Wrist Heavy Slow Resistance and Shoulder Stabilization Exercises on Pain, Grip Strength and Functional Ability in Lateral Epicondylitis

NCT07576829 | Recruiting DMC

• 1 other identifier: TUF/EIRB/166/26
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The study will compare the shoulder and wrist treatment approaches to determine their effect on elbow. Thirty-two medically stable participants with active shoulder and wrist movements will be enrolled into two groups. Both groups will receive structured training for six weeks. Outcomes will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper limb kinetic chain which is affected by lateral epicondylitis

Conditions

Lateral Epicondylitis; Tennis Elbow

Outcome Measures

Primary Outcomes (1)

• Pain

  Pain will be measured with the help of Numeric Pain Rating Scale (NPRS). This scale is validated to measure the pain in both upper and lower limb.

  Six weeks

Secondary Outcomes (1)

• Grips strength and Functional Ability

  Six weeks

Study Arms (2)

Group A: Wrist heavy slow resistance exercises with hot pack.

EXPERIMENTAL

Hot pack applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Wrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.

Procedure: Wrist heavy slow resistance exercises

Group B: Shoulder stabilization exercises with hot pack.

ACTIVE COMPARATOR

Hot pack applied to target muscles (depending on requirement of patient like shoulder stabilizers) with 15-20 minutes duration Treatment: This trial include the shoulder stabilization exercises performed with the help of theraband by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis. Sessions conducted 3 times/week for 6 weeks.

Procedure: Shoulder stabilization exercises

Interventions

Wrist heavy slow resistance exercises PROCEDURE

Wrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.

Group A: Wrist heavy slow resistance exercises with hot pack.

Shoulder stabilization exercises PROCEDURE

This trial include the shoulder stabilization exercises performed with the help of thera-band by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis

Group B: Shoulder stabilization exercises with hot pack.

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders will be involved with ages 30-50. Patients who have had pain for the last 2 weeks with tenderness. Subjects who will have a positive cozen test. Also include those who have a radiological graph with normal bone and joint alignment of the upper limb.
• Include those who will be clinically diagnosed with LE from the orthopedic OPD. A pain score of more than or equal to 4 in NPRS diagnosed as tennis elbow.

You may not qualify if:

• Those who will have pain on the lateral aspect of the elbow for 6 months or more than 6 months.
• Subjects who will be diagnosed with cervical radiculopathy. Those who will have the injury and disease around the shoulder, elbow and wrist.
• Those with a history of elbow surgery, open wound and infectious limb. Those with a history of rheumatoid arthritis and osteoarthritis. Those who have any fracture of the treatment side upper limb. systemic illness like bleeding disorders, anticoagulants, diabetes, and hypertension.

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

Pulse Hospital

Sādiqābād, 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

Central Study Contacts

Dr Izza Ayub Assistant Professor

CONTACT

+92- 041- 8868326- 30; drizzaayub@gmail.com

Esha Zafar

CONTACT

eshazafar786@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: May 4, 2026
• First Posted: May 8, 2026
• Study Start: February 2, 2026
• Primary Completion (Estimated): June 2, 2026
• Study Completion (Estimated): June 2, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Locations

PA (1)