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CTRI Number  CTRI/2024/10/074756 [Registered on: 04/10/2024] Trial Registered Prospectively
Last Modified On: 03/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effectiveness of active release and neuromobilization techniques on grip strength, discomfort, and functional performance in individuals suffering from chronic lateral epicondylitis 
Scientific Title of Study   Comparison of active release technique and neuromobilization technique on pain, grip strength & functional performance in patients with chronic lateral epicondylitis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Priya Rai 
Designation  Post graduation student 
Affiliation  Shri guru ram rai university school of paramedical & allied health sciences 
Address  Room No. 5, Department of Physiotherapy, North Block Basement, Shri Mahant Indiresh Hospital. Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  8755142862  
Fax    
Email  prai1798@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Niraj Kumar 
Designation  Associate professor 
Affiliation  Shri guru ram rai university school of paramedical & allied health sciences 
Address  Room No. 5, Department of Physiotherapy, North Block Basement, Shri Mahant Indiresh Hospital. Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  7895795277  
Fax    
Email  drnirajkumar25@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Niraj Kumar 
Designation  Associate professor 
Affiliation  Shri guru ram rai university school of paramedical & allied health sciences 
Address  Room No. 5, Department of Physiotherapy, North Block Basement, Shri Mahant Indiresh Hospital. Dehradun

Dehradun
UTTARANCHAL
248001
India 
Phone  7895795277  
Fax    
Email  drnirajkumar25@gmail.com  
 
Source of Monetary or Material Support  
Shri Guru Ram Rai University, School of Para Medical and Allied Health and Sciences, Pathribag, Dehradun, Uttaranchal. 248001  
 
Primary Sponsor  
Name  Priya rai 
Address  Shri guru ram rai university school of paramedical & allied health sciences 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prof Dr Niraj Kumar  Shri Mahant Indiresh Hospital  Department of Physiotherapy, North Block Basement, Shri Mahant Indiresh Hospital, Dehradun, Uttaranchal
Dehradun
UTTARANCHAL 
7895795277

drnirajkumar25@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Shri Guru Ram Rai Institute of Medical & Health Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M771||Lateral epicondylitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Active relaese technique   Active relaese technique is based on the principle of recognizing and treating cumulative injury disorder. ART can identify and reduce fibrous adhesions, microscopic tissue injury and inflammation. During this therapy, the clinician applies a combination of deep manual tension at the area of tenderness with the patient actively moving the targeted tissue from a shortened to a lengthened position.Total time duration of each treatment is 30 minutes a day 
Comparator Agent  Neuromobilization technique  Neuromobilization techniques may facilitate neural gliding,reduce adhesions between the nerve and its surrounding tissue, enhance neural vascularity, and improve axoplasmic flow. Neuromobilization techniques have also been proposed to modulate central sensitization and peripheral pain mechanisms in musculoskeletal disorders.  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Age 25-55 years
history of elbow pain lateral side more than 3 months  
 
ExclusionCriteria 
Details  History of trauma, surgery and acute infections malignancy
Systemic disorders
Acute lateral epicondylitis
Inability perform the techniques 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Numerical Pain Rating Scale for Accessing Pain
Level and
Hand dynamometer 
1st day, 29th day, 58th day 
 
Secondary Outcome  
Outcome  TimePoints 
Patient- Rated Tennis Elbow Evaluation  1st day, 29th day, 58th day 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/10/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Lateral epicondylitis, also commonly referred to as tennis elbow, describes an overuse injury secondary to an eccentric overload of the common extensor tendon at the origin of the extensor carpi radialis brevis (ECRB) tendon. Tennis elbow primarily results from the repetitive strain caused by activities that involve loaded and repeated gripping and/or wrist extension. It is common in individuals who play tennis, squash, badminton, or any activity involving repetitive wrist extension, radial deviation, and/or forearm  supination. This condition is primarily a degenerative overuse process of the extensor carpi radialis brevis and the common extensor tendon. LE is a soft-tissue lesion affecting men and women equally, with a reported incidence of up to 3% in the population and a peak occurrence in the fifth decade [5].LE is most common in those aged 30-64, affects 1-3% of the population, has no gender bias, and usually affects the dominant upper Extremity 
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