]>
IRCT20230216057434N1 IRCT 2023-03-12 Self Funded Comparison of two manual techniques in elbow Effectiveness of Mulligan Mobilization with movement versus eccentric concentric exercise on pain, range of motion and functional disability in patients with lateral epicondylitis 2023-03-05 anticipated 94 Complete https://irct.ir/trial/68807 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done through a computer software "Random allocation". The total sample size will be entered with requirement to be allocated in two groups. An automated randomization list will be achieved with attrition rate included, Blinding description: Blinding will be done on part of outcome assessor who will be an experienced therapist. Patients will be assessed by him at the end of treatment session. He will be blinded about the type of intervention patient will received. N/A Lateral Epicondylitis. Intervention 1: Intervention group A (Mulligan Mobilization with movement) 47 patients in group A will receive Mulligan Mobilization with Movement after conservative treatment. Conservative treatment will be applied in form of ultrasound and tens. Physiotherapist will apply ultrasound for 8 minutes in continuous mode in circular manner on lateral condyle of humerus with frequency of 1MHz followed by application of tens. 1 pad of tens will be placed on above lateral condyle of humerus and other on below the lateral condyle of humerus for 15 minutes. Patient will be in supine position with elbow in full extension and forearm in pronation with stabilization will be provided by therapist at distal part of the arm while therapist will apply Mulligan Mobilization with movement technique by adding lateral glide at elbow by using the belt. Patient will be instructed to make a fist and open the fist while therapist will maintain glide by belt during the movement. Mobilization technique will be carried for total 36 times. After 12repetitions, a short rest period will be given for 15 seconds. Each session will last for 35-45 minutes. The session will repeat three times a week, 12 sessions over 4 weeks. Intervention 2: Intervention group B (Eccentric concentric exercise) 47 patients in Group B will receive eccentric concentric exercise after the conservative treatment. Conservative treatment will be applied in form of ultrasound and tens. Physiotherapist will apply ultrasound for 8 minutes in continuous mode in circular manner on lateral condyle of humerus with frequency of 1MHz followed by application of tens. 1 pad of tens will be placed on above lateral condyle of humerus and other on below the lateral condyle of humerus for 15 minutes. For eccentric concentric exercises patients will be in sitting position with elbow flexed to 90 degree and forearm in pronation with hand over the edge of the table. Therapist will instruct the patient to hold 1 lb. weight in hand while keeping the forearm supported at the armrest of chair or on their knee so that they can move their hand freely. Patient will be instructed to raise or lift wrist up towards the ceiling slowly for concentric contraction and lower the wrist slowly toward the floor for eccentric contraction. Patient will be instructed to gradually increase the weight up to 100 gm on weekly basis. Each session will last for 35-45 minutes. The session will repeat three times a week, 12 sessions over 4 weeks. No - There is not a plan to make this available Justification or reason for not sharing IPD is Real patient involved
public Zainab Sheraz
house no. 32, street no. 2, Rehman Town, adjacent Shahzad Colony, Satyana Road, Faisalabad
Faisalabad Pakistan 38000 +92 335 6600141 zainab.48@hotmail.com Riphah International University, Faisalabad scientific Zainab Sheraz
house no. 32, street no. 2, Rehman Town, adjacent Shahzad Colony, Satyana Road, Faisalabad
Faisalabad Pakistan 38000 +92 335 6600141 zainab.48@hotmail.com Riphah International University, Faisalabad Pakistan Age: 25- 55 years Gender: Both gender Tenderness on palpation over the lateral epicondyle of humerus Patients has pain for at least 3 month or more duration Patients with positive cozen test 25 years 55 years Both Dysfunction in shoulder, neck and thoracic region Cervical radiculopathy Corticosteroid injection within 3 months Patients who had received any conservative treatment in the last 4 weeks before enring in the study. Recent surgery of elbow joint Fracture Soft tissue injury in elbow region M77.10 Lateral epicondylitis, unspecified elbow Treatment - Other Treatment - Other Intervention group A (Mulligan Mobilization with movement) 47 patients in group A will receive Mulligan Mobilization with Movement after conservative treatment. Conservative treatment will be applied in form of ultrasound and tens. Physiotherapist will apply ultrasound for 8 minutes in continuous mode in circular manner on lateral condyle of humerus with frequency of 1MHz followed by application of tens. 1 pad of tens will be placed on above lateral condyle of humerus and other on below the lateral condyle of humerus for 15 minutes. Patient will be in supine position with elbow in full extension and forearm in pronation with stabilization will be provided by therapist at distal part of the arm while therapist will apply Mulligan Mobilization with movement technique by adding lateral glide at elbow by using the belt. Patient will be instructed to make a fist and open the fist while therapist will maintain glide by belt during the movement. Mobilization technique will be carried for total 36 times. After 12repetitions, a short rest period will be given for 15 seconds. Each session will last for 35-45 minutes. The session will repeat three times a week, 12 sessions over 4 weeks Intervention group B (Eccentric concentric exercise) 47 patients in Group B will receive eccentric concentric exercise after the conservative treatment. Conservative treatment will be applied in form of ultrasound and tens. Physiotherapist will apply ultrasound for 8 minutes in continuous mode in circular manner on lateral condyle of humerus with frequency of 1MHz followed by application of tens. 1 pad of tens will be placed on above lateral condyle of humerus and other on below the lateral condyle of humerus for 15 minutes. For eccentric concentric exercises patients will be in sitting position with elbow flexed to 90 degree and forearm in pronation with hand over the edge of the table. Therapist will instruct the patient to hold 1 lb. weight in hand while keeping the forearm supported at the armrest of chair or on their knee so that they can move their hand freely. Patient will be instructed to raise or lift wrist up towards the ceiling slowly for concentric contraction and lower the wrist slowly toward the floor for eccentric contraction. Patient will be instructed to gradually increase the weight up to 100 gm on weekly basis. Each session will last for 35-45 minutes. The session will repeat three times a week, 12 sessions over 4 weeks Pain. Timepoint: Assessment will be performed at o week(baseline) and at completion of 4 weeks treatment. Method of measurement: Numeric Pain rating scale. Range of motion at elbow joint. Timepoint: Assessment will be performed at o week(baseline) and at completion of 4 weeks treatment. Method of measurement: Goniometer. Functional disability. Timepoint: Assessment will be performed at o week(baseline) and at completion of 4 weeks treatment. Method of measurement: Patient Rated Tennis Elbow Scale(PRTEE). N/A Approved 2023-01-26 Ethics committee of Riphah International University Faisalabad Riphah International University, Faisalabad Faisalabad Punjab Pakistan