Comparison of Mobilization and MET Post-Traumatic Elbow Stiffness

NCT ID: NCT05258162

Last Updated: 2022-02-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-01-18
• Study Completion Date: 2022-01-30

Brief Summary

The purpose of this study is to find the effects of Mobilization and Muscle energy technique in patients with post-traumatic elbow stiffness.

Detailed Description

A randomized control trial was conducted at Benazir Bhutto Hospital, Rawalpindi. The sample size with reference to parent article was 10 calculated through open epi tool. But 30 patients were included in the study to increase the statistical power of analysis. The participants were divided into two interventional groups i.e. Group A and Group B, each having 15 participants. The study duration was 1 year. Sampling Technique applied was non probability purposive sampling technique. Random Allocation will be through sealed envelope method into two treatment group i.e. Group A and Group B. Only 18-35 years old patients (both male and female) with Post-traumatic elbow stiffness were included in the study. Tools that were used in the study are NPRS, DASH questionnaire, TAMPA scale and Goniometer. Total duration of treatment for both groups was 3 weeks, 3 days a week. Pre and post assessment was done. Data was analyzed through SPSS version 23.

Conditions

Elbow Fracture

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Mobilization

Mobilizations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals.

Oscillations for 2 minutes at 2-3 oscillations per second.

Group Type: EXPERIMENTAL

Mobilization

Intervention Type: OTHER

Hot pack for ten minutes.

Active and active-assisted exercises for the:

• Elbow flexion and extension
• Wrist flexion and extension
• Forearm supination and pronation
• Lock and key exercises.
• Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
• Elbow flexion and extension
• Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Mobilisations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals.

3 days per week for 3 weeks. Oscillations for 2 minutes at 2-3 oscillations per second.

Muscle Energy Technique

Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.

Group Type: EXPERIMENTAL

Muscle Energy Technique

Intervention Type: OTHER

Hot pack for ten minutes.

Active and active-assisted exercises for the:

• Elbow flexion and extension
• Wrist flexion and extension
• Forearm supination and pronation
• Lock and key exercises.
• Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
• Elbow flexion and extension
• Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.

3 days per week for 3 weeks.

Interventions

Mobilization

Hot pack for ten minutes.

Active and active-assisted exercises for the:

• Elbow flexion and extension
• Wrist flexion and extension
• Forearm supination and pronation
• Lock and key exercises.
• Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
• Elbow flexion and extension
• Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Mobilisations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals.

3 days per week for 3 weeks. Oscillations for 2 minutes at 2-3 oscillations per second.

Intervention Type: OTHER

Muscle Energy Technique

Hot pack for ten minutes.

Active and active-assisted exercises for the:

• Elbow flexion and extension
• Wrist flexion and extension
• Forearm supination and pronation
• Lock and key exercises.
• Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;
• Elbow flexion and extension
• Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.

3 days per week for 3 weeks.

Intervention Type: OTHER

Other Intervention Names

Hot pack; Range of Motion Exercises; Isometrics; Hot pack; Range of Motion Exercises; Isometrics

Eligibility Criteria

Inclusion Criteria

• Patients with post-operative elbow stiffness after distal end extra-articular humerus fractures.
• Patients with proximal radius ulna fractures.
• Minimum immobilization period of 3 weeks

Exclusion Criteria

• Any ligament injury
• Patients with Diabetes
• Patients with RA
• Patients with Pathological fractures
• Revision surgeries
• Neuro-vascular disorders.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Affan Iqbal, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Benazir Bhutto Hospital

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Riphah/RCRS/REC/00939

Identifier Type: -

Identifier Source: org_study_id