Comparison of Mobilization and MET Post-Traumatic Elbow Stiffness (MET)

Comparison of Mobilization and Muscle Energy Technique in Patients With Post-Traumatic Elbow Stiffness

The purpose of this study is to find the effects of Mobilization and Muscle energy technique in patients with post-traumatic elbow stiffness.

Study Overview

• Status: Completed
• Conditions: Elbow Fracture
• Intervention / Treatment: Other: Mobilization; Other: Muscle Energy Technique

Detailed Description

A randomized control trial was conducted at Benazir Bhutto Hospital, Rawalpindi. The sample size with reference to parent article was 10 calculated through open epi tool. But 30 patients were included in the study to increase the statistical power of analysis. The participants were divided into two interventional groups i.e. Group A and Group B, each having 15 participants. The study duration was 1 year. Sampling Technique applied was non probability purposive sampling technique. Random Allocation will be through sealed envelope method into two treatment group i.e. Group A and Group B. Only 18-35 years old patients (both male and female) with Post-traumatic elbow stiffness were included in the study. Tools that were used in the study are NPRS, DASH questionnaire, TAMPA scale and Goniometer. Total duration of treatment for both groups was 3 weeks, 3 days a week. Pre and post assessment was done. Data was analyzed through SPSS version 23.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Rawalpindi, Punjab, Pakistan, 46300
      • Benazir Bhutto Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 35 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients with post-operative elbow stiffness after distal end extra-articular humerus fractures.
• Patients with proximal radius ulna fractures.
• Minimum immobilization period of 3 weeks

Exclusion Criteria:

• Any ligament injury
• Patients with Diabetes
• Patients with RA
• Patients with Pathological fractures
• Revision surgeries
• Neuro-vascular disorders.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Mobilization; Mobilizations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals. Oscillations for 2 minutes at 2-3 oscillations per second.	Other: Mobilization; Hot pack for ten minutes. Active and active-assisted exercises for the: Elbow flexion and extension; Wrist flexion and extension; Forearm supination and pronation; Lock and key exercises.; Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;; Elbow flexion and extension; Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Mobilisations are performed with minimum 6 seconds distraction stretch followed by partial release then followed by slow intermittent stretch at 3-4 seconds intervals.3 days per week for 3 weeks. Oscillations for 2 minutes at 2-3 oscillations per second.; Other Names: Hot pack; Range of Motion Exercises; Isometrics
EXPERIMENTAL: Muscle Energy Technique; Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.	Other: Muscle Energy Technique; Hot pack for ten minutes. Active and active-assisted exercises for the: Elbow flexion and extension; Wrist flexion and extension; Forearm supination and pronation; Lock and key exercises.; Shoulder flexion, extension, abduction, adduction, and rotation (10 repetitions x 1sets) Low-intensity isometric resistance exercises for;; Elbow flexion and extension; Forearm supination and pronation (10 sec hold) (10 repetitions x 1 set) Resistance will be provided manually by the therapist. Along all these exercises Muscle Energy Technique is given in the form of post isometric relaxation with 5-7 sec hold for 8-10 repetitions followed by a gentle passive stretch. Only 20% resistance is offered to the isometric contraction.3 days per week for 3 weeks.; Other Names: Hot pack; Range of Motion Exercises; Isometrics

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric pain rating scale	Changes from baseline Numeric pain rating scale is a self-administered, or analyst reported, measuring instrument comprising of a scale that shows numerical ranges usually from 0-10 or 0-100. In this scale extreme or farthest point shows having 'no pain' to having 'extreme pain'.	3rd week
ROM Elbow (Flexion)	Changes from baseline range of motion( ROM) of elbow joint flexion is taken by using Goniometer.	3rd week
ROM Elbow (Extension)	Changes from baseline range of motion( ROM) of elbow joint extension is taken by using Goniometer.	3rd week
ROM Forearm (Supination)	Changes from baseline range of motion( ROM) of forearm supination is taken by using Goniometer.	3rd week
ROM Forearm (Pronation)	Changes from baseline range of motion (ROM) of forearm pronation is taken by using Goniometer.	3rd week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Disability	Changes from baseline disability is measured through DASH (Disability of the arm, shoulder and hand) questionnaire. DASH questionnaire is a self reported area specific outcome measuring tool for symptoms and disabilities in upper limb. It mainly comprise of a 30-items scale which is further consist of questions related to difficulty in performing normal daily activities, scored on 5 response options. Scores for these 30 items then calculate on a scale of 0 (no disability) to 100 (most severe disability)	3rd week
kinesiophobia (fear of movement)	Changes from baseline kinesiophobia is measured through Tampa scale which is a 17 item scale. Total scores of this scale ranges from 17-68. Where 17 means no kinesiophobia and 68 means severe kinesiophobia while score of ± 37 indicates that there is kinesiophobia.	3rd week

Collaborators and Investigators

• Sponsor: Riphah International University

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 18, 2021
• Primary Completion (ACTUAL): January 30, 2022
• Study Completion (ACTUAL): January 30, 2022

Study Registration Dates

• First Submitted: February 20, 2022
• First Submitted That Met QC Criteria: February 20, 2022
• First Posted (ACTUAL): February 28, 2022

Study Record Updates

• Last Update Posted (ACTUAL): February 28, 2022
• Last Update Submitted That Met QC Criteria: February 20, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Keywords: Pain; Disability; Fracture; Elbow; Post Traumatic Elbow Stiffness
• Additional Relevant MeSH Terms: Wounds and Injuries; Fractures, Bone
• Other Study ID Numbers: Riphah/RCRS/REC/00939

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No