Effects of Battle Rope Training on ROM and Pain in Children With Post Traumatic Elbow Contractures.

Post-traumatic elbow contracture is a common condition in children following elbow injuries, leading to restricted range of motion (ROM), pain, and reduced arm function. Standard treatments often include stretching, heat therapy, and ROM exercises to improve joint mobility and reduce discomfort. However, new approaches such as battle rope training, which is typically used for dynamic strength and endurance, may provide additional benefits by engaging upper body muscles and enhancing functional movement in children with contractures. This study explores whether incorporating battle rope training into a standard rehabilitation program can yield better outcomes than traditional therapy alone.

The primary objective of this study is to assess the effectiveness of battle rope training in improving ROM, reducing pain, and enhancing overall elbow function in children with post-traumatic elbow contracture. By comparing standard therapy alone to standard therapy plus battle rope training, the study aims to determine if this added intervention leads to greater improvements in functional mobility and pain relief.In this randomized controlled trial, participants will be divided into two groups: a control group, receiving standard treatment (ROM exercises, stretching, and heat therapy), and an intervention group, receiving the same standard treatment plus battle rope training. ROM exercises and stretching will focus on gentle elbow flexion and extension to enhance flexibility, while heat therapy will prepare muscles for movement.

The intervention group will additionally perform 10-15 minutes of battle rope training, involving dynamic movements that engage the upper body and increase joint activation. Pre- and post-intervention assessments using a goniometer for ROM, the Flynn scoring system for functional and cosmetic outcomes, and the Visual Analogue Scale (VAS) for pain will provide comprehensive data on the effectiveness of the intervention. This study seeks to offer new insights into pediatric rehabilitation, potentially introducing an effective and engaging therapy option for managing elbow contracture in children

Inclusion criteria

• Age 8 to 15
• Children Suffering from Post-Traumatic Elbow Contracture
• Written informed consent obtained from the parents or guardians
• Participants must report a pain level of at least 3 on a visual analog scale (VAS)
• Children must be able to follow instructions and participate in physical activities.
• Children without any other co-existing illness like Burn Contractures
• Either gender will be included

Exclusion criteria

• Post Traumatic Contracture other than Elbow region
• Known allergies to materials used in battle rope training.
• Children who are unable to commit to the training schedule or follow-up assessments.
• Use of medications that may affect pain perception or muscle function, such as opioids or muscle relaxants.
• Burn Contracture.
• Presence of other significant musculoskeletal disorders or neurological conditions affecting the elbow.