Comparative Effects of Scooping Mobilization and Dynamic Cupping Therapy on Elbow Stiffness

Comparative Effects of Scooping Mobilization and Dynamic Cupping on Elbow Range of Motion and Function in Children With Elbow Stiffness

The current study is a randomized clinical trial, data is collected from Alqamar Hospital Shakarghar. The study includes 28 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be children of age group 6-13, children with diagonosis of post fracture stiff elbow minimal immobilized period of 3 weeks. Patients with any neurological impairment, children with MSK disorders, Infection or tumors will be excluded from the study. Experimental Scooping mobilization group will receive scooping mobilization combined with electrotherapy for 2 minutes per session 5 days a week. Experimental dynamic cupping group will receive dynamic cupping therapy combined with electrotherapy for 10 minutes per session 5 days a week. Total intervention period will be of 4 weeks. Data collection will be done before and after the intervention. Tools used for data collection will be Goniometer and Quick DASH Questionnaire. Data will be analyzed through SPSS version 27.00.

Group A will receive scooping mobilization technique it focuses on gently mobilizing the joint through traction combined with a smooth, curved motion, improving the flexion-extension arc and promoting joint relaxation. Patient is positioned supine, lying with the elbow at the side of the table. In the primary procedure, the joint is held in a relaxed posture, and the client's hand rested on the therapist's shoulder. The physiotherapist will place the elbow at the limit of the range before stretching into flexion or extension. Force-directed as a distraction, it was initially applied by the physical therapist at an angle of 45° to the ulna, followed by a distal orientation along the longitudinal plane of the ulna while retaining the distraction force. the movement will be smooth and rhythmic, avoiding any sharp or jerky motions. Gradually increase the range within the patient's tolerance as the joint loosens. Duration period to perform the scooping motion is for 2 minutes per session 5 days a week for 4 weeks.

Group B will receive dynamic cupping therapy that involves using cups to create suction on the skin, which helps to promote blood flow, reduce inflammation, and relax muscles. Firstly, ensure that area is clean, assess elbow range of motion and pain levels choose the appropriate cup size for the elbow area apply a small amount of lubricant (e.g., silicone-based cream) to the area then place the cup on the skin, creating suction using a pump or manual technique. Gently move the cup in various directions (e.g., longitudinal, transverse, circular) to create shear forces. Focus on areas of tension or adhesions apply varying levels of suction to maintain comfort. Encourage active movement and make sure that patient move their elbow through range of motion while cupping. Duration period to perform the dynamic cupping is for 10 minutes per session 5 days a week for 4 weeks.

Inclusion Criteria:

• Children of age group 6-13
• Children with diagnosis of post-fracture elbow stiffness.
• Minimal immobilized period of 3 weeks
• Children with age group of both genders

Exclusion Criteria:

• Infection or tumers
• Neurological impairment
• Children with MSK disorders
• Metabolic bone disease
• Pathological fractures