Effects of Mill's Manipulation Along With Muscle Energy Technique in Lateral Epicondylitis

Not Applicable

Completed

Interventions: Other: Mill's Manipulation and Muscle Energy Technique
Other: Mill's Manipulation

Brief Summary: The effects of Muscle Energy Technique intervention have been investigated in recent studies in Lateral Epicondylitis. Some studies have been conducted about mills manipulation and Muscle Energy Technique but according to the literature review there is no study exist to determine the effects of Mill's Manipulation along with Muscle Energy Technique in Lateral epicondylitis. Because of this reason, further research required to find out the effects of Mill's Manipulation along with Muscle Energy Technique in pain, Range of motion and disability in lateral epicondylitis. So the aim of the study is to determine whether these techniques are effective and should be incorporated frequently in a clinical setting in relation to the conventional therapy. This study will help the clinician for the identification of the better and quick treatment regime which will have no adverse effects and risks and making them more effective, efficient for the patient with lateral epicondylitis.

Recruitment & Eligibility

Inclusion Criteria

Patient that have been diagnosed with lateral epicondylitis (pain and point tenderness over lateral epicondyle and / or 1-2cm distal to epicondyle).
Both male and female patients between the age group of 18 to 45 years old.
Any of the following tests positive: Cozen Test, Mills, Maudsley.

Exclusion Criteria

History of rheumatic arthritis
History of elbow instability
History of former fracture of the elbow
History of cervical radiculopathy.
History of radial tunnel syndrome (Patient with RTS will report pain over lateral forearm approximately 3 to 5 cm distal to the elbow worsens with rotational movements of the forearm).
History of any neoplasia
Any congenital or acquired deformity of upper limb.
History of trauma.
History of Corticosteroid injection within 6 months.
Individual having symptoms of vertigo

Arm && Interventions

Group	Intervention	Description
Mill's Manipulation and Muscle Energy Technique	Mill's Manipulation and Muscle Energy Technique	Group A will receive (Mills Manipulation + Muscle Energy Technique + Conventional therapy).
Mill's Manipulation	Mill's Manipulation	Group B will receive (Mills Manipulation + Conventional therapy).

Primary Outcome Measures

Name	Time	Method
NPRS	2 weeks	The numeric pain rating scale (NPRS) measure the subjective intensity of pain. NPRS is an eleven point scale from 0 to 10 is the most commonly used version which has good test-retest reliability ( r= .79-.96). The NPRS is a reliable and valid pain assessment scale in LE.
Goniometer	2 weeks	Universal goniometer is use to measure wrist ROM in flexion , extension, radial deviation, ulnar deviation, forearm pronation and forearm supination.The intraclass correlation coefficients (ICC) ranged from 0.945 to 0.973 which are classified for the goniometer measurements.
PRFEQ	2 weeks	The PRTEE, formerly known as the Patient-Rated Forearm Evaluation Questionnaire (PRFEQ), is a 15-item questionnaire designed to measure forearm pain and disability in patients with lateral epicondylitis (also known as "tennis elbow"). The PRTEE allows patients to rate their levels of tennis elbow pain and disability from 0 to 10, and consists of 2 subscales: 1) PAIN subscale: (0 = no pain, 10 = worst imaginable) Pain - 5 items 2) FUNCTION subscale: (0 = no difficulty, 10 = unable to do) Specific activities - 6 items , Usual activities - 4 items . Test-retest reliability of Korea version PRTEE was good total ICC= .962 (CI=.922-,982). Therefore, it is a useful measure to evaluate the conditions of patients with lateral epicondylitis.

Secondary Outcome Measures

Name	Time	Method

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