Adding Neural Mobilization to Mulligan Technique for Treatment of Patients With Chronic Tennis Elbow

Summary

The study aimed to assess the combined effect of neural mobilization and mulligan technique on pain ,functional disability and grip strength in patients with tennis elbow

Conditions

• Tennis Elbow

Interventions

OTHER

Group A : receive neural mobilization for radial nerve , mulligan mobilization with movement and conventional Therapy

Group A :Neural Mobilization for radial nerve, Mulligan Mobilization with Movement and Conventional neural mobilization for radial nerve: The physiotherapist holds the patient's arm and wrist while the patient reclined on his side then depress the shoulder, extend the elbow and then internally rotated the patient's arm. The patient's wrist, thumb, and fingers were all flexed, and the patient's ulnar was brought to deviation. While the patient's position was maintained, and the arm was abducted and then contralateral cervical side bending Mulligan mobilization with movement manual lateral glide MWM with gripping: Patient: Supine with upper limb fully supported on a treatment table. Treated body part: Relaxed extension of the elbow, shoulder internal rotation, with pronation of the forearm. Hands loosely around the grip dynamometer handles. Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session, conventional ; Ultrasound therapy , stretching and strengthening for

OTHER

Group B receive neural mobilization for radial nerve and conventional

Group B receive neural mobilization for radial nerve and conventional neural mobilization for radial nerve: The physiotherapist holds the patient's arm and wrist while the patient reclined on his side then depress the shoulder, extend the elbow and then internally rotated the patient's arm. The patient's wrist, thumb, and fingers were all flexed, and the patient's ulnar was brought to deviation. While the patient's position was maintained, and the arm was abducted and then contralateral cervical side bending conventional ; Ultrasound therapy , stretching and strengthening for wrist flexors and extensors

OTHER

Group C receive Mulligan mobilization with movement and conventional

Group C receive Mulligan mobilization with movement and conventional Mulligan mobilization with movement manual lateral glide MWM with gripping: Patient: Supine with upper limb fully supported on a treatment table. Treated body part: Relaxed extension of the elbow, shoulder internal rotation, with pronation of the forearm. Hands loosely around the grip dynamometer handles. Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session, conventional ; Ultrasound therapy , stretching and strengthening for wrist flexors and extensors

OTHER

Group D receive conventional

Group D receive conventional : Ultrasound therapy , stretching and strengthening for wrist flexors and extensors

Sponsors & Collaborators

• Safaa Radi Saber

  lead OTHER

Principal Investigators

• Maher Ahmed Elkeblawy Professor of physical Therapy,Department of Basic Science, Professor of physical Therapy · Professor of physical Therapy ,Department of Basic Science , Faculty of Physical Therapy Cairo University

• Mariam Omran Grace Lecturer of Physical Therapy .Basic Science . cairo university, Lecturer of Physical Therapy . · Lecturer of Physical Therapy .Basic Science . cairo university

• Mohamed Ali Hashish Lecturer of orthopedic and spine surgery, Cairo university,, Lecturer · Lecturer of orthopedic and spine surgery , Cairo university ,kasr Al-ainy

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-01-01

Primary Completion

2025-06-01

Completion

2025-06-01

Countries

• Egypt

Study Locations