About this trial
This study is a randomised control trial and the purpose of this study is to determine the effects of neuromuscular reeducation versus friction massage in lateral epicondylitis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosed cases of lateral epicondylitis
Age 25-50 years
Both genders
Postive tests; cozens, maudsley's, mills (at least any of 2)
Disqualifiers
Recent elbow fractures or dislocations
Elbow joint instability
Active joint disease
Open wounds around elbow joints
Trial design
Parallel
Treatments tested in this trial
Neuromuscular re-education(experimental)
Procedure/SurgeryAll participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by neuromuscular reeducation technique (5-10 minutes duration) which includes for the 1st two weeks; cross friction massage with active movement and for the last two weeks longitudinal friction massage with active movement will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.
Friction massage(standard protocol)
Procedure/SurgeryAll participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by friction massage technique(5-10 minutes duration) which includes for the 1st two weeks; cross friction massage alone and for the last two weeks longitudinal friction massage alone will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.
Treatment groups
Trial outcomes
Primary outcomes
Lateral Epicondylitis Pain
It will be measured using numeric pain rating scale (NPRS) in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced.
Range of Motion
Range of motion will be measured using goniometer. An instrument with movable and stationary arm used to measure range of motion at joint. It will be used to measure range of motion of flexion and extension at elbow joint, forearm pronation and supination, and flexion, extension, radial deviation, ulnar deviation at wrist joint.
Sponsors and contacts
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Furqan Ahmed Siddiqi
Lead sponsor
Foundation University Islamabad
Sponsor institution