An interventional study of Muscle Energy Technique Combined With Mulligan Technique and Mulligan Mobilization With Movement in Lateral Epicondylitis and Tennis Elbow, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-05-22.
Sponsored by University of Lahore · Not applicable, Interventional, and Treatment
This randomized controlled trial aims to evaluate the effectiveness of Muscle Energy Technique (MET) combined with Mulligan Mobilization With Movement (MWM) in patients with lateral epicondylitis (tennis elbow). The study compares the combined intervention with Mulligan technique and routine physical therapy alone. Outcomes including pain intensity, functional disability, and quality of life will be assessed using NPRS, PRTEE, and SF-8 questionnaires over a four-week treatment period.
Lateral epicondylitis, commonly known as tennis elbow, is a musculoskeletal disorder characterized by pain and reduced functional ability affecting the lateral aspect of the elbow. It commonly results from repetitive wrist extension and forearm movements leading to overuse of the extensor tendons.
Conservative physiotherapy management including manual therapy and therapeutic exercises is widely used for the treatment of lateral epicondylitis. Mulligan Mobilization With Movement (MWM) has shown beneficial effects in reducing pain and improving grip strength and functional mobility. Muscle Energy Technique (MET) is another manual therapy approach that may help improve joint mobility, muscle flexibility, and pain reduction through controlled isometric contractions.
This study aims to determine whether combining MET with Mulligan technique provides superior clinical outcomes compared to Mulligan technique alone in patients with tennis elbow.
Participants will be randomly allocated into two groups:
Experimental Group: MET + MWM + Routine Physical Therapy Control Group: MWM + Routine Physical Therapy
Treatment will be provided five sessions per week for four weeks. Outcomes will be assessed at baseline and after completion of the intervention period.
284 studies on the registry are indexed under Tennis Elbow; 60 are open to participants now.
This study's enrollment of 40 is below the median of 50 across 253 interventional studies indexed under Tennis Elbow.
Browse Tennis Elbow studies →University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.
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Exclusion Criteria:
Participants in this group will receive Muscle Energy Technique combined with Mulligan Mobilization With Movement along with routine physical therapy including eccentric strengthening and stretching exercises for wrist extensors.
Procedure: Muscle Energy Technique Combined With Mulligan Technique
Participants in this group will receive Mulligan Mobilization With Movement along with routine physical therapy including eccentric strengthening and stretching exercises.
Procedure: Mulligan Mobilization With Movement
Muscle Energy Technique will be applied using resisted isometric contractions of forearm supination and pronation. Mulligan Mobilization With Movement will be applied using sustained lateral glide during pain-free gripping activity. Treatment sessions will be conducted five times weekly for four weeks.
Mulligan Mobilization With Movement technique will be applied using sustained glide of the forearm while participants perform pain-free gripping activities. Sessions will be conducted five times weekly for four weeks.
Pain Intensity Measured by Numeric Pain Rating Scale (NPRS)
Pain intensity will be measured using the Numeric Pain Rating Scale (NPRS), an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain).
Time frame: Baseline and after 4 weeks of intervention
Functional Disability Measured by PRTEE Questionnaire
Functional disability will be assessed using the Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire.
Time frame: Baseline and after 4 weeks of intervention
Quality of Life Measured by SF-8 Questionnaire
Quality of life will be assessed using the Short Form-8 (SF-8) questionnaire. The SF-8 is an 8-item questionnaire that evaluates physical functioning, general health, pain, vitality, social functioning, emotional role, mental health, and physical role limitations. Higher scores indicate better quality of life.
Time frame: Baseline and after 4 weeks of intervention
Plan to share: No — Individual participant data will not be shared because this study was conducted as an academic research project. The informed consent obtained from participants did not include provisions for public data sharing, and the dataset contains sensitive personal health information. Data will be stored securely and used only for academic and research purposes in accordance with institutional ethics approval.
This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.
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University of Lahore