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OpenTrials
Completed

NCT Number: NCT03848117

Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.

Lateral epicondylitis (LE) is a pain causing musculoskeletal disease which mainly occurs due to the over exertion or over use of extensors of wrist mainly ECRB and pain is felt at the origin of common extensor tendon. This study was focused to assess the effectiveness of cyriax approach and mulligan approach to improve the functional status of sub acute lateral epicondylitis patients through patient related tennis elbow evaluation form.

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Key information

Conditions

Lateral Epicondylitis Arm Injuries Elbow Injuries Elbow Tendinopathy Muscular Diseases Musculoskeletal Diseases Tendinopathy Tendon Injuries Tennis Elbow Wounds and Injuries

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sammar Abbas

Rawalpindi, Punjab Province, Pakistan

About this study

A total of 39 athletes with knee pain were recruited and randomly divided into two groups. 30 subjects fulfilled the inclusion criteria and were part of this trial, 15 in each group.The data was collected through general demographic questionnaire, PRTEE questionnaire to determine the level of pain and functional disability and Hand grip strength chart to measure grip strength while having epicondylitis.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age group 20-50 years of both gender.
  • Vas < 7
  • Positive mills test and cozens test.
  • Local tenderness on palpation over lateral epicondyle of the humerus.
  • From sub-acute to chronic more than 2 weeks.

Exclusion criteria

  • Any previous pathology of bone around elbow.
  • Corticosteroid injection in the preceeding 3 months.
  • Absence of clinical signs of tennis elbow.
  • Any other systemic illness like metabolic, metastatic, infective disorders.
  • Any other neurological abnormalities.
  • Allergies to Mulligan tape.

Treatment and study plan

Cyriax approach i.e. DTF massage and Mill's manipulation

Other

Each patient in group I i.e. Cyriax group was given 20-minute session. Each session started in sitting position and initially deep transverse friction massage was done at lateral compartment of the elbow joint and immediately after that mill's manipulation at elbow joint with flexion at wrist joint in pronated arm position. This session was repeated three times a week for one month (Total 12 sessions/ one month).

Mulligan approach i.e. Taping and MWM

Other

Each patient in group II i.e. Mulligan group was given 30 to 45-minute session. Each session started in sitting position and it included mobilization with movement which was given in such a way that initially lateral glide at elbow joint was performed and after holding it, I asked the patient to make a fist and open the fist. In this way, I repeated this procedure 36 times and after 12 repetitions, a short rest period was given. Taping was applied after mobilization around the elbow joint over extensor carpi radialis muscles. This session was repeated three times a week for one month (Total 12 sessions/ one month).

Primary outcomes

  1. Patient related tennis elbow evaluation pain scale

    Time frame: Upto 4 weeks

    Pain associated with daily tasks is measured through Patient related tennis elbow evaluation pain scale with categories as "0" for no pain and "10" for worst imaginable pain.

  2. Patient related tennis elbow evaluation functional disability scale

    Time frame: Upto 4 weeks

    Degree of difficulty in performing daily tasks associated with elbow joint is measured through Patient related tennis elbow evaluation functional disability scale in categories as "0" for no difficulty in task and "10" for unable to do a task.

Secondary outcomes

  1. Hand grip strength chart index

    Time frame: Upto 4 weeks

    It is also measured through hand grip dynamo meter with reference values according to gender description.

Sponsors and collaborators

Lead sponsor

Isra University

Other

Registry information

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Feb 20, 2019
Registry last updated
Nov 13, 2019

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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