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This study is a randomised control trial and the purpose of this study is to determine the effects of neuromuscular reeducation versus friction massage in lateral epicondylitis.
Participants will be recruited into their respective groups using a coin toss method. Lateral epicondylitis will be assessed using the following tests:
Cozen's test Maudsley's test Mills test
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neuromuscular reeducation | Experimental | Group A will recieve treatment of ultrasound followed by neuromuscular re-education+ strengthning exercises For the 1st two weeks; cross friction massage with active movement will be performed. For the next two weeks; longitudinal friction massage with active movement will be performed. |
|
| Friction massage | Active Comparator | Group B will receive standard treatment of ultrasound followed by friction massage+ strengthning exercises For the 1st two weeks; cross friction massage alone will be performed. For the last two weeks; longitudinal friction massage alone will be performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuromuscular re-education(experimental) | Procedure | All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by neuromuscular reeducation technique (5-10 minutes duration) which includes for the 1st two weeks; cross friction massage with active movement and for the last two weeks longitudinal friction massage with active movement will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance. |
| Measure | Description | Time Frame |
|---|---|---|
| Lateral Epicondylitis Pain | It will be measured using numeric pain rating scale (NPRS) in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced. | Variable will be assessed at pre and post treatment for the total interval of 4 weeks. |
| Range of Motion | Range of motion will be measured using goniometer. An instrument with movable and stationary arm used to measure range of motion at joint. It will be used to measure range of motion of flexion and extension at elbow joint, forearm pronation and supination, and flexion, extension, radial deviation, ulnar deviation at wrist joint. | Variable will be assessed at pre and post treatment for the total interval of 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Basma Areej Sarfraz, Doctor of Physical Therapy | Contact | +923364800106 | basmaareej2900@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Therapy | Recruiting | Islamabad | 44000 | Pakistan |
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| ID | Term |
|---|---|
| D013716 | Tennis Elbow |
| ID | Term |
|---|---|
| D000070639 | Elbow Tendinopathy |
| D052256 | Tendinopathy |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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Randomized Control Trial
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| Friction massage(standard protocol) | Procedure | All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by friction massage technique(5-10 minutes duration) which includes for the 1st two weeks; cross friction massage alone and for the last two weeks longitudinal friction massage alone will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance. |
|
| D000092464 |
| Elbow Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D013708 | Tendon Injuries |