The study will compare the shoulder and wrist treatment approaches to determine their effect on elbow. Thirty-two medically stable participants with active shoulder and wrist movements will be enrolled into two groups. Both groups will receive structured training for six weeks. Outcomes will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper limb kinetic chain which is affected by lateral epicondylitis
Both genders will be involved with ages 30-50. Patients who have had pain for the last 2 weeks with tenderness. Subjects who will have a positive cozen test. Also include those who have a radiological graph with normal bone and joint alignment of the upper limb.
Those who will have pain on the lateral aspect of the elbow for 6 months or more than 6 months.
Parallel
Wrist heavy slow resistance exercises
Procedure/SurgeryWrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.
Shoulder stabilization exercises
Procedure/SurgeryThis trial include the shoulder stabilization exercises performed with the help of thera-band by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis
Pain
Pain will be measured with the help of Numeric Pain Rating Scale (NPRS). This scale is validated to measure the pain in both upper and lower limb.
Grips strength and Functional Ability
Dynamometer will be used to measured to grip strength on the wrist, and patient rated tennis elbow questionnaire will be used to evaluate the functional ability. Both tools are validated to measure these outcomes and have accuracy to target these measures
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