此页面是自动翻译的，不保证翻译的准确性。请参阅 英文版 对于源文本。

Comparative Effects of Multiple Angle Isometrics vs Standard Isometric Exercise in Lateral Epicondylitis

2026年9月28日 更新者：Ibadat International University, Islamabad

Comparative Effects of Multiple Angle Isometrics vs Standard Isometric Exercise in Lateral Epicondylitis:A Randomized Controlled Trial

Lateral Epicondylitis is one of the most common musculoskeletal conditions affecting 1-3% of population.Various terminologies are used to describe the disease like tendinitis of extensor carpi radialis brevis muscle (ECRB), periostitis and radial epicondylitis, lateral epicondylitis is still the most used terminology in literature. Research shows that LE mainly targets population which is active with poor nutrition habits and biomechanical faults thus affecting their job and social life. Pain is seen to be activity dependent and is triggered via excessive muscle activity.

研究概览

地位

完全的

条件

干预/治疗

详细说明

Lateral epicondylitis (tennis elbow) is a frequent musculoskeletal condition, which involves pain, decreased grip strength and functional impairments due to a degeneration of the common extensor tendon. Despite the fact that isometric exercises are widely applied in the conservative treatment of lateral epicondylitis for their analgesic and strengthening properties, the most effective way of isometric training is not known. Multiple Angle Isometric (MAI) exercises are designed to engage a larger number of muscle fibres, increase neuromuscular activation and strengthen muscles across their entire range of motion than single angle isometric exercises.

The objective of this randomized controlled trial is to determine the effectiveness of the Multiple Angle Isometric (MAI) exercise to reduce pain, strengthen the wrist extensor muscles and increase upper limb function in patients with lateral epicondylitis when compared with the Standard Isometric (SI) exercise. The total number of participants is 36 with acute and sub acute lateral epicondylitis and will be sampled by non-probability purposive sampling and divided into two intervention groups by random allocation. All subjects will then be given the same initial treatment (hot pack and Transcutaneous Electrical Nerve Stimulation [TENS]) and then their respective exercise protocols. The intervention will take place three times a week for four weeks.

The Numeric Pain Rating Scale (NPRS) will be used to assess pain intensity, Camry digital hand dynamometer to assess wrist extensor grip strength, and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire will be used to assess functional disability. Measurements will be taken pre- and post- and post-4 weeks after completion of the intervention. This study's results will give physiotherapists evidence for comparative effectiveness of the Multiple Angle Isometric and Standard Isometric exercise protocols to choose the most effective rehabilitation approach for lateral epicondylitis and optimal patient outcomes.

研究类型

介入性

注册 (实际的)

36

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 巴基斯坦
    • Punjab Province
      • Islamabad、Punjab Province、巴基斯坦、4000
        • Akbar Niazi Teaching Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

25年 至 35年 (成人)

接受健康志愿者

不

有资格学习的性别

全部

描述

  • Inclusion Criteria:
  • Adults aged 25-35 years.
  • Clinically diagnosed with acute or subacute lateral epicondylitis.
  • Patients with ≥3 out of the following 5 positive clinical tests:
  • Pain on palpation over the lateral epicondyle.
  • Cozen's test positive.
  • Mill's test positive.
  • Maudsley's test positive.
  • Acute or subacute clinical presentation.
  • Willing to participate and provide written informed consent.
  • Exclusion Criteria:
  • Cervical spine disorders.
  • Chronic lateral epicondylitis.
  • Elbow deformity (fracture, previous surgery, contracture, etc.).
  • Diabetes mellitus.
  • Steroid injection at the lateral epicondyle within the previous 3 months.
  • Rheumatoid arthritis or other neurological or muscular disorders.
  • Previous elbow injury.
  • Arthritic changes or calcifications around the elbow joint on radiographs. Malignancy.
  • Pregnancy.
  • Corticosteroid injection to the lateral epicondyle within the previous 6 weeks.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Group A-Multiple Angle Isometrics (MAI)

Participants will be given baseline treatment with a hot pack and Transcutaneous Electrical Nerve Stimulation (TENS), then the exercises will be therapist-supervised multiple angle isometric wrist extensors at neutral, 15° and 30° wrist extension. There will be 3 sets of 10 repetitions for each exercise with 6-second hold (Weeks 1-2) followed by 12-second hold (Weeks 3-4) with 1-minute rest between sets, 3 times per week, 4 weeks total.
其他：Multiple Angle Isometrics Exercises

Baseline treatment with a hot pack and Transcutaneous Electrical Nerve Stimulation (TENS), then the exercises will be therapist-supervised multiple angle isometric wrist extensors at neutral, 15° and 30° wrist extension. There will be 3 sets of 10 repetitions for each exercise with 6-second hold (Weeks 1-2) followed by 12-second hold (Weeks 3-4) with 1-minute rest between sets, 3 times per week, 4 weeks total.
有源比较器：Group B - Standard Isometric Exercise

Participants will get the same baseline treatment (hot pack and TENS) and then do therapist supervised standard isometric wrist extensor exercises at a single (neutral) wrist position, with the same dosage and frequency (3 sets × 10 repetitions, 6-second hold during Weeks 1-2, 12-second hold during Weeks 3-4, 3 sessions per week for 4 weeks).
其他：Standard Isometric Exercsises

Baseline treatment (hot pack and TENS) and then do therapist supervised standard isometric wrist extensor exercises at a single (neutral) wrist position, with the same dosage and frequency (3 sets × 10 repetitions, 6-second hold during Weeks 1-2, 12-second hold during Weeks 3-4, 3 sessions per week for 4 weeks).

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Numeric Pain Rating Scale (NPRS)
大体时间：Baseline, Week2 , Week 4

Assesses pain intensity using an 11-point numerical scale (0-10).
Baseline, Week2 , Week 4
Grip Strength (Camry Digital Hand Dynamometer)
大体时间：Baseline, 2 Week, 4 Week

Assess wrist extensor grip strength using a digital hand dynamometer.
Baseline, 2 Week, 4 Week
Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire
大体时间：Baseline, 2 Week, 4 Week

Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is a standardized tool that relies on patient-reported outcomes to evaluate function and disability in the upper limbs. It includes 30 questions designed to assess how symptoms affect daily tasks and physical abilities. Scores are calculated on a scale from 0 to 100, where higher values reflect more severe disability.
Baseline, 2 Week, 4 Week

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Ibadat International University, Islamabad

调查人员

  • 首席研究员：Maria Fatima Mughees, DPT、Akbar Niazi Teaching Hospital

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年1月11日

初级完成 (实际的)

2026年3月10日

研究完成 (实际的)

2026年6月10日

研究注册日期

首次提交

2026年9月23日

首先提交符合 QC 标准的

2026年9月28日

首次发布 (实际的)

2026年9月29日

研究记录更新

最后更新发布 (实际的)

2026年9月29日

上次提交的符合 QC 标准的更新

2026年9月28日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • Ref no: IIUI/RERC/ADT/2026/02/

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

订阅