About this trial
The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection will be Goniometer and Quick DASH Questionnaire. Data will be analyzed through SPSS version 27.00.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children of age group 6-13
Children with diagnosis of post-fracture elbow stiffness.
Minimal immobilized period of 3 weeks
Children with age group of both genders
Disqualifiers
Infection or tumers
Neurological impairment
Children with MSK disorders
Metabolic bone disease
Trial design
Parallel
Treatments tested in this trial
Scooping mobilization technique
Other interventionGroup A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.
Dynamic cupping therapy
Other interventionGroup B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Range of motion
Goniometer for range of motion of the elbow joint like flexion, extention, pronation and supination will be evaluated pre and post treatment.
Secondary outcomes
functional outcomes
Diaginostic tool quick DASH questionnaire is used to evaluate functional outcome to improve quality of life
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