Mills Manipulation and Mulligan PRP Affect Pain, Grip Strength and Function on Lateral Epicondylitis

Not Applicable

Completed

• Conditions: Lateral Epicondylitis
• Interventions: Other: Baseline Treatment along with Mill's manipulation and Mulligan's pain relief phenomena; Other: Baseline Treatment along with Mill's manipulation

• Registration Number: NCT06087081
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study is to find the comparative effects of mills manipulation with or without Mulligan pain release phenomena on the pain, grip strength, and function in patients with Lateral Epicondylitis. The results of this study will provide clinicians with valuable insights into the most effective treatment approach for lateral epicondylitis, enabling them to stay up-to-date with the latest practice methods and optimize patient care.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-10-11
• Study First Submitted QC: 2023-10-11
• Study First Posted: 2023-10-17
• Study Start: 2023-10-20
• Primary Completion: 2023-12-30
• Study Completion: 2024-01-20
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-12
• Last Update Posted: 2024-03-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 38

Inclusion Criteria

• Subjects diagnosed with lateral epicondylitis with positive Cozen test
• NPRS >3
• Both male and female patients
• Sub-acute lateral epicondylitis >4weeks-<3 months
• Subjects with age range 20-40 year

Exclusion Criteria

• Acute lateral epicondylitis
• Subjects with elbow and around elbow fracture
• Subjects with ligament injury around elbow joint
• Any neurological conditions
• Any open wounds around the area of elbow
• Hyper-sensitive skin, skin allergies, diagnosed subjects with malignancy, diagnosed subjects skin diseases, diagnosed subjects with systemic illness
• Traumatic injury to the elbow joint

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B	Baseline Treatment along with Mill's manipulation and Mulligan's pain relief phenomena	Baseline Treatment along with Mill's manipulation and Mulligan's pain relief phenomena
Group A	Baseline Treatment along with Mill's manipulation	Baseline treatment along with Mill's manipulation

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rate Scale	4th Week	The NPRS for pain is a unidirectional measure of pain intensity in adults similar to the pain Visual Analogue Scale(VAS), the NPRS is anchored by terms describing pain severity extremes. The common format is a horizontal bar or line with 11-items (0-10). 0 on NPRS indicates no pain, 5 indicates moderate pain and 10 indicates worst possible pain. NPRS is easy to administer and takes less than 1minute. The NPRS can be administered verbally (on telephone) or graphically for self- completion. Reliability: high test-retest reliability (r=0.96). Validity: (0.86-0.95).
Patient-Rated Tennis Elbow Evaluation	4th Week	Functional Disability was measured by PRTEE, a 15-item questionnaire designed to measure forearm pain and disability in patients with Lateral Epicondylitis. Patients have to rate their levels of tennis elbow pain and disability from 0 to 10 and consists of 2 sub-scales. There is a pain sub-scale with 5 items (0 = no pain, 50 = worst pain) and Functional sub-scale consists of Specific activities with 6 items (0 = no hinder, 60 =unable to do) and Usual activities with 4 items (0 = no difficulty, 10 = unable to do). The PRTEE was found to be a reliable, reproducible and sensitive instrument for the assessment of pain and disability in chronic lateral epicondylitis subjects (Cronbach's alpha is 0.98).
Hand Held Dynamometer	4th Week	The maximal grip strength of the affected arm was assessed using a grip-strength dynamometer. Patients were asked to grip the dynamometer as hard as possible 3 times at 10 s rest interval. Grip force should be applied smoothly without rapid jerking motion. Patient must be seated with 90 degrees of elbow flexion, shoulder adduction, slight extension in the wrist, and the forearm in the neutral position. The highest grip-strength number was registered. Reliability: high test-retest reliability(r=0.9864)

Trial Locations

Locations (1)

Ittefaq Hospital Trust; 🇵🇰 Lahore, Punjab, Pakistan