Lateral Epicondylitis
Conditions
Brief summary
This study will help to determine the immediate and long term effects of Mulligan mobilization with and without myofascial release on pain, grip strength and function in patients with lateral epicondylitis
Detailed description
Tennis elbow patients usually experience diminished grip strength, decreased functional activities, and increased pain, all of which can have a significant impact on everyday activities. Tennis elbow can also be caused by excessive elbow use. The following is a description of the basic clinical manifestation of tennis elbow, as well as the most commonly reported symptoms of people suffering from the condition: Tennis elbow is easily identified and confirmed with a test that produces discomfort, palpable tenderness over the lateral epicondyle facet, resisted wrist extension, resisted middle finger extension, and passive wrist flexion. Tennis elbow is a common elbow disease caused by excessive use. Furthermore, despite some difficulty, the patient must be able to extend his or her wrist and middle finger. The goal of this study is to find out how Mulligan Mobilization with and without myofascial release affects pain, grip strength, and function in people with lateral epicondylitis in the short and long term. Mulligan mobilisation and myofascial release have both been shown to be effective treatments for lateral epicondylitis. The purpose of this study is to look into the short-and long-term advantages of myofascial release and Mulligan mobilisation. No research has been conducted to evaluate whether mulligan mobilisation with or without myofascial release benefits people with lateral epicondylitis in terms of pain, grip strength, and overall function. This study will not only help therapists come up with treatment goals for lateral epicondylitis, also known as tennis elbow, but it will also add credibility to the existing body of literature.
Interventions
OTHERmulligan mobilization
Mulligan mobilization belt will be wrapped around the subject's proximal forearm, close to the elbow joint line, and then wrapped around the therapist's shoulder. This will be done with the therapist's other hand on the distal humerus. The belt will give the subject's forearm a 10-to 15-second lateral glide.
OTHERmyofascial release
Myofascial release will be performed on the patient, commencing at the common extensor origin and progressing all the way to the extensor retinaculum in the wrist. The periosteum will be engaged with the fingertips, with contact progressing inferiorly to the common extensor tendon and then to the wrist's extensor retinaculum
Sponsors
University of Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
This study will be single blinded. Patients will be assessed by a senior Physiotherapist then divided into two groups for treatments. The assessor will be unaware of the treatment given to both groups
Intervention model description
Parallel designed randomised controlled trial
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age group 20 years to 40 years ,both males and females 2. Diagnosed cases of lateral epicondylitis by senior physiotherapist 3. Acute and sub-acute cases 4. Numeric Pain Rating Scale 4 and above 5. Positive cozen test, Mills test, middle finger extension test
Exclusion criteria
* H/o 1. Active medications. 2. Dermatitis, malignancy or hazardous to myofascial release. 3. Recent trauma, fracture 4. Prior surgeries of elbow, tendon ruptures 5. Any Neurological conditions like nerve compression 6. Swelling around the elbow joint
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change from baseline in pain at week 4th | baseline and 4th week | Numeric pain rating scale will be used to assess the pain level. A score of 0 means there is no pain, while a score of 10 means the worst pain |
Other
| Measure | Time frame | Description |
|---|---|---|
| change from baseline in grip strength at week 4th | baseline and 4th week | A handheld dynamometer will be used to assess the maximal grip strength. |
| change from baseline in functional ability at week 4th | baseline and 4th week | The Patient-Rated Tennis Elbow Evaluation (PRTEE) is a strong, dependable, and sensitive outcome measure used to identify functional activity participation issues. It consists of 15 questions. |
Countries
Pakistan
Outcome results
None listed