Clinical trial NCT06087081: Mills Manipulation and Mulligan PRP Affect Pain, Grip Strength and Function on Lateral Epicondylitis
Official title: Effects of Mills Manipulation With and Without Mulligan Pain Release Phenomena on Pain, Hand Grip Strength and Function in Patients With Lateral Epicondylitis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lateral Epicondylitis
Keywords: Lateral Epicondylitis
Elbow
Pain
Tennis Elbow
Mills Manipulation
Mulligan
Pain Release Phenomena
Hand Grip Strength
Elbow Function
NPRS
PRTEE
Hand Held Dynamometer
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-10-17
Enrollment: 38
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to find the comparative effects of mills manipulation with or without Mulligan pain release phenomena on the pain, grip strength, and function in patients with Lateral Epicondylitis. The results of this study will provide clinicians with valuable insights into the most effective treatment approach for lateral epicondylitis, enabling them to stay up-to-date with the latest practice methods and optimize patient care.


Eligibility criteria: Inclusion Criteria:

* Subjects diagnosed with lateral epicondylitis with positive Cozen test
* NPRS \>3
* Both male and female patients
* Sub-acute lateral epicondylitis \>4weeks-\<3 months
* Subjects with age range 20-40 year

Exclusion Criteria:

* Acute lateral epicondylitis
* Subjects with elbow and around elbow fracture
* Subjects with ligament injury around elbow joint
* Any neurological conditions
* Any open wounds around the area of elbow
* Hyper-sensitive skin, skin allergies, diagnosed subjects with malignancy, diagnosed subjects skin diseases, diagnosed subjects with systemic illness
* Traumatic injury to the elbow joint

Primary outcomes:
measure: Numeric Pain Rate Scale
timeFrame: 4th Week
measure: Hand Held Dynamometer
timeFrame: 4th Week
measure: Patient-Rated Tennis Elbow Evaluation
timeFrame: 4th Week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Ittefaq Hospital Trust
state: Punjab
Study officials:
affiliation: Riphah International University
name: Humera Mubashar, MS
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Fahmy FS, ElAttar M, Salem HF. Hand-Grip Strength and Return to Heavy Manual Work at a Mean 5-Year Follow-up After Arthroscopic Release of Recalcitrant Lateral Epicondylitis. Orthop J Sports Med. 2022 Feb 24;10(2):23259671221078586. doi: 10.1177/23259671221078586. eCollection 2022 Feb.
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citation: 1. Runge F. Zur genese und behandlung des schreibekrampfes. Berl Klin Wochenschr. 1873;10(1):245-8.
citation: 9. Sahu RK. A Comparative Study of Effectiveness of Mulligan's Mobilisation with Movement and Cyriax Deep Transverse Friction along with Mill's Manipulation in Individuals with Chronic Lateral Epicondylitis. 2020.
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citation: 11. Zami MDZ, Pristianto A, Nasrullah N. The Effectiveness of Mulligan Mobilization With Movement (MWM) in Lateral Epicondylitis: a Critical Review. FISIO MU: Physiotherapy Evidences. 2023;4(1).
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