Role Of High Velocity Low Amplitude (HVLA) Thrust On Improving Hand Grip Strength And Relief Of Pain In Lateral Epicondylalgia(Tennis Elbow)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 234
- 试验地点
- 1
- 主要终点
- Dynamometer readings for hand grip strength
研究概览
简要总结
AIMS AND OBJECTIVES OF THE STUDY
AIM: The aim of this study is to find the role of HVLA THRUST on improving hand grip strength and relieving pain in patients with lateral epicondylalgia in comparison to conventional physiotherapy.
This aim will be fulfilled with the help of following objectives:
— To define the time, place and person distribution of the pathology in the study population.
— To determine correlation between pain intensity and hand grip strength.
— To define the improvement in Pain, hand grip strength in patient with lateral epicondylalgia by HVLAT in comparison to conventional physiotherapy.
Ø MATERIALS AND METHODS
— Place of Study: The study is multi-centered and is conducted at physiotherapy OPD of Uttar Pradesh University of medical sciences, Saifai, Etawah, U.P and physiotherapy OPD of Era University, Lucknow (approximately six months).
— Duration of Study: Three years.
— Type of Study: - Randomized clinical control trail.
— Blinding: Single Blinded (Participant)
— Sample Size: A power analysis determined that a total of 117 patients would be required in each group to detect clinically significant changes as statistically significant in terms of improvement in pretreatment pain scores for 80% power at alpha < 0.05.
— Study population: The subjects shall be screened and enrolled from the Physiotherapy OPD of UPUMS and Era University after confirmed diagnosis of tennis elbow by orthopedic surgeon.
SELECTION OF SUBJECTS AND RANDOMIZATION:
— ENROLLMENT: The subjects are screened for eligibility from the OPD of UPUMS, Saifai, Etawah and Era University.
— RANDOMIZATION: Subsequent Patients will be selected after satisfying the inclusion criteria and consenting. Computerized randomization shall be adopted.
— **ALLOCATION:**The patients will be assigned by computerized randomization and allocated to experimental (HVLAT group) or control groups (Conventional physiotherapy).
— INTERVENTION:Each group is given three sessions per week on alternative days for a week as per the group protocol.
— FOLLOWUP : The patients are assessed for outcomes after the intervention and 3 months follow up
— ANALYSIS: The difference in the outcome measures are analysed for statistical significance
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 30.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Age – 30-45 years 2.Sex- Both Male and female.
- •3.Complaint of local tenderness on palpation over the lateral epicondyle.
- •4.Positive MILL’s test.
- •5.Complain of pain with gripping 6.Complain of pain with resisted wrist extension.
- •7.Complain of pain with passive wrist flexion with the elbow extension.
- •8.Positive Cozen’s sign.
排除标准
- •1.No Consent 2.When any of the method of treatment is contraindicated 3.Any other explanation of the pain around elbow 4.Any comorbidity that adversely affect prognosis.
结局指标
主要结局
Dynamometer readings for hand grip strength
时间窗: The measurements are taken at baseline, after 1 week and 3 months Post intervention as follow up.
Pain visual analog scale for pain
时间窗: The measurements are taken at baseline, after 1 week and 3 months Post intervention as follow up.
Patient rated tennis elbow evaluation scale for severity of symptoms
时间窗: The measurements are taken at baseline, after 1 week and 3 months Post intervention as follow up.
次要结局
- Pain is measured by Visual analog scale(Hand grip strength by Hand held dynamometer)