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

May 4, 2026 updated by: Dr Izza Ayub; PT, University of Faisalabad

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

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

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

32

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Dr Izza Ayub Assistant Professor
  • Phone Number: +92- 041- 8868326- 30
  • Email: drizzaayub@gmail.com

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

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.

Study Plan

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

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A: Wrist heavy slow resistance exercises with hot pack.
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.
Procedure: Wrist heavy slow resistance exercises
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.
Active Comparator: Group B: Shoulder stabilization exercises with hot pack.
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.
Procedure: Shoulder stabilization exercises
This trial include the shoulder stabilization exercises performed with the help of thera-band by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain
Time Frame: Six weeks
Pain will be measured with the help of Numeric Pain Rating Scale (NPRS). This scale is validated to measure the pain in both upper and lower limb.
Six weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Grips strength and Functional Ability
Time Frame: Six weeks
Dynamometer will be used to measured to grip strength on the wrist, and patient rated tennis elbow questionnaire will be used to evaluate the functional ability. Both tools are validated to measure these outcomes and have accuracy to target these measures
Six weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Faisalabad

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 2, 2026

Primary Completion (Estimated)

June 2, 2026

Study Completion (Estimated)

June 2, 2026

Study Registration Dates

First Submitted

May 4, 2026

First Submitted That Met QC Criteria

May 4, 2026

First Posted (Actual)

May 8, 2026

Study Record Updates

Last Update Posted (Actual)

May 8, 2026

Last Update Submitted That Met QC Criteria

May 4, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TUF/EIRB/166/26

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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