Mobilization With Movement Verses Cyriax Techniques Among Athletes With Lateral Epicondylitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Elbow Proprioception Assessed by Joint Position Sense (JPS) Test
研究概览
简要总结
This randomized controlled trial aims to compare the effectiveness of Mobilization with Movement (MWM) and Cyriax techniques in athletes diagnosed with lateral epicondylitis (tennis elbow). Lateral epicondylitis commonly causes pain, reduced grip strength, and impaired proprioception, particularly in racquet and throwing sports players. A total of 56 participants aged 25-40 years with symptoms of less than three months will be randomly assigned to either the MWM group or the Cyriax group. Both groups will receive treatment five times per week for four weeks. Outcomes including elbow proprioception (Joint Position Sense test), pain and functional disability (Patient-Rated Tennis Elbow Evaluation), and grip strength (Handheld Dynamometer) will be assessed at baseline, at 2 weeks, and at 4 weeks. The study aims to determine which treatment method provides superior improvement in pain reduction, functional recovery, and proprioceptive enhancement.
详细描述
This study is a randomized controlled trial conducted at Sukkur Physiotherapy, Rehabilitation and Chiropractor Center and Hidayat Physiotherapy and Rehabilitation Center, Sukkur, over a period of nine months following ethical approval. Fifty-six clinically diagnosed lateral epicondylitis patients meeting inclusion criteria will be recruited using purposive sampling and randomly allocated into two groups using the sealed envelope method. Group A will receive Mobilization with Movement combined with progressive strengthening, proprioceptive training, and sport-specific exercises, while Group B will receive Cyriax techniques including deep transverse friction massage and Mill's manipulation along with strengthening and proprioceptive exercises. Both groups will undergo 16 treatment sessions over four weeks following standardized baseline care consisting of education, stretching, ice therapy, and light isometric exercises. Outcome measures include Joint Position Sense testing for proprioception (measuring absolute angular error), PRTEE questionnaire for pain and function, and grip strength measurement using a handheld dynamometer. Ethical guidelines will be strictly followed, informed consent will be obtained, confidentiality will be maintained, and participants will have the right to withdraw at any time without affecting their standard care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both male and female population including sports persons(only throw ball players e.g racquet players)
- •Population with age range of 25 - 40 years.
- •Include only clinically diagnosed lateral epicondylitis patients
- •Patients with proprioception impairments in affected limb
- •Symptoms duration less than 3 months, not longer than 3 months
排除标准
- •Other Elbow Pathologies such as cubital tunnel syndrome, radial tunnel syndrome, or osteoarthritis of the elbow.
- •Recent Corticosteroid Injections in the affected elbow within the past 3 months.
- •Neurological conditions affecting proprioception (e.g., multiple sclerosis, peripheral neuropathy).
- •Autoimmune diseases, diabetes, or connective tissue disorders that may influence healing or proprioception.
- •History of surgical intervention in the affected upper limb.(Karthikeyan) Pregnant or planning to become pregnant during the study period
研究组 & 干预措施
interventional group Mobilization with Movement (MWM)
Participants in this group will receive Mobilization with Movement (MWM) techniques applied to the elbow joint along with progressive wrist extensor strengthening, proprioceptive training, and sport-specific functional exercises. Treatment will be administered five times per week for four weeks (total 16 sessions). Ice therapy may be applied post-session as needed. Standardized baseline education, stretching, and isometric exercises will be provided before the intervention phase.
干预措施: MWM (Behavioral)
interventional group Cyriax Technique
Participants in this group will receive Cyriax techniques including deep transverse friction massage (DTFM) and Mill's manipulation, combined with progressive wrist extensor strengthening, grip exercises, proprioceptive drills, and sport-specific activities. Treatment will be delivered five times per week for four weeks (total 16 sessions). Ice therapy may be applied post-session. Standardized baseline education, stretching, and light isometric exercises will be provided prior to the intervention phase.
干预措施: Cyriax techniques (Behavioral)
结局指标
主要结局
Elbow Proprioception Assessed by Joint Position Sense (JPS) Test
时间窗: Baseline, Week 2, and Week 4
Elbow proprioception will be assessed using the Joint Position Sense (JPS) test. Participants will be asked to actively reproduce a predetermined elbow flexion angle (e.g., 90°) with their eyes closed. The difference in degrees between the target angle and the reproduced angle (absolute error) will be recorded. Lower absolute error values indicate better proprioceptive accuracy. Three trials will be performed, and the average error will be calculated for analysis.
次要结局
未报告次要终点
研究者
Mohammad Affan
principal investigator
University of Lahore