Effects of Nerchal Exercises on Lateral Epicondylitis.

NCT06317545 | Completed DMC

• 1 other identifier: REC/RCR&AH/23/0167/shan ali
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 2

Brief Summary

Painful condition of lateral epicondyle of the humerus characterized by the inflammation of the tendons during loading of the wrist extensor muscles is a common musculoskeletal presentation in men and women between 35 and 54 years of age. The above symptom is associated with a clinical diagnosis of lateral elbow tendinopathy (LET), also known as tennis elbow or lateral epicondylalgia the two effective treatment approaches for lateral epicondylitis are Nirschl exercises and Mulligan taping. This study aims to evaluate the effectiveness of Nirschl exercises with or without Mulligan taping in treating lateral epicondylitis. The study design for this project employs a randomized controlled trial and a sample of individuals with lateral epicondylitis randomly assigned in one of the two groups i.e., Nirschl exercises only and Nirschl exercises with Mulligan taping. Nirschl exercises involve the eccentric strengthening of the wrist extensor muscles and forearm. The participants in both groups will receive Nirschl exercises while the second group will also receive Mulligan taping, which involves the application of tape to the lateral aspect of the elbow to offload stress during movement of the extensor tendons. Different outcome measures including pain intensity, functional disability, grip strength, range of motion will be evaluated using, PRTEE Scale, Visual Analogue Scale (VAS) and Calibrated Jammer hand held dynamometer. Statistical analysis, including independent t-tests or chi-square tests, will be conducted to compare the outcomes between the two groups. The significance level will be set at p \< 0.05. This study will contribute to the evidence base regarding the efficacy of Nirschl exercises and Mulligan taping in managing lateral epicondylitis and will help the clinicians and patients in deciding the best treatment approach for lateral epicondylitis.

Conditions

Lateral Epicondylitis

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Pain will be measured using Visual Analogue Scale (VAS), min0 and max 10

  3 week consist of 6 sessions

• Grip strength

  It will be measured using calibrated Jammer hand-held dynamometer.

  3 week consist of 6 sessions

Secondary Outcomes (1)

• Disability

  3 week consist of 6 sessions

Study Arms (2)

Nirshl exercise with Mulligan Taping

EXPERIMENTAL

This group will be treated with Nirshl exercises with Mulligan taping

Other: Mulligan Taping

Nirshl exercise without Mulligan taping

NO INTERVENTION

This group will be treated with Nirshl exercises only.

Interventions

Mulligan Taping OTHER

Mulligan taping involves the application of tape to the lateral aspect of the elbow to offload stress during movement of the extensor tendons.

Nirshl exercise with Mulligan Taping

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Pain and tenderness over lateral epicondyle
• at least two out of three tests for the lateral epicondylitis including Cozen's test, Mill's maneuver, or resisted middle finger extension positive

You may not qualify if:

• Individuals with a history of recent trauma of upper limbs
• Recent administration of platelet-rich plasma containing growth factors,
• Patients which had taken physical therapy of any sort in the past 6 months
• occupation-related pain were ruled out.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

BARKI Advanced Physiotherapy Center

Multan, Punjab Province, 60000, Pakistan

Location

KAIMS Physiotherapy and Rehabilitation Center

Multan, Punjab Province, 60000, Pakistan

Location

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

• Sana ullah, MSPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 28, 2024
• First Posted: March 19, 2024
• Study Start: November 1, 2023
• Primary Completion: March 28, 2024
• Study Completion: March 28, 2024
• Last Updated: April 19, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)