Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.
- Conditions
- Lateral Epicondylitis
- Interventions
- Other: Mulligan approach i.e. Taping and MWMOther: Cyriax approach i.e. DTF massage and Mill's manipulation
- Registration Number
- NCT03848117
- Lead Sponsor
- Isra University
- Brief Summary
Lateral epicondylitis (LE) is a pain causing musculoskeletal disease which mainly occurs due to the over exertion or over use of extensors of wrist mainly ECRB and pain is felt at the origin of common extensor tendon. This study was focused to assess the effectiveness of cyriax approach and mulligan approach to improve the functional status of sub acute lateral epicondylitis patients through patient related tennis elbow evaluation form.
- Detailed Description
A total of 39 athletes with knee pain were recruited and randomly divided into two groups. 30 subjects fulfilled the inclusion criteria and were part of this trial, 15 in each group.The data was collected through general demographic questionnaire, PRTEE questionnaire to determine the level of pain and functional disability and Hand grip strength chart to measure grip strength while having epicondylitis.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- Age group 20-50 years of both gender.
- Vas < 7
- Positive mills test and cozens test.
- Local tenderness on palpation over lateral epicondyle of the humerus.
- From sub-acute to chronic more than 2 weeks.
- Any previous pathology of bone around elbow.
- Corticosteroid injection in the preceeding 3 months.
- Absence of clinical signs of tennis elbow.
- Any other systemic illness like metabolic, metastatic, infective disorders.
- Any other neurological abnormalities.
- Allergies to Mulligan tape.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ( Taping & MWM) (Group 2). Mulligan approach i.e. Taping and MWM For any given subject in group 2, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week. (DTF massage & Mill's manipulation)(Group 1) Cyriax approach i.e. DTF massage and Mill's manipulation For any given subject in group 1, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in 1st group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.
- Primary Outcome Measures
Name Time Method Patient related tennis elbow evaluation pain scale Upto 4 weeks Pain associated with daily tasks is measured through Patient related tennis elbow evaluation pain scale with categories as "0" for no pain and "10" for worst imaginable pain.
Patient related tennis elbow evaluation functional disability scale Upto 4 weeks Degree of difficulty in performing daily tasks associated with elbow joint is measured through Patient related tennis elbow evaluation functional disability scale in categories as "0" for no difficulty in task and "10" for unable to do a task.
- Secondary Outcome Measures
Name Time Method Hand grip strength chart index Upto 4 weeks It is also measured through hand grip dynamo meter with reference values according to gender description.
Trial Locations
- Locations (1)
Sammar Abbas
🇵🇰Rawalpindi, Punjab, Pakistan