The effect of Mulligan's techniques in the treatment of chronic lateral epicondylitis

Not Applicable

Recruiting

• Conditions: Chronic Lateral Epicondylitis.

• Registration Number: IRCT20190315043058N1
• Lead Sponsor: Iran University of Medical Sciences

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 21 May 2019

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 34

Inclusion Criteria

Patients with chronic lateral epicondylitis symptoms lasting more than 3 months, with an average age of 35 - 55 years who are referred by the physician
Pain intensity of at least 3, in the lateral epicondyle of the humerus bone, which demonstrates an increase of 2 units by griping and active wrist extension, and decreases with rest. Pain intensity is assessed using numeric pain rating scale (NPRS) measure
Positive Mill’s test (passive stretching): The physiotherapist touches the lateral epicondyle with one hand, while with the other hand pronates the patient's forearm and flexes the wrist to the maximum flexion and extends the elbow. Reproduction of pain indicates that the test is positive
Positive Cozen's test (wrist resistive extension test): The wrist resistive extension and radial deviation and forearm pronation tests are performed. In case the test triggers pain, the test is considered positive
Positive Maudsley's test: A positive test is indicated by presence of pain over the lateral epicondyle of the affected hand during the third finger resistive extension test
Presence of tenderness at the tenoperiosteal junction or at the junction of the extensor carpi radialis brevis muscle to the lateral humeral epicondyle

Exclusion Criteria

Pain in the lateral humeral epicondyle, due to neck involvement
Lateral humeral epicondyle acute inflammation
Pain in the lateral humeral epicondyle, caused by acute trauma of elbow region
Radial tunnel syndrome
Elbow joint inflammation
Injuries to the internal and external ligaments of the elbow
Medial humeral epicondylitis
History of elbow joint bone fractures
Presence of deformity or congenital anomalies of the elbow joint
Pregnancy
Infection of the elbow joint
Malignancies
Hemophilia
Generalised hypermobility
Presence of swelling in the elbow joint
Presence of myositis ossification in radiographic x-ray
Dissatisfaction of participants
Trigger points in the wrist and finger extensor muscles

Study & Design

• Study Type: interventional
• Study Design: Not specified