Active Release Technique and Graston Technique in Patients With Lateral Epicondylitis

NCT ID: NCT05070559

Last Updated: 2022-04-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-11-01
• Study Completion Date: 2022-02-16

Brief Summary

This study will be a randomized control trial and will be conducted in Pakistan Railway Hospital Rawalpindi. A sample of 36 participants will be taken. Patients will be divided into two groups by sealed envelop method. Patients in group A will receive Active Release Technique along with conventional therapy while Patients in group B will receive instrument assisted soft tissue mobilization along with conventional therapy. The study includes intervention protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks. The outcome measures Numeric pain rating scale(NPRS), Hand Dynamometer and Patient-Rated Tennis Elbow Evaluation (PRTEE) will be measured at baseline and at the end of 4th week. Data will be analyzed by SPSS 25

Detailed Description

Lateral epicondylitis is an injury caused by overusing the elbow. It is characterized by tenderness and pain over the lateral epicondyle of the elbow. It is not exactly a condition involving inflammation rather a chronic degeneration of the tendon. The major symptom of lateral epicondylitis is presentation or complaint of sharp pain at the lateral side of the elbow with swelling

Conditions

Lateral Epicondylitis

Study Design

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

Study Groups

Active Release Technique Group

Patients in this group will receive Active Release Technique along with conventional therapy

Group Type: EXPERIMENTAL

Active Release Technique

Intervention Type: OTHER

Patients in this group will receive Active Release Technique along with conventional therapy. ART will be given with patient seated, elbow flexed and resting on the treatment table, forearm in midprone & wrist in neutral position and then the therapist will work on the common extensor tendon by applying pressure to the tendon distal to their attachment at the elbow. The patient will start with the elbow bent and wrist straight. As the therapist hold the muscles, the patient will extend the elbow and pronate and flex the wrist while the therapist move the pressure proximally, attempting to release adhesions around and between muscle planes. Total of 15 repetitions for of 10 minutes.

CONVENTIONAL THERAPY:

• Hot pack for 15 minutes
• TENS for 15 minutes
• Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Graston Technique Group

Patients in this group will receive Instrumental Assisted Soft Tissue Mobilization along with conventional therapy

Group Type: EXPERIMENTAL

Graston Technique Group

Intervention Type: OTHER

Patients in this group will receive IASTM along with conventional therapy. In graston technique proper application of GT3 which include application of a cream to the common extensor tendon. The GT3will be then used to common extensor tendon. In areas of increased tissue restriction, more required pressure with GT3 is applied using increased force and shorter strokes over the areas of restriction. Ice will be offered as needed for pain management after each session.

The study includes interventional protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks.

CONVENTIONAL THERAPY:

• Hot pack for 15 minutes
• TENS for 15 minutes
• Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Interventions

Active Release Technique

Patients in this group will receive Active Release Technique along with conventional therapy. ART will be given with patient seated, elbow flexed and resting on the treatment table, forearm in midprone & wrist in neutral position and then the therapist will work on the common extensor tendon by applying pressure to the tendon distal to their attachment at the elbow. The patient will start with the elbow bent and wrist straight. As the therapist hold the muscles, the patient will extend the elbow and pronate and flex the wrist while the therapist move the pressure proximally, attempting to release adhesions around and between muscle planes. Total of 15 repetitions for of 10 minutes.

CONVENTIONAL THERAPY:

• Hot pack for 15 minutes
• TENS for 15 minutes
• Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Intervention Type: OTHER

Graston Technique Group

Patients in this group will receive IASTM along with conventional therapy. In graston technique proper application of GT3 which include application of a cream to the common extensor tendon. The GT3will be then used to common extensor tendon. In areas of increased tissue restriction, more required pressure with GT3 is applied using increased force and shorter strokes over the areas of restriction. Ice will be offered as needed for pain management after each session.

The study includes interventional protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks.

CONVENTIONAL THERAPY:

• Hot pack for 15 minutes
• TENS for 15 minutes
• Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Chronic lateral epicondylitis, complaints for at least 3 months or more
• Pain intensity level between 3 to 6 on 0-10 point numerical pain rating scale

Exclusion Criteria

• Acute/ sub-acute lateral epicondylitis
• Any cervical spine or any other upper limb dysfunction
• Any other neurological disease, cardiovascular disease, osteoporosis
• Bilateral complaints

• Minimum Eligible Age: 15 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sajjad Ali, Ms-OMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Rawal General Hospital Rawalpindi

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Iqra Shabbir

Identifier Type: -

Identifier Source: org_study_id