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CTRI Number  CTRI/2024/11/076320 [Registered on: 06/11/2024] Trial Registered Prospectively
Last Modified On: 05/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study of Myofascial Stretch Dry Needling (MSDN) versus Conventional Dry Needling as intervention in Badminton Players with Lateral Epicondylitis. 
Scientific Title of Study   Efficacy of Myofascial Stretch Dry Needling (MSDN) in badminton sport players with Lateral Epicondylitis - a randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Priyanka Rajput 
Designation  Assistant Professor 
Affiliation  Lovely Professional University 
Address  Department of Physiotherapy, Block 4, Room no 213 Lovely Professional University, Jalandhar-Delhi, Grand Trunk Rd, Phagwara, Punjab 144001.

Jalandhar
PUNJAB
144411
India 
Phone  9149585365  
Fax    
Email  priyankarajput@outlook.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priyanka Rajput 
Designation  Assistant Professor 
Affiliation  Lovely Professional University 
Address  Lovely Professional University, Jalandhar-Delhi, Grand Trunk Rd, Phagwara, Punjab 144001.

Kupwara
PUNJAB
144411
India 
Phone  9149585365  
Fax    
Email  priyankarajput@outlook.in  
 
Details of Contact Person
Public Query
 
Name  Dr Priyanka Rajput 
Designation  Assistant Professor 
Affiliation  Lovely Professional University 
Address  Block 4- Room no 213, department of physiotherapy, Lovely school of allied medical science, LPU


PUNJAB
144411
India 
Phone  9149585365  
Fax    
Email  priyankarajput@outlook.in  
 
Source of Monetary or Material Support  
N/A 
 
Primary Sponsor  
Name  Hirock Biswas 
Address  Lovely Professional University, 144411 
Type of Sponsor  Other [self sponsored] 
 
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 
Hirock Biswas  Lovely Professional University  Block 3, Room no 105, Lovely Professional University
Jalandhar
PUNJAB 
9123717749

dr.hirockbiswaspt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Lovely Professional University (IEC-LPU)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Myofascial Stretch Dry Needling  The subject will be asked to sit down in the comfortable position. All baseline measurements will be taken by the therapist before treatment. Flat palpation with appropriate pressure for MTrPs in the ECRB muscle will be done by the examiner. In the next step, the therapist will gently stretch the ECRB muscle. The needle (0.25× 25 mm) will be inserted after locating the MTrPs in the affected muscle, for ten minutes. The needle will be removed after 10 minutes, and the hemostasis will be maintained. the intervention will be given for 6 alternative days , total for 12 days 
Comparator Agent  Traditional Dry Needling  The subject will be asked to sit down in the comfortable position. All baseline measurements will be taken by the therapist before treatment. In the next step, the ECRB muscle will be in the neutral position and then the flat palpation with appropriate pressure for MTrPs in the ECRB muscle was done by the examiner. The needle (0.25× 25 mm) will be inserted after locating the MTrPs in the affected muscle, for ten minutes. The needle will be removed after 10 minutes, and the hemostasis will be maintained. the intervention will be given for 6 alternative days , total for 12 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Pain lasting between 6 months and a year
2. Pain in the lateral epicondyle during forced (resisted) wrist extension.
3. Presence of MTrPs in ECRB muscle.
4. Decrease in handgrip strength.
5. Tenderness to palpation along the common extensor origin. 
 
ExclusionCriteria 
Details  1. Any injections within 6 months prior to the intervention.
2. The presence of active infection around the affected elbow.
3. Systemic disorders (rheumatoid arthritis, diabetes, immunodeficiency, and coagulopathy).
4. Acute and severe elbow trauma.
5. Any elbow surgery in the past 6 months.
6. The presence of cervical radiculopathy
7. Needle phobia.
8. Patients with posterior interosseous nerve compression.
9. Taking NSAIDs or muscle relaxants for the past 5 days. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Visual Analogue Scale (VAS)
2. Patient Rated Tennis Elbow Evaluation Scale (PRTEE)
3. Pain Pressure Threshold (PPT) 
3 times 
 
Secondary Outcome  
Outcome  TimePoints 
1. Hand Held Dynamometer  3 times 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 2 
Date of First Enrollment (India)   20/11/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/11/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
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  

Total number of 60 Subjects will be selected according to the inclusion and exclusion criteria and consent will be taken from all the selected subjects before the commencement of study. Then, all the baseline measurements will be taken by the therapist before treatment. Then we will take the pre-intervention assessment for pain by using visual analogue scale and disability by PRTEE scale, Grip Strength by Hand-held Dynamometer and PPT of MTrPs by pressure algometer for the ECRB muscle.

The subject will be allocated into two groups using a simple randomization process. After that the therapist will gently stretch the ECRB muscle. The needle will be inserted after locating the MTrPs. The needle will remain in the affected muscle for ten minutes, and then after 10 minutes, the needle will be removed and the hemostasis will be maintained.

Group 1: Myofascial Stretch Dry Needling Group

Myofascial Stretch Dry Needling (MSDN) Group [n=30], The subject will be asked to sit down in the comfortable position. All baseline measurements will be taken by the therapist before treatment. Flat palpation with appropriate pressure for MTrPs in the ECRB muscle will be done by the examiner. In the next step, the therapist will gently stretch the ECRB muscle. The needle (0.25× 25 mm) will be inserted after locating the MTrPs in the affected muscle, for ten minutes. The needle will be removed after 10 minutes, and the hemostasis will be maintained.

Group 2: Traditional Dry Needling Group

Myofascial Stretch Dry Needling (MSDN) Group [n=30], The subject will be asked to sit down in the comfortable position. All baseline measurements will be taken by the therapist before treatment. In the next step, the ECRB muscle will be in the neutral position and then the flat palpation with appropriate pressure for MTrPs in the ECRB muscle was done by the examiner. The needle (0.25× 25 mm) will be inserted after locating the MTrPs in the affected muscle, for ten minutes. The needle will be removed after 10 minutes, and the hemostasis will be maintained.

Therapeutic sessions will be provided for 6 alternative days and data will be collected 3 times (Before the starting of the session, in between of the ongoing session and after the session is finished ) 


 
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