Clinical trial NCT05698108: Effects Of Instrument Assisted Soft Tissue Mobilization on Pain, Grip Strength and Functional Activity in Patients With Lateral Epicondylitis
Official title: Effects Of Instrument Assisted Soft Tissue Mobilization Using Ergon Technique on Pain, Grip Strength and Functional Activity in Patients With Lateral Epicondylitis: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lateral Epicondylitis
Tennis Elbow
Keywords: IASTM
Lateral Epicondylitis
tennis elbow
pain
grip strength
functional activity
Lead sponsor: University of Lahore
Sponsor class: OTHER
First posted: 2023-01-26
Enrollment: 72
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized Controlled Trial
Primary purpose: TREATMENT

Brief summary: This study aimed to find the effects of Instrument Assisted Soft Tissue Mobilization (IASTM) using Ergon Tools on pain, grip strength and functional activity among patients diagnosed with Lateral epicondylitis.

The study concluded that IASTM is effective in improving pain, grip strength and functional activity in patients with lateral epicondylitis.

Detailed description: Background: Lateral Epicondylitis is a type of "repetitive strain injury" that causes pain on the lateral portion of the elbow, especially while gripping and applying resistance to the forearm's extensor muscles, both men and women are equally affected by it. Traditional Physical Therapy has failed to improve the disorders caused by LE, Instrument Assisted Soft Tissue Mobilization is a new approach for its treatment a lot of tools are being used and Ergon Tools are among one of them, very less data is available for its efficacy in lateral epicondylitis patients.

Objective: To compare the effects of Instrument Assisted Soft Tissue Mobilization using Ergon Technique on pain, grip strength and functional activity in patients with lateral epicondylitis.

Methodology: 72 individuals with lateral epicondylitis pre-diagnosed by an orthopedic surgeon, are assessed from Sikander Medical Complex, Gujranwala. After fulfilling the inclusion criteria, the participants are randomly divided into two groups, 36 participants receiving IASTM using Ergon Tools and 36 participants received conventional physical therapy. Both groups receive treatment 2 times a week for 4 weeks. Outcome measures are pain (VAS), grip strength (handheld dynamometer), and functional mobility (PRTEE) collected at the baseline, 1st week, and 4th week.

Eligibility criteria: Inclusion Criteria:

* Both Male and Female Patients
* Patients between the age group 20-50 years
* Sub-acute Patients having symptoms for \> 6 weeks and \< 3 months.
* Patients who had pain rating from 5 to 9 in VAS will be included
* Patients with Positive Cozens test, Mill's test

Exclusion Criteria:

* Patients with any surgical or trauma history of the elbow
* Rheumatoid Arthritis and Malignancies
* Cervical Radiculopathy patients who have referred pain in the elbow
* Loss of Passive ROM in extension
* Active infections such as, Bursitis, Calcification of the soft tissues, Fragile skin, Hyper Mobility \& Joint Effusion
* Hemophilic Patients
* Osteoporosis
* Patients with history of getting treatment with Steroid Injections will be excluded.

Primary outcomes:
measure: Pain (mild to severe)
timeFrame: 4 weeks
measure: Grip Strength
timeFrame: 4 weeks
measure: Functional Activity
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Gujrānwāla
country: Pakistan
facility: Sikander Medical Complex
state: Pujab
Study officials:
affiliation: University of Lahore
name: Shazal Nazir, DPT
role: PRINCIPAL_INVESTIGATOR
References: