COMPARATIVE EFFECTS OF DRY NEEDLING AND NEURAL MOBILIZATION ON PAIN, STRENGTH AND RANGE OF MOTION IN PATIENTS WITH GOLFER'S ELBOW (DN-NM-GE)
調査の概要
詳細な説明
Golfer's Elbow (Medial Epicondylitis) is a common musculoskeletal disorder characterized by pain and tenderness over the medial epicondyle of the elbow, often associated with repetitive wrist flexion and forearm pronation activities. The condition can lead to decreased grip strength, restricted range of motion, and impaired functional performance, affecting daily activities and quality of life.
Various physiotherapy interventions have been used for the management of Golfer's Elbow, including Dry Needling and Neural Mobilization. Dry Needling is a technique that targets myofascial trigger points to reduce pain, improve blood flow, and restore muscle function. Neural Mobilization aims to restore the normal mobility and physiological function of peripheral nerves by reducing neural tension and improving neural mechanics.
The purpose of this randomized clinical trial is to compare the effectiveness of Dry Needling and Neural Mobilization in reducing pain, improving grip strength, and increasing range of motion in patients with Golfer's Elbow. Eligible participants will be randomly assigned to one of two intervention groups. Baseline assessments will be conducted before treatment, followed by post-intervention assessments after completion of the treatment protocol.
Primary outcome measures will include pain intensity, assessed using a validated pain scale, while secondary outcomes will include grip strength and elbow/wrist range of motion. Data collected will be analyzed to determine whether one intervention demonstrates superior clinical outcomes compared to the other.
The findings of this study are expected to provide evidence regarding the comparative effectiveness of these commonly used physiotherapy interventions and may assist clinicians in selecting appropriate treatment strategies for patients with Golfer's Elbow.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Punjab Province
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Lahore、Punjab Province、パキスタン、54000
- Green International University
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参加基準
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
• Both male and female patients were included.
- Diagnosis of Medial Epicondylitis by spiral test clinically confirmed by orthopaedic.
pain is limited on medial epicondyle
- Pain reproduced with resisted wrist flexion and/or forearm pronation.
- Aged between 18-40 years
- Acute to Subacute stage (≥ 6 weeks and ≤ 12 months
- NPRS score ≥ 4/10 at baseline
Exclusion Criteria:
• History of Other elbow pathologies e.g (Lateral epicondylitis , Olecranon bursitis ,Ligament injuries)
- Radial or ulnar neuropathies not associated with medial epicondylitis.
- Systemic or inflammatory conditions affecting tendons, such as rheumatoid arthritis
- Diabetes with neuropathy (unless controlled and neuropathy absent)
- Previous surgical procedures around the elbow or wrist within the past 6 months
- Corticosteroid injection, PRP or shockwave therapy within the last 3 months
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Dry needling
Participants will receive dry needling combined with conventional physiotherapy twice weekly for 6 weeks
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Participants will receive dry needling to the affected forearm muscles along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion
Participants will receive neural mobilization techniques along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion.
|
|
実験的：Neural mobilization
Participants will receive neural mobilization combined with conventional physiotherapy twice weekly for 6 weeks
|
Participants will receive dry needling to the affected forearm muscles along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion
Participants will receive neural mobilization techniques along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pain intensity
時間枠：Baseline and at 6 weeks post-intervention
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Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS).
The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores represent greater pain intensity.
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Baseline and at 6 weeks post-intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Grip strength
時間枠：Baseline and at 6 weeks post-intervention
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Grip strength will be measured using a hand dynamometer.
Higher values indicate greater muscle strength.
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Baseline and at 6 weeks post-intervention
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Range of motion
時間枠：Baseline and at 6 weeks post-intervention
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Elbow and wrist range of motion will be measured using a standard goniometer.
Higher values indicate improved joint mobility.
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Baseline and at 6 weeks post-intervention
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協力者と研究者
捜査官
- 主任研究者：Prof Dr Fahad Tanveer、Green international University lahore
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- GIU/REC/26-41
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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Dry needlingの臨床試験
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Universidade Federal FluminenseUniversidade Estadual de Ponta Grossa積極的、募集していない