35 years
• Both male and female
• Patients with a limitation of elbow joint range of motion greater than 30 degrees in extension and less than 120 degrees in flexion.
• months after POP, splinting
• Patients having bone ossification on X-ray findings will be included.

You may not qualify if:

• Patients with a history of rheumatoid arthritis or other inflammatory joint diseases
• Mal-union or non- union elbow fracture.
• Patients with a history of neuromuscular disorders or other conditions affecting muscle tone.
• Patients with a history of previous elbow surgery or joint replacement.
• Patients with a history of traumatic brain injury or other neurological conditions affecting upper limb function.
• Patients with open reduction
• Patient with elbow dislocation
• Elbow joint mal-alignment
• Heterotopic ossification
• Myositis ossification or posttraumatic ankyloses.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 46300, Pakistan

Location

Study Officials

• Nadia ishtiaq, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

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: September 15, 2023
• First Posted: September 22, 2023
• Study Start: February 15, 2023
• Primary Completion: January 15, 2024
• Study Completion: January 15, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)