Effects Of Instrument Assisted Soft Tissue Mobilization on Pain, Grip Strength and Functional Activity in Patients With Lateral Epicondylitis

University of Lahore

Status: Completed

Conditions: Tennis Elbow; Lateral Epicondylitis

Treatments: Device: Instrument Assisted Soft Tissue Mobilization (IASTM); Other: Conventional Physical Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05698108

ULahore Shazal Nazir

Details and patient eligibility

About

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.

Full 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.

Enrollment: 72 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups

Conventional Physcial Therapy Group

Active Comparator group

Description:

All participants received treatment 2 times a week for 4 weeks. Pre-treatment included a Moist hot pack for 10 minutes and traditional physical therapy included Cyriax Deep Friction Massage (DFM), Ultrasound therapy as well as strengthening and stretching exercises

Treatment:

Other: Conventional Physical Therapy

IASTM Group

Experimental group

Description:

Participants received Instrument Assisted Soft Tissue Mobilization Treatment 2 times a week for 4 weeks using Ergon IASTM tools.

Treatment:

Device: Instrument Assisted Soft Tissue Mobilization (IASTM)