Active Release Technique and Graston Technique in Patients With Lateral Epicondylitis
Condition: Lateral Epicondylitis
MeSH terms: Tennis Elbow
Study type: Interventional

Summary: 
      This study will be a randomized control trial and will be conducted in Pakistan Railway
      Hospital Rawalpindi. A sample of 36 participants will be taken. Patients will be divided into
      two groups by sealed envelop method. Patients in group A will receive Active Release
      Technique along with conventional therapy while Patients in group B will receive instrument
      assisted soft tissue mobilization along with conventional therapy. The study includes
      intervention protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks. The
      outcome measures Numeric pain rating scale(NPRS), Hand Dynamometer and Patient-Rated Tennis
      Elbow Evaluation (PRTEE) will be measured at baseline and at the end of 4th week. Data will
      be analyzed by SPSS 25
    

Detailed description: 
      Lateral epicondylitis is an injury caused by overusing the elbow. It is characterized by
      tenderness and pain over the lateral epicondyle of the elbow. It is not exactly a condition
      involving inflammation rather a chronic degeneration of the tendon. The major symptom of
      lateral epicondylitis is presentation or complaint of sharp pain at the lateral side of the
      elbow with swelling
    

Intervention name(s): Active Release Technique; Graston Technique Group
Intervention type(s): Other; Other
Intervention description(s): Patients in this group will receive Active Release Technique along with conventional therapy. ART will be given with patient seated, elbow flexed and resting on the treatment table, forearm in midprone & wrist in neutral position and then the therapist will work on the common extensor tendon by applying pressure to the tendon distal to their attachment at the elbow. The patient will start with the elbow bent and wrist straight. As the therapist hold the muscles, the patient will extend the elbow and pronate and flex the wrist while the therapist move the pressure proximally, attempting to release adhesions around and between muscle planes. Total of 15 repetitions for of 10 minutes.
CONVENTIONAL THERAPY:
Hot pack for 15 minutes
TENS for 15 minutes
Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes); Patients in this group will receive IASTM along with conventional therapy. In graston technique proper application of GT3 which include application of a cream to the common extensor tendon. The GT3will be then used to common extensor tendon. In areas of increased tissue restriction, more required pressure with GT3 is applied using increased force and shorter strokes over the areas of restriction. Ice will be offered as needed for pain management after each session.
The study includes interventional protocol of 4 weeks. The sessions will be given 3 times a week for 4 weeks.
CONVENTIONAL THERAPY:
Hot pack for 15 minutes
TENS for 15 minutes
Ultrasound (pulsed mode, 1MHz at 1.5 W/cm2 for 5 minutes)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: lateral Epicondylitis; Graston Technique; Active Release Technique; Grip Strength