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CTRI Number  CTRI/2025/08/093047 [Registered on: 13/08/2025] Trial Registered Prospectively
Last Modified On: 13/08/2025
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   Combined effect of Deep transverse friction maneuver and eccentric exercise in reducing lateral epicondylitis  
Scientific Title of Study   Combined effect of deep transverse friction maneuver and eccentric exercise on pain and function in patients with lateral epicondylitis - A Randomised clinical 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  Bhumika N K  
Designation  Physiotherapist  
Affiliation  Cauvery college of physiotherapy  
Address  MPT Classroom 1,Department of musculoskeletal system,1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
MPT Classroom 1,Department of musculoskeletal system, 1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
Mysore
KARNATAKA
570028
India 
Phone  6363223467  
Fax    
Email  gowdabhumika596@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Pavan Kumar G 
Designation  principal 
Affiliation  Cauvery college of physiotherapy 
Address  Department of musculoskeletal system, 1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
Department of musculoskeletal system,1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
Mysore
KARNATAKA
570028
India 
Phone  9964964550  
Fax    
Email  principalphy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhumika N K  
Designation  Physiotherapist 
Affiliation  Cauvery college of physiotherapy 
Address  MPT Classroom 1, Department of musculoskeletal system, 1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
MPT Classroom 1,Department of musculoskeletal system, 1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
Mysore
KARNATAKA
570028
India 
Phone  6363223467  
Fax    
Email  gowdabhumika596@gmail.com  
 
Source of Monetary or Material Support  
Cauvery college of physiotherapy  
 
Primary Sponsor  
Name  Cauvery college of Physiotherapy  
Address  Cauvery college of physiotherapy Department of Musculoskeletal science MPT classroom 1 building 1 KBL Layout near Devegowda circle Mysuru -570028 
Type of Sponsor  Other [Private college ] 
 
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 
DR Srikanta K PT  OPD Cauvery college of physiotherapy  MPT Classroom 1,Department of musculoskeletal system, 1st floor, building 1,Cauvery college of physiotherapy KBL Layout near Devegowda circle Mysuru -570028
Mysore
KARNATAKA 
8722725926

srikanta.kpt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee cauvery heart and multispeciality hospital, mysore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  chronic lateral epicondylitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Deep transverse friction maneuver, eccentric exercises and ultrasound   Deep transverse friction maneuver is applied for 12 to 15 seconds, eccentric exercises is given 15 reps with 3 sets and ultrasound frequency with 1Mhz, pulse 1:4, intensity 1 Wcm2 for 8 min. All this treatment is given for 3 session per week for 6 weeks  
Comparator Agent  Eccentric exercises and ultrasound  Eccentric exercises is given 15 reps with 3 sets and ultrasound frequency with 1Mhz, pulse 1:4, intensity 1 Wcm2 for 8 min. All this treatment is given for 3 session per week for 6 weeks 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Age between 30 to 60 years
Both the gender
Patients with chronic lateral epicondylitis with persistent pain
Patient positive with cozen test and mills test
Visual analogue scale more than 3
 
 
ExclusionCriteria 
Details  History of fracture of radius, ulna and humerus with resultant deformity of the
affected extremity
Previous surgery or trauma to the region
Bilateral symptomatic lateral epicondylitis
Cervical radiculopathy
Local steroid injection for pain relief
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Visual Analog Scale  Before and after intervention  
 
Secondary Outcome  
Outcome  TimePoints 
Patient rated tennis elbow evaluation scale (PRTEE)
 
Before and after intervention  
 
Target Sample Size   Total Sample Size="42"
Sample Size from India="42" 
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)   25/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="2"
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   This randomized clinical trial will aim to evaluate the combined effect of Deep Transverse Friction Massage (DTFM) and eccentric exercise on pain and function in patients with chronic lateral epicondylitis. Thirty participants diagnosed with tennis elbow will be randomly assigned to an intervention group receiving DTFM with eccentric exercise or a control group receiving standard care for four weeks. Pain intensity and functional status will be assessed using the Visual Analog Scale (VAS) and Patient Rated Tennis Elbow Evaluation (PRTEE) questionnaire before and after the intervention. 
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