Multimodal Rehabilitation Approach in Patients of Lateral Epicondylitis

NCT06686732 | Recruiting

• 1 other identifier: Riphah/RCRAHS/REC/MS-PT/01939
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 3

Brief Summary

Literature is scarce for high quality evidence regarding multimodal rehabilitation in lateral epicondylitis. By making comparisons with the conventional treatment of patients with lateral epicondylitis, the current study aims to further establish the efficacy of the multimodal rehabilitation protocol through a RCT in order to generalize the results, using dynamometer as an additional tool for pre and post assessments against the outcome measures. Remarks A randomized control trial was conducted at Physical therapy departments of twin cities. The sample size was 40 calculated through G- power tool. The participants were divided into two interventional groups each having 20 participants. The study duration was eight months. Sampling technique applied was non- probability convience sampling. People of age 18-45 years, with localized point tenderness at lateral epicondyle with Mills, Cozen and Maudselys test positive were included in this research. Tools used in this study are Visual Analogue Scale, Dynamometer, Patient Rated Tennis Elbow Questionnaire. Data was collected before and immediately after the application of interventions. Data analyzed through SPSS version 23.

Conditions

Lateral Epicondylitis

Keywords

tennis elbow; manual therapy; multimodal treatment; hand strength

Outcome Measures

Primary Outcomes (1)

• Grip Strength

  Changes from Baseline grip strength were taken with the help of dynamomter that measures grip strength.

  Three Weeks

Secondary Outcomes (2)

• Visual Analogue Scale

  Three Weeks

• Patient Rated Tennis Elbow Questionnaire

  Three Weeks

Study Arms (2)

Multimodal group

EXPERIMENTAL

Experimental group included cold pack over lateral epicondyle, Passive stretching exercises in cervical spine and upper limb. Eccentric exercise of the extensor muscles associated with mobilization with movement.Neuromusclar Rehabilitation Excersise. Inhibition of points of tension in the belly of the extensor region. Early mobilization with movement with the wrist in extension. Lateral sustained glide.

Other: Multimodal physiotherapy

Conventional physiotherapy

ACTIVE COMPARATOR

Control group included Cold pack, Extensor carpi radialis brevis stretching. Active ROM of wrist flexion and extension. Active ROM of elbow flexion, extension, supination and pronation. Manually resisting wrist extensors. Maitland elbow joint mobilization with 1 min of rest between sets.

Other: Conventional physiotherapy

Interventions

Multimodal physiotherapy OTHER

Experimental group included cold pack over lateral epicondyle. Passive stretching exercises in trapezius and levator scapulae and upper ECRB,ECRL,ECU,Extensor Digitorum, Extensor Digiti Minimi. Eccentric exercise of the extensor muscles associated with mobilization with movement. Neuromusclar Rehabilitation Excersise. In the region of origin of the tendons of the extensor muscles of the wrist and fingers for 2 min and inhibition of points of tension in the belly of the extensor region. Early mobilization with movement with the wrist in extension. Lateral sustained glide will be give at humeroradial joint during movement.

Multimodal group

Conventional physiotherapy OTHER

Control group included Cold pack for 10 mins on the lateral epicondylitis, Extensor carpi radialis brevis stretching (hold for 15 seconds x 4 reps) Active ROM of wrist flexion and extension (10 reps x 3 sets) Active ROM of elbow flexion, extension, supination and pronation (10 reps x 3 sets) . Manually resisting wrist extensors (10 second hold x 5 reps x 3 sets) 4 sets of Maitland elbow joint mobilization with 1 min of rest between sets. Baseline Dynamometer for grip strength and VAS for pain. These pre and post intervention values were mentioned in questionnaire. The participants were administered with the protocol and data was collected again immediately after the interventions without any delay.

Conventional physiotherapy

Eligibility Criteria

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

You may qualify if:

• Point tenderness at the lateral epicondyle
• Positive Cozen test, Mill\'s test and Maudsely's test
• Symptoms duration of minimum 2 months
• Consenting to participate in the study

You may not qualify if:

• History of fracture in elbow, wrist or hand
• History of surgery in elbow, wrist or hand region
• Elbow conditions other than lateral epicondylitis
• Cognitive deficits and not giving consent

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (3)

Muzaffar Khan Medical & Children Hospital

Wāh, Punjab Province, 44000, Pakistan

RECRUITING

Riphah International Hospital, Sihala

Islamabad, Pakistan

RECRUITING

DSK Physio & Rehab Center

Rawalpindi, Pakistan

RECRUITING

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

• Ramsha Tariq, MS*

  Riphah International University, Islamabad

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

+923324390125; imran.amjad@riphah.edu.pk

Sehrish Noor, MS*

CONTACT

+923068989743; noor.sehrish14@gmail.com

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: November 12, 2024
• First Posted: November 13, 2024
• Study Start: May 3, 2024
• Primary Completion: December 3, 2024
• Study Completion: December 13, 2024
• Last Updated: November 13, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (3)