Effects of Nerchal Exercises on Lateral Epicondylitis.

Lateral Epicondylitis Clinical Trial

Official title:

Effects of Nirschl Exercises With and Without Mulligan Taping in Lateral Epicondylitis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06317545
• Other study ID #: REC/RCR&AH/23/0167/shan ali
• Status: Completed
• Phase: N/A
• Start date: November 1, 2023
• Est. completion date: March 28, 2024

Study information

• Verified date: April 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Painful condition of lateral epicondyle of the humerus characterized by the inflammation of the tendons during loading of the wrist extensor muscles is a common musculoskeletal presentation in men and women between 35 and 54 years of age. The above symptom is associated with a clinical diagnosis of lateral elbow tendinopathy (LET), also known as tennis elbow or lateral epicondylalgia the two effective treatment approaches for lateral epicondylitis are Nirschl exercises and Mulligan taping. This study aims to evaluate the effectiveness of Nirschl exercises with or without Mulligan taping in treating lateral epicondylitis. The study design for this project employs a randomized controlled trial and a sample of individuals with lateral epicondylitis randomly assigned in one of the two groups i.e., Nirschl exercises only and Nirschl exercises with Mulligan taping. Nirschl exercises involve the eccentric strengthening of the wrist extensor muscles and forearm. The participants in both groups will receive Nirschl exercises while the second group will also receive Mulligan taping, which involves the application of tape to the lateral aspect of the elbow to offload stress during movement of the extensor tendons. Different outcome measures including pain intensity, functional disability, grip strength, range of motion will be evaluated using, PRTEE Scale, Visual Analogue Scale (VAS) and Calibrated Jammer hand held dynamometer. Statistical analysis, including independent t-tests or chi-square tests, will be conducted to compare the outcomes between the two groups. The significance level will be set at p < 0.05. This study will contribute to the evidence base regarding the efficacy of Nirschl exercises and Mulligan taping in managing lateral epicondylitis and will help the clinicians and patients in deciding the best treatment approach for lateral epicondylitis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 56
• Est. completion date: March 28, 2024
• Est. primary completion date: March 28, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• Pain and tenderness over lateral epicondyle

• at least two out of three tests for the lateral epicondylitis including Cozen's test, Mill's maneuver, or resisted middle finger extension positive

Exclusion Criteria:

• Individuals with a history of recent trauma of upper limbs

• Recent administration of platelet-rich plasma containing growth factors,

• Patients which had taken physical therapy of any sort in the past 6 months

• occupation-related pain were ruled out.

Related Conditions & MeSH terms

• Lateral Epicondylitis
• Tennis Elbow

Intervention

Other:
• Mulligan Taping
Mulligan taping involves the application of tape to the lateral aspect of the elbow to offload stress during movement of the extensor tendons.

Locations

Country	Name	City	State
Pakistan	BARKI Advanced Physiotherapy Center	Multan	Punjab
Pakistan	KAIMS Physiotherapy and Rehabilitation Center	Multan	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Pain will be measured using Visual Analogue Scale (VAS), min0 and max 10	3 week consist of 6 sessions
Primary	Grip strength	It will be measured using calibrated Jammer hand-held dynamometer.	3 week consist of 6 sessions
Secondary	Disability	It will be measured using PRTEE scale. 0-10 scale	3 week consist of 6 sessions