Comparative Effects of Sustained Stretch and Mobilization With Movement in Patient With Tennis Elbow

Comparative Effects of Sustained Stretch and Mobilization With Movement on Pain, Range of Motion, Muscle Strength and Functional Disability in Patient With Tennis Elbow.

Tennis elbow, clinically known as lateral epicondylitis, is a prevalent musculoskeletal issue marked by pain and tenderness on the outer part of the elbow. It primarily affects the extensor tendon at the lateral epicondyle and is commonly linked to repetitive arm movements and overuse. Various treatment options are available for this condition, with two notable methods being sustained stretching and Mobilization with Movement (MWM). Sustained stretching involves holding the affected muscles and tendons in an extended position for a prolonged time to ease muscle tightness and enhance flexibility. Conversely, MWM integrates specific joint movements with the active involvement of the patient to improve joint mobility and reduce pain. Muscle strength plays a crucial role in the overall function of the upper limb, and enhancing this can positively affect daily activities. Furthermore, functional disability indicates how tennis elbow impacts a person's capacity to carry out everyday tasks.

This randomized clinical trial will be conducted at Riphah Rehab center over duration of eight months. The sample size will consist of 58 participants. Participants which meet the inclusion criteria will be taken through non-probability convenience sampling technique. 29 Participants will be assigned to Group A 29 to group B. Data will be collected using various assessment tools, including NPRS, ULFI, Universal Goniometer, Hand Held Dynamometer. Pre-intervention assessments will be conducted for groups. Data analysis will be performed by using SPSS 26 software.

Inclusion Criteria:

• Both males and females are affected. diagnosed with tennis elbow, characterized by pain and weakness on the outer side of the elbow.
• The pain has persisted for at least 4 to 6 months.
• Individuals experience difficulty gripping and lifting objects due to elbow pain.
• Positive results were observed in both the Mills and Cozen tests.

Exclusion Criteria:

• Presence of nerve injuries or neuropathies in the arm or hand.
• No history of recent trauma or fracture to the elbow.
• No neurological conditions affecting the arm or hand
• Acute inflammation or signs of infection in the elbow joint.
• Presence of cervical radiculopathy, thoracic outlet syndrome any systemic diseases