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

NCT ID: NCT03848117

Last Updated: 2019-11-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-03-01
• Study Completion Date: 2019-10-15

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.

Conditions

Lateral Epicondylitis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

(DTF massage & Mill's manipulation)(Group 1)

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.

Group Type: ACTIVE_COMPARATOR

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

Intervention Type: 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).

( Taping & MWM) (Group 2).

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.

Group Type: ACTIVE_COMPARATOR

Mulligan approach i.e. Taping and MWM

Intervention Type: 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).

Interventions

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

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

Mulligan approach i.e. Taping and MWM

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).

Intervention Type: OTHER

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.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Isra University

OTHER

Sponsor Role: lead

Responsible Party

Sammar Abbas

Physiotherapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Sammar Abbas

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

IIRS-1702-M.Phil OPT-006

Identifier Type: -

Identifier Source: org_study_id