Active Release Technique and Graston Technique in Patients With Lateral Epicondylitis

Sponsor

Riphah International University (Other)

Overall Status

Completed

CT.gov ID

NCT05070559

Collaborator

(none)

Enrollment

Location

Arms

3.5

Actual Duration (Months)

10.2

Patients Per Site Per Month

Study Details

Study Description

Brief 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

Condition or Disease	Intervention/Treatment	Phase
Lateral Epicondylitis	Other: Active Release Technique Other: Graston Technique Group	N/A

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

Study Design

Study Type:

Interventional

Actual Enrollment :

36 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Comparison of Active Release Technique and Graston Technique In Patients With Chronic Lateral Epicondylitis

Actual Study Start Date :

Nov 1, 2021

Actual Primary Completion Date :

Feb 16, 2022

Actual Study Completion Date :

Feb 16, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Active Release Technique Group Patients in this group will receive Active Release Technique along with conventional therapy	Other: Active Release Technique 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)
Experimental: Graston Technique Group Patients in this group will receive Instrumental Assisted Soft Tissue Mobilization along with conventional therapy	Other: Graston Technique Group 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)

Arm

Intervention/Treatment

Experimental: Active Release Technique Group

Patients in this group will receive Active Release Technique along with conventional therapy

Other: Active Release Technique

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)

Experimental: Graston Technique Group

Patients in this group will receive Instrumental Assisted Soft Tissue Mobilization along with conventional therapy

Other: Graston Technique Group

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)

Outcome Measures

Primary Outcome Measures

Numeric Pain Rating Scale [4 Weeks]
The Numeric Pain Rating Scale that is a unidimensional measure of pain intensity in adults. The 11-point numeric scale ranges from '0' representing one pain extreme (no pain) to '10' representing the other pain extreme (or "worst pain imaginable"). The intrarater reliability with ICC = 0.67.
Hand Dynamometer [4 Weeks]
hand dynamometer is the most reliable and acceptable tool for measuring grip strength. It detects and quantitatively determines the degree of weak grip strength. (ICC = 0.99)
Patient-Rated Tennis Elbow Evaluation [4 Weeks]
The Patient-Rated Tennis Elbow Evaluation questionnaire is a specific questionnaire available for assessing the functional status of patients with lateral epicondylitis. (ICC = 0.96)

Eligibility Criteria

Criteria

Ages Eligible for Study:

15 Years to 40 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Chronic lateral epicondylitis, complaints for at least 3 months or more
Pain intensity level between 3 to 6 on 0-10 point numerical pain rating scale

Exclusion Criteria:

Acute/ sub-acute lateral epicondylitis
Any cervical spine or any other upper limb dysfunction
Any other neurological disease, cardiovascular disease, osteoporosis
Bilateral complaints

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Rawal General Hospital Rawalpindi	Rawalpindi	Punjab	Pakistan	44000

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Sajjad Ali, Ms-OMPT, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05070559

Other Study ID Numbers:

Iqra Shabbir

First Posted:

Oct 7, 2021

Last Update Posted:

Apr 18, 2022

Last Verified:

Apr 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Riphah International University

lateral Epicondylitis

Graston Technique

Active Release Technique

Grip Strength

Additional relevant MeSH terms:

Tennis Elbow

Study Results

No Results Posted as of Apr 18, 2022