Effects of Battle Rope Training on ROM and Pain in Children With Post Traumatic Elbow Contractures.

Riphah International University

Status: Enrolling

Conditions: Children, Adult

Treatments: Other: Battle Rope Training; Other: Stretching and Heat Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07248475

REC/RCR&AHS/Azlfakarim

Details and patient eligibility

About

The primary objective of this study is to assess the effectiveness of battle rope training in improving ROM, reducing pain, and enhancing overall elbow function in children with post-traumatic elbow contracture. By comparing standard therapy alone to standard therapy plus battle rope training, the study aims to determine if this added intervention leads to greater improvements in functional mobility and pain relief.In this randomized controlled trial, participants will be divided into two groups: a control group, receiving standard treatment (ROM exercises, stretching, and heat therapy), and an intervention group, receiving the same standard treatment plus battle rope training. ROM exercises and stretching will focus on gentle elbow flexion and extension to enhance flexibility, while heat therapy will prepare muscles for movement.

The intervention group will additionally perform 10-15 minutes of battle rope training, involving dynamic movements that engage the upper body and increase joint activation. Pre- and post-intervention assessments using a goniometer for ROM, the Flynn scoring system for functional and cosmetic outcomes, and the Visual Analogue Scale (VAS) for pain will provide comprehensive data on the effectiveness of the intervention

Full description

Post-traumatic elbow contracture is a common condition in children following elbow injuries, leading to restricted range of motion (ROM), pain, and reduced arm function. Standard treatments often include stretching, heat therapy, and ROM exercises to improve joint mobility and reduce discomfort. However, new approaches such as battle rope training, which is typically used for dynamic strength and endurance, may provide additional benefits by engaging upper body muscles and enhancing functional movement in children with contractures. This study explores whether incorporating battle rope training into a standard rehabilitation program can yield better outcomes than traditional therapy alone.

The primary objective of this study is to assess the effectiveness of battle rope training in improving ROM, reducing pain, and enhancing overall elbow function in children with post-traumatic elbow contracture. By comparing standard therapy alone to standard therapy plus battle rope training, the study aims to determine if this added intervention leads to greater improvements in functional mobility and pain relief.In this randomized controlled trial, participants will be divided into two groups: a control group, receiving standard treatment (ROM exercises, stretching, and heat therapy), and an intervention group, receiving the same standard treatment plus battle rope training. ROM exercises and stretching will focus on gentle elbow flexion and extension to enhance flexibility, while heat therapy will prepare muscles for movement.

The intervention group will additionally perform 10-15 minutes of battle rope training, involving dynamic movements that engage the upper body and increase joint activation. Pre- and post-intervention assessments using a goniometer for ROM, the Flynn scoring system for functional and cosmetic outcomes, and the Visual Analogue Scale (VAS) for pain will provide comprehensive data on the effectiveness of the intervention. This study seeks to offer new insights into pediatric rehabilitation, potentially introducing an effective and engaging therapy option for managing elbow contracture in children

Enrollment: 42 estimated patients

Sex: All

Ages: 8 to 15 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 8 to 15
• Children Suffering from Post-Traumatic Elbow Contracture
• Written informed consent obtained from the parents or guardians
• Participants must report a pain level of at least 3 on a visual analog scale (VAS)
• Children must be able to follow instructions and participate in physical activities.
• Children without any other co-existing illness like Burn Contractures
• Either gender will be included

Exclusion criteria

• Post Traumatic Contracture other than Elbow region
• Known allergies to materials used in battle rope training.
• Children who are unable to commit to the training schedule or follow-up assessments.
• Use of medications that may affect pain perception or muscle function, such as opioids or muscle relaxants.
• Burn Contracture.
• Presence of other significant musculoskeletal disorders or neurological conditions affecting the elbow.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Battle Rope Training

Active Comparator group

Description:

Group A will perform Baseline treatment with Battle rope trining.The intervention group will follow the same baseline rehabilitation program of ROM exercises, stretching, and heat therapy as the control group to ensure a consistent foundation for all participants. However, in addition to these therapies, the intervention group will engage in Battle Rope Training designed to further enhance muscle activation, endurance, and joint mobility. All five exercises will be performed 5 days a week with 2 sets.A 12.8-m TR (4.1 kg) was used for all trials.

Treatment:

Other: Battle Rope Training

ROM, Stretching and Heat Therapy

Active Comparator group

Description:

The control group will receive Range of Motion (ROM) exercises, stretching, and heat therapy to manage post-traumatic elbow contracture. ROM Exercises will focus on gentle flexion and extension movements to gradually improve joint mobility . These exercises will be performed daily.Stretching exercises will target the muscles surrounding the elbow specifically designed to lengthen and relax the soft tissues that may contribute to contracture. These stretches will be held for 15-30 seconds and repeated several times per session to facilitate flexibility without overstressing the joint. Heat Therapy will be applied to the affected area . Heat will be applied for approximately 10-15 minutes. This combined approach aims to provide standard care that helps alleviate stiffness, manage pain, and improve functional movement over time, without the addition of the battle rope intervention

Treatment:

Other: Stretching and Heat Therapy