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Multimodal Rehabilitation Approach in Patients of Lateral Epicondylitis

ConditionLateral Epicondylitis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorRiphah International University

About this trial

Literature is scarce for high quality evidence regarding multimodal rehabilitation in lateral epicondylitis. By making comparisons with the conventional treatment of patients with lateral epicondylitis, the current study aims to further establish the efficacy of the multimodal rehabilitation protocol through a RCT in order to generalize the results, using dynamometer as an additional tool for pre and post assessments against the outcome measures. Remarks A randomized control trial was conducted at Physical therapy departments of twin cities. The sample size was 40 calculated through G- power tool. The participants were divided into two interventional groups each having 20 participants. The study duration was eight months. Sampling technique applied was non- probability convience sampling. People of age 18-45 years, with localized point tenderness at lateral epicondyle with Mills, Cozen and Maudselys test positive were included in this research. Tools used in this study are Visual Analogue Scale, Dynamometer, Patient Rated Tennis Elbow Questionnaire. Data was collected before and immediately after the application of interventions. Data analyzed through SPSS version 23.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Point tenderness at the lateral epicondyle

Positive Cozen test, Mill's test and Maudsely's test

Symptoms duration of minimum 2 months

Consenting to participate in the study

Disqualifiers

History of fracture in elbow, wrist or hand

History of surgery in elbow, wrist or hand region

Elbow conditions other than lateral epicondylitis

Cognitive deficits and not giving consent

Trial design

Design model

Parallel

Treatments tested in this trial

  • Multimodal physiotherapy

    Other intervention

    Experimental group included cold pack over lateral epicondyle. Passive stretching exercises in trapezius and levator scapulae and upper ECRB,ECRL,ECU,Extensor Digitorum, Extensor Digiti Minimi. Eccentric exercise of the extensor muscles associated with mobilization with movement. Neuromusclar Rehabilitation Excersise. In the region of origin of the tendons of the extensor muscles of the wrist and fingers for 2 min and inhibition of points of tension in the belly of the extensor region. Early mobilization with movement with the wrist in extension. Lateral sustained glide will be give at humeroradial joint during movement.

  • Conventional physiotherapy

    Other intervention

    Control group included Cold pack for 10 mins on the lateral epicondylitis, Extensor carpi radialis brevis stretching (hold for 15 seconds x 4 reps) Active ROM of wrist flexion and extension (10 reps x 3 sets) Active ROM of elbow flexion, extension, supination and pronation (10 reps x 3 sets) . Manually resisting wrist extensors (10 second hold x 5 reps x 3 sets) 4 sets of Maitland elbow joint mobilization with 1 min of rest between sets. Baseline Dynamometer for grip strength and VAS for pain. These pre and post intervention values were mentioned in questionnaire. The participants were administered with the protocol and data was collected again immediately after the interventions without any delay.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Multimodal groupExperimental treatment 1 intervention
Group B: Conventional physiotherapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Grip Strength

Changes from Baseline grip strength were taken with the help of dynamomter that measures grip strength.

Time frame
Three Weeks

Secondary outcomes

1

Visual Analogue Scale

Changes from the baseline pain levelesthe basis were measured through visual analogue scale.

Time frame
Three Weeks
2

Patient Rated Tennis Elbow Questionnaire

Changes in the functional Activities were noted through Patient Rated Tennis Elbow Questionnaire from the baseline and post treatment readings.

Time frame
Three Weeks

Other outcomes

Sponsors and contacts

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Riphah International University

Lead sponsor

Source ClinicalTrials.gov
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