Wrist Heavy Slow Resistance and Shoulder Stabilization Exercises on Pain, Grip Strength and Functional Ability in Lateral Epicondylitis

University of Faisalabad

Status: Enrolling

Conditions: Tennis Elbow; Lateral Epicondylitis

Treatments: Procedure: Shoulder stabilization exercises; Procedure: Wrist heavy slow resistance exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT07576829

TUF/EIRB/166/26

Details and patient eligibility

About

The study will compare the shoulder and wrist treatment approaches to determine their effect on elbow. Thirty-two medically stable participants with active shoulder and wrist movements will be enrolled into two groups. Both groups will receive structured training for six weeks. Outcomes will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper limb kinetic chain which is affected by lateral epicondylitis

Enrollment: 32 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both genders will be involved with ages 30-50. Patients who have had pain for the last 2 weeks with tenderness. Subjects who will have a positive cozen test. Also include those who have a radiological graph with normal bone and joint alignment of the upper limb.

Include those who will be clinically diagnosed with LE from the orthopedic OPD. A pain score of more than or equal to 4 in NPRS diagnosed as tennis elbow.

Exclusion criteria

• Those who will have pain on the lateral aspect of the elbow for 6 months or more than 6 months.

Subjects who will be diagnosed with cervical radiculopathy. Those who will have the injury and disease around the shoulder, elbow and wrist.

Those with a history of elbow surgery, open wound and infectious limb. Those with a history of rheumatoid arthritis and osteoarthritis. Those who have any fracture of the treatment side upper limb. systemic illness like bleeding disorders, anticoagulants, diabetes, and hypertension.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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32 participants in 2 patient groups

Group A: Wrist heavy slow resistance exercises with hot pack.

Experimental group

Description:

Hot pack applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Wrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.

Treatment:

Procedure: Wrist heavy slow resistance exercises

Group B: Shoulder stabilization exercises with hot pack.

Active Comparator group

Description:

Hot pack applied to target muscles (depending on requirement of patient like shoulder stabilizers) with 15-20 minutes duration Treatment: This trial include the shoulder stabilization exercises performed with the help of theraband by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis. Sessions conducted 3 times/week for 6 weeks.

Treatment:

Procedure: Shoulder stabilization exercises