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Completed

NCT Number: NCT05258162

Comparison of Mobilization and MET Post-Traumatic Elbow Stiffness

The purpose of this study is to find the effects of Mobilization and Muscle energy technique in patients with post-traumatic elbow stiffness.

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Key information

Conditions

Elbow Fracture Arm Injuries Elbow Fractures Elbow Injuries Fractures, Bone Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms Wounds and Injuries

Age range

18 year–35 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Benazir Bhutto Hospital

Rawalpindi, Punjab Province, 46300, Pakistan

About this study

A randomized control trial was conducted at Benazir Bhutto Hospital, Rawalpindi. The sample size with reference to parent article was 10 calculated through open epi tool. But 30 patients were included in the study to increase the statistical power of analysis. The participants were divided into two interventional groups i.e. Group A and Group B, each having 15 participants. The study duration was 1 year. Sampling Technique applied was non probability purposive sampling technique. Random Allocation will be through sealed envelope method into two treatment group i.e. Group A and Group B. Only 18-35 years old patients (both male and female) with Post-traumatic elbow stiffness were included in the study. Tools that were used in the study are NPRS, DASH questionnaire, TAMPA scale and Goniometer. Total duration of treatment for both groups was 3 weeks, 3 days a week. Pre and post assessment was done. Data was analyzed through SPSS version 23.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with post-operative elbow stiffness after distal end extra-articular humerus fractures.
  • Patients with proximal radius ulna fractures.
  • Minimum immobilization period of 3 weeks

Exclusion criteria

  • Any ligament injury
  • Patients with Diabetes
  • Patients with RA
  • Patients with Pathological fractures
  • Revision surgeries
  • Neuro-vascular disorders.

Treatment and study plan

Mobilization

Other

Hot pack for ten minutes.

Active and active-assisted exercises for the:

  • Elbow flexion and extension
  • Wrist flexion and extension
  • Forearm supination and pronation
  • Lock and key exercises.
  • Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
  • Elbow flexion and extension
  • Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Mobilisations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals.

3 days per week for 3 weeks. Oscillations for 2 minutes at 2-3 oscillations per second.

Other names: Hot pack, Range of Motion Exercises, Isometrics

Muscle Energy Technique

Other

Hot pack for ten minutes.

Active and active-assisted exercises for the:

  • Elbow flexion and extension
  • Wrist flexion and extension
  • Forearm supination and pronation
  • Lock and key exercises.
  • Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
  • Elbow flexion and extension
  • Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.

3 days per week for 3 weeks.

Other names: Hot pack, Range of Motion Exercises, Isometrics

Primary outcomes

  1. Numeric pain rating scale

    Time frame: 3rd week

    Changes from baseline Numeric pain rating scale is a self-administered, or analyst reported, measuring instrument comprising of a scale that shows numerical ranges usually from 0-10 or 0-100. In this scale extreme or farthest point shows having 'no pain' to having 'extreme pain'.

  2. ROM Elbow (Flexion)

    Time frame: 3rd week

    Changes from baseline range of motion( ROM) of elbow joint flexion is taken by using Goniometer.

  3. ROM Elbow (Extension)

    Time frame: 3rd week

    Changes from baseline range of motion( ROM) of elbow joint extension is taken by using Goniometer.

  4. ROM Forearm (Supination)

    Time frame: 3rd week

    Changes from baseline range of motion( ROM) of forearm supination is taken by using Goniometer.

  5. ROM Forearm (Pronation)

    Time frame: 3rd week

    Changes from baseline range of motion (ROM) of forearm pronation is taken by using Goniometer.

Secondary outcomes

  1. Disability

    Time frame: 3rd week

    Changes from baseline disability is measured through DASH (Disability of the arm, shoulder and hand) questionnaire. DASH questionnaire is a self reported area specific outcome measuring tool for symptoms and disabilities in upper limb. It mainly comprise of a 30-items scale which is further consist of questions related to difficulty in performing normal daily activities, scored on 5 response options. Scores for these 30 items then calculate on a scale of 0 (no disability) to 100 (most severe disability)

  2. kinesiophobia (fear of movement)

    Time frame: 3rd week

    Changes from baseline kinesiophobia is measured through Tampa scale which is a 17 item scale. Total scores of this scale ranges from 17-68. Where 17 means no kinesiophobia and 68 means severe kinesiophobia while score of ± 37 indicates that there is kinesiophobia.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparison of Mobilization and Muscle Energy Technique in Patients With Post-Traumatic Elbow Stiffness

Acronym: MET

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Feb 28, 2022
Registry last updated
Feb 28, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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