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Study aim
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To compare the effects of Cyriax Manual Therapy versus Mulligan Technique on Clinical and Functional Outcomes in patient with Lateral Epicondylitis.
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Design
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Parallel group, double blinded, randomized controlled trial
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Settings and conduct
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The study would be double blinded as the participant and assessors of the study would be kept blind of the treatment group to which the patient will be allocated. The data will be collected from Physiotherapy Department, Gosha E Shifa Hospital, Lahore
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: A Diagnosed Male and Female cases referred from Gosha E Shifa Hospital having age of 20 to 50 year are included in this study. Exclusion Criteria: the patient having any surgery or trauma of Elbow, Steroid injection for lateral epicondylitis, any Skin hypersensitivity or any Congenital deformity, Any Infection like Osteomyelitis, Ulcers, open wound or pathology of Shoulder Joint will be excluded.
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Intervention groups
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Group A participant will receive routine physical therapy as 10 minute TENS, 10 minute strengthening exercise of Extensor carpi longus,, 10 minute deep Friction Massage and Mill’s manipulation. Group B will receive Movement with Mobilization will applied on elbow in supine position, shoulder positioned as internal rotation, forearm pronation and elbow extension with 10 repetitions for 6 seconds with 15 seconds duration of rest, with routine physical therapy as 10 minute TENS, 10 minute strengthening exercise of Extensor carpi longus.
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Main outcome variables
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pain intensity, hand grip and functional activity