Comparative Effects of Sustained Stretch and Mobilization With Movement in Patient With Tennis Elbow

Not Applicable

Not yet recruiting

• Conditions: Tennis Elbow; Lateral Epicondylitis

• Registration Number: NCT06674434
• Lead Sponsor: Riphah International University

Brief Summary

Tennis elbow, clinically known as lateral epicondylitis, is a prevalent musculoskeletal issue marked by pain and tenderness on the outer part of the elbow. It primarily affects the extensor tendon at the lateral epicondyle and is commonly linked to repetitive arm movements and overuse. Various treatment options are available for this condition, with two notable methods being sustained stretching and Mobilization with Movement (MWM). Sustained stretching involves holding the affected muscles and tendons in an extended position for a prolonged time to ease muscle tightness and enhance flexibility. Conversely, MWM integrates specific joint movements with the active involvement of the patient to improve joint mobility and reduce pain. Muscle strength plays a crucial role in the overall function of the upper limb, and enhancing this can positively affect daily activities. Furthermore, functional disability indicates how tennis elbow impacts a person's capacity to carry out everyday tasks.

Detailed Description

This randomized clinical trial will be conducted at Riphah Rehab center over duration of eight months. The sample size will consist of 58 participants. Participants which meet the inclusion criteria will be taken through non-probability convenience sampling technique. 29 Participants will be assigned to Group A 29 to group B. Data will be collected using various assessment tools, including NPRS, ULFI, Universal Goniometer, Hand Held Dynamometer. Pre-intervention assessments will be conducted for groups. Data analysis will be performed by using SPSS 26 software.

Study Timeline

• Status Verified: 2024-11
• Study Start: 2024-11
• Study First Submitted: 2024-11-03
• Study First Submitted QC: 2024-11-03
• Last Update Submitted: 2024-11-03
• Study First Posted: 2024-11-05
• Last Update Posted: 2024-11-05
• Primary Completion: 2025-02
• Study Completion: 2025-03

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Both males and females are affected. diagnosed with tennis elbow, characterized by pain and weakness on the outer side of the elbow.
• The pain has persisted for at least 4 to 6 months.
• Individuals experience difficulty gripping and lifting objects due to elbow pain.
• Positive results were observed in both the Mills and Cozen tests.

Read More

Exclusion Criteria

• Presence of nerve injuries or neuropathies in the arm or hand.
• No history of recent trauma or fracture to the elbow.
• No neurological conditions affecting the arm or hand
• Acute inflammation or signs of infection in the elbow joint.
• Presence of cervical radiculopathy, thoracic outlet syndrome any systemic diseases

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pain: Numeric Pain Rating Scale (NPRS)	4th week	The most widely used pain rating scale, the Numeric Rating Scale (NPRS), has a range of 0 (no pain) to 10 (worst pain). The NPRS will be used to measure the degree of pain. For patients with tennis elbow, it will serve as an outcome measure. The NPRS is regarded as a valid, responsive, and dependable pain scale.
Function: Upper Limb Functional Index (ULFI)	4th week	Twenty-five items on the ULFI measure how patients with ULMSDs perceive their own limitations in their activities. Three possible answers are provided for each item: "Yes" (1 point), "Partly" (0.5 points), and "No" (0 points). The maximum disability is determined by multiplying the total points (ranging from 0 to 25) by 4. The patient's functional score in relation to their maximum or pre-injury function is then calculated by subtracting this total score from 100 (0% represents maximum limitation, 100% represents normal or pre-injury function). The total rating can be calculated with no more than two missing responses.
Strength: Handheld Dynamometer:	4th week	A handheld dynamometer (CAMRY EH 101 Electronic Handheld Dynamometer) was used to measure grip strength. The American Society of Hand Therapists' measurement protocols were modified to place participants in a high sitting position, maintain an elbow at a slight 40° flexion, and adjust the handle to the second position. After thoroughly explaining the procedure, the patient was instructed to exert the greatest amount of force possible on the handle and maintain that position for three to five seconds.
ROM: Universal Goniometer	4th week	A double-arm plastic goniometer with a semicircular scale is the most common goniometer for determining range of motion. We will measure the following wrist and elbow movements: wrist flexion, extension, radial and ulnar deviation, and elbow extension and pronation. Three measurements of each movement will be made, and the average will be computed for the outcome analysis.

Trial Locations

Locations (1)

Riphah Rehab center.; 🇵🇰 Lahore, Punjab, Pakistan