Back to resultsEffects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.
Primary Purpose
Lateral Epicondylitis
Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Cyriax approach i.e. DTF massage and Mill's manipulation
Mulligan approach i.e. Taping and MWM
Sponsored by
About this trial
This is an interventional treatment trial for Lateral Epicondylitis focused on measuring Patient Rated Tennis Elbow Evaluation (PRTEE), Mobilization with movement, Deep Transverse friction massage
Eligibility Criteria
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.
Sites / Locations
- Sammar Abbas
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
(DTF massage & Mill's manipulation)(Group 1)
( Taping & MWM) (Group 2).
Arm Description
For any given subject in group 1, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in 1st group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.
For any given subject in group 2, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.
Outcomes
Primary Outcome Measures
Patient related tennis elbow evaluation pain scale
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.
Patient related tennis elbow evaluation functional disability scale
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 Outcome Measures
Hand grip strength chart index
It is also measured through hand grip dynamo meter with reference values according to gender description.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03848117
Brief Title
Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.
Official Title
Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.
Study Type
Interventional
2. Study Status
Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
March 1, 2019 (Actual)
Primary Completion Date
September 30, 2019 (Actual)
Study Completion Date
October 15, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Isra University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
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.
Detailed Description
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lateral Epicondylitis
Keywords
Patient Rated Tennis Elbow Evaluation (PRTEE), Mobilization with movement, Deep Transverse friction massage
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Patients were randomly assigned into two groups: Cyriax Approach group and Mulligan approach group. A coin was flipped at start of data collection for the first patient to be assigned odd number and included in cyriax group. Later on odd and even numbered patients were included in specific group. Additionally, data was collected from lateral epicondylitis patients visiting the DHQ Hospital Bahawalnagar.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Actual)
8. Arms, Groups, and Interventions
Arm Title
(DTF massage & Mill's manipulation)(Group 1)
Arm Type
Active Comparator
Arm Description
For any given subject in group 1, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in 1st group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.
Arm Title
( Taping & MWM) (Group 2).
Arm Type
Active Comparator
Arm Description
For any given subject in group 2, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.
Intervention Type
Other
Intervention Name(s)
Cyriax approach i.e. DTF massage and Mill's manipulation
Intervention Description
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).
Intervention Type
Other
Intervention Name(s)
Mulligan approach i.e. Taping and MWM
Intervention Description
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 Outcome Measure Information:
Title
Patient related tennis elbow evaluation pain scale
Description
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.
Time Frame
Upto 4 weeks
Title
Patient related tennis elbow evaluation functional disability scale
Description
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.
Time Frame
Upto 4 weeks
Secondary Outcome Measure Information:
Title
Hand grip strength chart index
Description
It is also measured through hand grip dynamo meter with reference values according to gender description.
Time Frame
Upto 4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Facility Information:
Facility Name
Sammar Abbas
City
Rawalpindi
State/Province
Punjab
Country
Pakistan
12. IPD Sharing Statement
Plan to Share IPD
Yes
Learn more about this trial
Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.
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