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

Lateral Epicondylitis Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03848117
• Other study ID #: IIRS-1702-M.Phil OPT-006
• Status: Completed
• Phase: N/A
• Start date: March 1, 2019
• Est. completion date: October 15, 2019

Study information

• Verified date: November 2019
• Source: Isra University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: October 15, 2019
• Est. primary completion date: September 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

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.

Related Conditions & MeSH terms

• Lateral Epicondylitis
• Tennis Elbow

Intervention

Other:
• 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).
• 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).

Locations

Country	Name	City	State
Pakistan	Sammar Abbas	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Isra University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	Upto 4 weeks
Primary	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.	Upto 4 weeks
Secondary	Hand grip strength chart index	It is also measured through hand grip dynamo meter with reference values according to gender description.	Upto 4 weeks