Recruiting

Multimodal Rehabilitation for Lateral Epicondylitis

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What is being tested

Multimodal physiotherapy

+ Conventional physiotherapy

Other
Who is being recruted

Elbow Tendinopathy+6

+ Elbow Injuries

+ Arm Injuries

From 18 to 45 Years
+8 Eligibility Criteria
See all eligibility criteria
How is the trial designed

Treatment Study

Interventional
Study Start: May 2024
See protocol details

Summary

Principal SponsorRiphah International University
Study ContactImran Amjad, PhDMore contacts
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: May 3, 2024

Actual date on which the first participant was enrolled.

This study investigates a condition known as lateral epicondylitis, often called "tennis elbow," which is a common problem affecting the elbow, especially among manual laborers. It occurs when certain tendons in the elbow become overused, leading to pain and difficulty in gripping objects. Traditionally, this condition can resolve on its own over time, but there is limited evidence on the effectiveness of treatments such as physiotherapy. This trial aims to explore a combination of treatments to see if they can significantly reduce pain and improve function and grip strength in people with lateral epicondylitis. By comparing this new approach to conventional methods, the study hopes to provide clearer guidance on effective treatments. Participants in this study will undergo a treatment plan that includes exercises and therapies designed to improve muscle coordination and strength. The treatment involves a mix of mobilization, eccentric strengthening, massage, and stretching exercises. The study aims to measure improvements by using a device called a dynamometer to accurately assess changes in grip strength. By conducting this trial with a larger group of participants and a controlled setup, researchers hope to eliminate previous biases and provide more reliable results on the effectiveness of the treatment.

Official TitleEffect Of Multimodal Approach On Rehabilitation Of The Patient With Lateral Epicondylitis: A Randomized Controlled Trial
NCT06686732
Principal SponsorRiphah International University
Study ContactImran Amjad, PhDMore contacts
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

40 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

From 18 to 45 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Elbow TendinopathyElbow InjuriesArm InjuriesMuscular DiseasesMusculoskeletal DiseasesTendon InjuriesTennis ElbowWounds and InjuriesTendinopathy

Criteria

4 inclusion criteria required to participate
Point tenderness at the lateral epicondyle

Positive Cozen test, Mill's test and Maudsely's test

Symptoms duration of minimum 2 months

Consenting to participate in the study

4 exclusion criteria prevent from participating
History of fracture in elbow, wrist or hand

History of surgery in elbow, wrist or hand region

Elbow conditions other than lateral epicondylitis

Cognitive deficits and not giving consent

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

2 intervention groups are designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Experimental
Experimental group included cold pack over lateral epicondyle, Passive stretching exercises in cervical spine and upper limb. Eccentric exercise of the extensor muscles associated with mobilization with movement.Neuromusclar Rehabilitation Excersise. Inhibition of points of tension in the belly of the extensor region. Early mobilization with movement with the wrist in extension. Lateral sustained glide.

Group II

Active Comparator
Control group included Cold pack, Extensor carpi radialis brevis stretching. Active ROM of wrist flexion and extension. Active ROM of elbow flexion, extension, supination and pronation. Manually resisting wrist extensors. Maitland elbow joint mobilization with 1 min of rest between sets.

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 3 locations

Recruiting

Muzaffar Khan Medical & Children Hospital

Wāh, PakistanOpen Muzaffar Khan Medical & Children Hospital in Google Maps
Recruiting

Riphah International Hospital, Sihala

Islamabad, Pakistan
Recruiting

DSK Physio & Rehab Center

Rawalpindi, Pakistan
Recruiting
3 Study Centers
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