Scooping Mobilization With and Without Scapulothoracic Mobilization in Patients of Lateral Epicondylalgia

Effects of Scooping Mobilization With and Without Scapulothoracic Mobilization in Pain Range of Motion and Activities of Daily Living in Patients of Lateral Epicondylalgia

Lateral epicondylalgia is well known musculoskeletal disorder now a day. Lateral epicondylalgia is a disorder in which pain and tenderness at lateral part of elbow. This study is targeting the scapulothoracic mobilization and scooping mobilization at lateral epicondylalgia. This study is single-blinded Randomized Clinical Trial will be conducted in Fatima memorial Hospital and Bajwa hospital Lahore. Non-probability convenience sampling will be used with 38 Participants involved in this study is with age of 18 to 45 with presence of pain and tenderness around lateral epicondyle, positive Cozens test and maudsley test, scapular dyskinesia, pain on resisted elbow extension, wrist extension and gripping activities. In this study, one group is treated with scooping mobilization with scapulothoracic mobilization. Second group is treated with scooping mobilization alone. The participants will be randomized into two Groups by computer generated randomization software. Outcomes measures which are used in this study is Numeric pain rating scale for pain, goniometer for range of motion and patient related tennis elbow evaluation for activities of daily livings for patients of lateral epicondylalgia.

Inclusion Criteria:

• Age 20-40 years
• Pain and tenderness around lateral epicondyle
• Pain on resisted elbow extension ,wrist extension and gripping activities
• Gender both male and female.
• Scapular Dyskinesia.
• Positive Cozen test and maudsley test for lateral epicondylalgia.
• With moderate pain intensity on Numeric Pain Rating Scale (NPRS) with a score of 3 or higher

Exclusion Criteria:

• Any injury or disease around the shoulder, elbow and wrist on affected side
• Cervical radiculopathy.
• Local steroid injection
• History of fracture of humerus, radius, ulna which is affected upper extremity