Mobilition With Movement and Soft Tissue Mobiiztion in Tennis Elbow

Not Applicable

Completed

Interventions: Other: Soft Tissue Mobilization
Other: Mobilization with movement

Brief Summary: Lateral epicondylitis or tennis elbow is one of the most common lesions of the arm. This injury is a major challenge, as it is difficult to treat, prone to recurrence and may last for several weeks or months, with an average duration of a typical episode which has been reported to be between six months to two years. This is an RCT study. Subjects who fulfilled inclusion criteria will be taken for the study. Before conducting the actual method for subjects, lateral epicondylitis evaluation is done. First day before treatment, pain evaluation were done by using Numeric Pain Rating Scale. Muscle power was assessed by MMT (Manual Muscle Testing) and the function level are tested by Patient-Related Tennis Elbow Evaluation (PRTEE) questionnaire and asked to mark the results. Subjects will be divided into 2 groups randomly by lottery method. Each group consists of 15 patients. Group A will be given MWM; Group B will be given soft tissue mobilization. Both groups will be given with the above said methods for alternative days in a week as per 3 sessions per week for 4 weeks. At the end of program subjects will be reassessed by recording muscle strength, pain intensity and functional level. Finally pre and post recordings will be compared and analyzed statistically.

Recruitment & Eligibility

Inclusion Criteria

Tennis players.
Age group between 15-30 years.
Positive specific tests.(cozen and mills test)
Subjects having lateral epicondylitis pain for at least 4 weeks, muscle power for wrist muscle should be increase with activity against resistance, average pain level of 3-cm or more on a 10-cm Numerical pain rating scale

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
SOFT TISSUE MOBILIZATION GROUP	Soft Tissue Mobilization	Parallel and perpendicular soft tissue massage at common extensor origin
MWM GROUP	Mobilization with movement	Mobilization with movement with wrist extension

Primary Outcome Measures

Name	Time	Method
Functional activity	4 weeks	Patient Related Tennis Elbow Evaluation (PRTEE) was used.The PrTEEQ is a 15-item questionnaire, it's designed to measure forearm pain and disability in patients with lateral epicondylitis. The patients have to rate their levels of tennis elbow pain and disability from 0 to 10, and consists of 2 subscales. There is the pain subscale (0 = no pain, 10 = worst imaginable) en the function subscale (0 = no difficulty, 10 = unable to do)
Numeric Pain Rating Scale	4 Week	The Numeric Pain Rating Scale (NPRS) (an outcome measure) that is a unidimensional measure of pain intensity in adults.The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable")
Grip Strength	4 week	Manual muscle testing as used to test grip strength. It involves testing key muscles from the upper and lower extremities against the examiner's resistance and grading the patient's strength on a 0 to 5 scale accordingly\[1\]: Flicker of movement Through full range actively with gravity counterbalanced Through full range actively against gravity Through full range actively against some resistance Through full range actively against strong resistance

Secondary Outcome Measures

Name	Time	Method

Locations (1): Hidayat Gillani Orthopedic Complex Sahiwal
🇵🇰
Sahiwal, Punjab, Pakistan

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