Effect of Myofascial arm line manipulation vs Deep friction massage for 2 week on pain , grip strength and functional performance in patients of lateral elbow tendinopathy: A randomised control trial
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- 1. Pain – Numerical pain rating scale, Pressure pain Threshold
研究概览
简要总结
Lateral elbow tendinopathy can be source of lasting pain and disability for many people. Some experience full resolution of symptoms with nonsurgical care, more than half of patients seeking general medical care continue to report symptoms after 1 year. Regardless of past treatments, up to 20% of individuals report persistent pain for 3-5 years after care. Up to 55% of individuals with Lateral elbow tendinopathy have been shown to have lingering pain and functional loss for more than 2 years after the onset of symptoms . The recurrence rate within 2 years is 8.5% . Single-muscle theory was inefficient to reason how functional human movement can be performed by a single muscle. There should be presence of a holistic approach For functional pattern movement .Fascia can be simply defined as a network of fibrous tissue pervading the entire body, which surrounds, supports, suspends, protects, connects and divides muscular, skeletal and visceral components of an organism .Thus, it may be argued that treatment of disorders affecting the musculoskeletal system may need to be focused on this fascial network The reason of the study is to introduce Myofascial arm line manipulation as a useful intervention method to the lateral elbow tendinopathy and to find the effectiveness of the myofascial manipulation in the management pain, grip strength and to improve the functional performance in subjects with chronic lateral elbow tendinopathy .
| Null Hypothesis |
There will be a significant difference between the outcome of myofascial arm line manipulation and Deep friction massage on pain, grip strength and functional performance in lateral elbow tendinopathy.
Alternate Hypothesis:
There won’t be a significant difference between the outcome of myofascial arm line manipulation and Deep friction massage on pain, grip strength and functional performance in lateral elbow tendinopathy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •Pain over lateral epicondyle of elbow and gripping activities.
- •Palpation tenderness over or near the lateral epicondyle of elbow.
- •Cozen, Mills and Maudsley’s special test (Any two out of three should be positive).
排除标准
- •Patients undergone any other treatment such as surgery in past 3 months.
- •Metal implants in the upper limb
- •Neurological impairments
- •Diabetic neuropathy, osteoarthritis, rheumatoid arthritis and tissue lesions (cutaneous ulcers of any aetiology) that are functionally limiting.
结局指标
主要结局
1. Pain – Numerical pain rating scale, Pressure pain Threshold
时间窗: At baseline(0 week) and after intervention (after 4 weeks)
2. Grip strength – Handheld dynamometer
时间窗: At baseline(0 week) and after intervention (after 4 weeks)
3. Functional performance- Quick Disabilities of arm shoulder and hand(qDASH), global rating scale
时间窗: At baseline(0 week) and after intervention (after 4 weeks)
次要结局
- Global rating scale(At baseline(0 week) and after intervention (after 2 weeks))
研究者
Nidhi Joshi
Sancheti Institute for Orthopaedics and Rehabilitation College Physiotherapy