<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20200921048792N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-10-05</date_registration>
      <primary_sponsor>Riphah college of Rehablitation and Allied Health science lahore</primary_sponsor>
      <public_title>Effects of  mobilization with movement versus mills manipulation technique in chronic lateral epicondylitis</public_title>
      <acronym></acronym>
      <scientific_title>Effects of mobilization with movement versus Mills manipulation Technique in Chronic lateral  epicondylitis</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-10-07</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>54</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51168</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Parallel groups, single blinded, single setting, 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 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.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Tennis Elbow.</hc_freetext>
      <i_freetext>Intervention 1: 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. Intervention 2: 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.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
EFFECTS OF MOBILIZATION WITH MOVEMENT VERSUS MILLS MANIPULATION TECHNIQUE IN CHRONIC LATERAL EPICONDYLITIS

When:
study is completed and become available after its publication

To whom:
person in academic institute. Patient data will not be shown .

Conditions:
under the usage with terms in which journal is accessed /processed for publication it could be used in request.

Where to obtain:
+923207866611 from the University office and Responsible supervisor and from journal we will process in future

How to obtain:
can be on call or mail It will be only used in confidential way for improving research and benefit of humanity

Comments:
data can bee provided on request</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>ASMA ALEEM</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Tariq Colony ward no 16 tehsil minchinabad</address>
        <city>Bahawal nagar</city>
        <country1>Pakistan</country1>
        <zip>62301</zip>
        <telephone>+92 63 2750254</telephone>
        <email>asmaaleem26@gmail.com</email>
        <affiliation>Riphah College of Rehablitation &amp; Allied Health Science Lahore</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shakeel ur Rehman</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>28-M,Quaid-e-Azam,Industrial Estate,KotLakhpat,Lahore.</address>
        <city>lahore</city>
        <country1>Pakistan</country1>
        <zip>747-424</zip>
        <telephone>+92 63 2750254</telephone>
        <email>shakil.urrehman@riphah.edu.pk</email>
        <affiliation>Riphah college of Rehablitation &amp; Allied Health Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <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.</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <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.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M 77.11</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Lateral epicondylitis, right elbow</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>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.</i_keyword>
      <i_keyword>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.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: Baseline and after 4th weeks. Method of measurement: Numeric Pain Rating Scale.</prim_outcome>
      <prim_outcome>Range of motion. Timepoint: Baseline and after 4th week. Method of measurement: Goniometer.</prim_outcome>
      <prim_outcome>Functional Disability. Timepoint: Baseline and after 4th week. Method of measurement: patient related tennis elbow evaluation questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>academic support only</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2640-12-28</approval_date>
        <contact_name>Secretary Ethical Review Committee</contact_name>
        <contact_address>28-M,Quaid-e-Azam, Industrial Estate,Kot Lakhpat, Lahore. Lahore punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
