To determine the effects of Mobilization with movement and Mills manipulation on functional activities, Range of motion and reducing pain in patients with tennis elbow.
Design
Parallel groups, single blinded, single setting
Settings and conduct
OPD of Physical Therapy department, Bajwa hospital Lahore, Pakistan.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Participants having an age between 20 – 40 years; Both males and females; Any participant presenting to the physiotherapy clinic with local pain and tenderness on the lateral aspect of the elbow; Positive pain provocation tests consisting of resisted active wrist and middle finger extension as well as Mill’s maneuvers to passively stretch the extensor muscles and tendons of the forearm; Insidious onset of symptoms presents for six months with no history of trauma to the elbow joint.
Exclusion criteria: Patients was excluded if they exhibited; Subjects with Neuromuscular disorders; Conditions that contraindicated to manual therapy; Any participant who was unable to return for follow up treatment or evaluation; Any participant who received treatment concurrent to the research.
Intervention groups
It was a single blinded randomized control trial. in which participant were kept blind. 54 patients were allotted in two groups i.e.; group A (MWM) and group B (MILL'S) via lottery method, 27 in each group.
Main outcome variables
Assessing the intensity of pain via using Numeric pain scale. Range of motion was measure by Goniometer. Functional activity measured by patient related tennis elbow evaluation questionnaire.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20200921048792N1
Registration date:2020-10-05, 1399/07/14
Registration timing:retrospective
Last update:2020-10-05, 1399/07/14
Update count:0
Registration date
2020-10-05, 1399/07/14
Registrant information
Name
ASMA ALEEM
Name of organization / entity
Riphah International University Lahore
Country
Pakistan
Phone
+92 63 2750254
Email address
asmaaleem26@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2019-10-07, 1398/07/15
Expected recruitment end date
2020-03-07, 1398/12/17
Actual recruitment start date
2020-01-07, 1398/10/17
Actual recruitment end date
2020-06-07, 1399/03/18
Trial completion date
2020-06-07, 1399/03/18
Scientific title
Effects of mobilization with movement versus Mills manipulation Technique in Chronic lateral epicondylitis
Public title
Effects of mobilization with movement versus mills manipulation technique in chronic lateral epicondylitis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Both males and females
Any participant presenting to the physiotherapy clinic with local pain and tenderness on the lateral aspect of the elbow.
Positive pain provocation tests consisting of resisted active wrist and middle finger extension as well as Mill’s maneuvers to passively stretch the extensor muscles and tendons of the forearm
Insidious onset of symptoms presents for six months with no history of trauma to the elbow joint.
Exclusion criteria:
Patients was excluded if they exhibited
Subjects with Neuromuscular disorders
Conditions that contraindicated to manual therapy.
Any participant who was unable to return for follow up treatment or evaluation.
Any participant who received treatment concurrent to the research.
Age
From 20 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
54
More than 1 sample in each individual
Number of samples in each individual:
27
27 patients in each group was estimated by using 5% level of significance, 90% power of test
Actual sample size reached:
54
More than 1 sample in each individual
Actual sample size in each individual:
27
27 patients in each group was estimated by using 5% level of significance, 90% power of test
Randomization (investigator's opinion)
Randomized
Randomization description
It was a single blinded randomized control trial. in which participant were kept blind. All the participant who came to physiotherapy department was considered and screened for Tennis Elbow.54 patients were allotted in two groups i.e.; group A(MWM) and group B(MILL'S) via lottery method, 27 in each group. Consider the inclusion and exclusion criteria before concerning them in study. Informed consent was taken whether they were willing to participate or not in written form.
Blinding (investigator's opinion)
Single blinded
Blinding description
It was a single blinded study in which participant/ patients were kept blind for treatment technique. 2 different technique were provided to patients. and they were blind about that which technique was given to which patients.
patient related tennis elbow evaluation questionnaire
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Group A: Mobilization with MovementSubjects with group A received Mobilization with movement technique. The technique involves the application of lateral glide to the proximal forearm laterally while the other hand to glide the distal end of the humerus. The glide was applied and sustained for approximately 5-10 s while the patient performed the pain-free gripping action. Totally, 6 repetitions of the technique were performed during a single treatment session. The period between each repetition was no longer than 60s. This technique was applied in 2 sessions/week for 4 weeks. The fundamental rule that the technique should not provoke pain was followed.
Category
Treatment - Devices
2
Description
Intervention group: Group B: Mills ManipulationThe therapist had taken up position behind the seated patients. Affected extremity kept in 90-degree abduction with internal rotation enough so that the olecranon was faced up. The therapist stabilized the patient’s wrist in full flexion and pronation with one hand while the other hand was placed over the olecranon. While maintaining the full wrist flexion and pronation, the therapist delivered a high – velocity, low amplitude thrust at the end range of elbow extension. This technique was applied in 2 sessions/week for 4 weeks.
Category
Treatment - Devices
Recruitment centers
1
Recruitment center
Name of recruitment center
OPD Physiotherapy department Bajwa Hospital, Lahore.
Full name of responsible person
ASMA ALEEM
Street address
tariq colony ward no 16 tehsil minchinabad
City
Bahawal nagar
Postal code
62301
Phone
+92 63 2750254
Email
asmaaleem26@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Riphah college of Rehablitation and Allied Health science lahore