Comparison of Muscle Energy Technique and Oscillating Energy Manual Therapy in Chronic Lateral Epicondylitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- Numerical rating scale
研究概览
简要总结
Lateral epicondylitis (LE) is a painful musculoskeletal condition caused by overuse. The condition is also called tennis elbow because it affects 50% of tennis players, notably beginners learning the one-handed backhand. Nonetheless, only 10% of all patients with LE play tennis. Lateral Epicondylitis (LE) or tennis elbow affects about 1-3% of general population.
Muscle energy technique was developed by osteopathic physician, Fred Mitchell, Sr. It was refined and systematized by Fred Mitchell, Jr., and has continued to evolve with contributions from many individuals.
详细描述
Lateral epicondylitis (LE) is a painful musculoskeletal condition caused by overuse. The condition is also called tennis elbow because it affects 50% of tennis players, notably beginners learning the one-handed backhand. Nonetheless, only 10% of all patients with LE play tennis. Lateral Epicondylitis (LE) or tennis elbow affects about 1-3% of general population.
patients with Lateral Epicondylitis complains of pain, functional difficulty affecting activities of daily living related to wrist and forearm movements . The grip strength is affected due to voluntary decline of effort to avoid pain and due to wasting of affecting muscles seen in long standing conditions. The symptoms exacerbate with stressful activities in overuse syndromes but pain may persist even at rest as the condition progress.
Muscle energy technique was developed by osteopathic physician, Fred Mitchell, Sr. It was refined and systematized by Fred Mitchell, Jr., and has continued to evolve with contributions from many individuals. Muscle energy technique (MET) is used by practitioners from different professions and has been advocated for the treatment of shortened muscles, weakened muscles, restricted joints, and lymphatic drainage. In addition to using muscle effort to mobilize joints and tissues, MET is considered by some to be a biomechanics-based analytic diagnostic system that uses precise physical diagnosis evaluation procedures to identify and qualify articular range of motion restriction. MET are defined as a manual treatment in which a patient produces a contraction in a precisely controlled position and direction against a counterforce applied by a manual therapist. MET have been also used in asymptomatic subjects in order to increase mobility. There is varying evidence that when a joint has a functional limitation, the application of a MET can increase its Range of Motion.
A comparative study concluded that oscillating energy manual therapy and muscle energy technique had shown the improvement in Numeric Rating Scale, grip strength and PRTEE in lateral epicondylitis subjects, but more significant improvement was observed in the subjects who were treated with muscle energy technique than oscillating energy manual therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Presence of tenderness point on lateral epicondyle.
- •Positive cozen test, mills test, Maudsley's test
- •Negative Radial nerve test
排除标准
- •Cervical spine disorder
- •Peripheral neuropathy
- •Fractures
- •Major upper limb surgery
- •Steroid injections in last 6 months
- •Tumor or wound
- •take any kind of physiotherapy treatment
研究组 & 干预措施
muscle energy technique
the subject to sit comfortably and then stabilize the subject's distal humerus with one hand, then the forearm was supinated with the therapist another hand until resistance appeared. Holding the position the subject was asked to slowly pronate the forearm that is Isometric contraction against resistance for a period of 6-10 seconds with inhale and exhale, followed by slightly increasing supination until resistance was met once again. After 5 seconds of relaxation, the procedure was repeated 5 times during a single treatment session.
干预措施: muscle energy technique (Other)
oscillating manual energy therapy
It is also known as V-spread .The subject was asked to sit on a chair with the affected painful arm resting on the treatment table. Tender points were palpated. Then the therapist places the index and middle fingers of one hand in a V-shape around the tender point and placed the index finger of the other hand in the medial side of the elbow, diagonally across the located tender point. Gentle pressure was applied a few times using fingertips to the tissues alternatively from the medial and lateral sides to start the oscillations. On the initiation of oscillations, the application of pressure should be stopped and allow the oscillations to continue between the two points of contact on the subject's elbow. This technique was repeated until there were no tender points on palpation. The duration varied from 30 seconds to 2 minutes.
干预措施: oscillating manual energy therapy (Other)
结局指标
主要结局
Numerical rating scale
时间窗: four weeks
The Verbal Numerical Rating Scale is the most commonly used self-report measure of pain intensity. Patients are instructed to choose a single number from the scale that best indicates their level of pain.1-4 Mild pain,5-6 Moderate,7-10 severe. assessment to be done on baseline and after every week
Hand dynamometer(Grip strength)
时间窗: for four weeks
Grip strength is a measure of muscular strength or the maximum force/tension generated by one's forearm muscles. It can be used as a screening tool for the measurement of upper body strength and overall strength. Assessment to be done on baseline and after every week.
Patient rated tennis elbow evaluation (functional status)
时间窗: for four weeks
The Patient-rated Tennis Elbow Evaluation (PRTEE) enables quantitative rating by the patient of pain and functional impairment associated with tennis elbow or lateral elbow tendinopathy. It takes the form of a 15-item questionnaire, with five items addressing pain and 10 concerned with functional deficit. Assessment to be done on baseline and after every week.
次要结局
未报告次要终点