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CTRI Number  CTRI/2025/10/096181 [Registered on: 17/10/2025] Trial Registered Prospectively
Last Modified On: 17/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Shoulder and scapula Muscle training program on elbow tendinopathy 
Scientific Title of Study   Effect of shoulder and scapula Muscle Training Program(SSMT) on pain and functional status in patients with elbow tendinopathy-A Randomized control 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  Kirti Khonde 
Designation  UG Student 
Affiliation  Pravara Institute of Medical Sciences Loni 
Address  Sports Physiotherapy Department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Ahmadnagar 413736 Ahmadnagar MAHARASHTRA India
Ahmadnagar
Ahmadnagar
MAHARASHTRA
413736
India 
Phone  9970614249  
Fax    
Email  kirtikhonde10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pradeep Borkar 
Designation  Professor and HOD  
Affiliation  Dr APJ Abdul Kalam College of Physiotherapy  
Address  Sports Physiotherapy Department,Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra

Ahmadnagar
MAHARASHTRA
413736
India 
Phone  9168572881  
Fax    
Email  pnb2609@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Pradeep Borkar 
Designation  Professor and HOD  
Affiliation  Dr APJ Abdul Kalam College of Physiotherapy  
Address  Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Tal Rahata Dist Ahmadnagar Maharashtra

Ahmadnagar
MAHARASHTRA
413736
India 
Phone  9168572881  
Fax    
Email  pnb2609@gmail.com   
 
Source of Monetary or Material Support  
DR. APJ ABDUL KALAM COLLEGE OF PHYSIOTHERAPY, Pravara Institutye of Medical Scieneces, Loni, Ahmednagar, 413736,Maharashtra,India  
 
Primary Sponsor  
Name  DR. APJ ABDUL KALAM COLLEGE OF PHYSIOTHERAPY 
Address  Sports Physiotherapy Department, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni,Ahmadnagar,413736 Ahmadnagar MAHARASHTRA India 
Type of Sponsor  Private medical 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 
Kirti Khonde  Dr. APJ Abdul Kalam College of Physiotherapy  Sports Physiotherapy Department Dr APJ Abdul Kalam College of Physiotherapy Pravara Institute of Medical Sciences Loni Ahmadnagar 413736 Ahmadnagar MAHARASHTRA India Ahmadnagar
Ahmadnagar
MAHARASHTRA 
09970614249

kirtikhonde10@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical comittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  conventional group  1 transcutaneous electrical nerve stimulation Frequency of 100 Hz Pulse duration of 150 µs Placement with two electrode pads applied to the lateral aspect of the elbow and forearm Time for 20 min 2 Ultrasound Ultrasound with duty cycle of 20 percent at a Frequency of 3 MHz Intensity of 2 W per cm 2 Placement over the lateral epicondyle Time for 5 min 3 Deep Friction Massage 2–3 min deep friction massage The deep friction massage consisted of deep circular motions using the fingertips over the area of maximal tenderness at the lateral epicondyle 
Intervention  shoulder scapula muscle training program   Week 1 to 2 1. Shoulder Exercises Shoulder flexion stretch 5 repetitions 2 sets Shoulder abduction stretch 5 repetitions 2 sets Chest stretch 5 repetitions 2 sets Arm raise exercise 5 repetitions 2 sets Lateral raise exercise 5 repetitions 2 sets Pendulum exercise 5 repetitions 2 sets 2. Scapular Exercises Scapular wall slides 5 repetitions 2 sets Scapular squeeze 5 repetitions 2 sets Scapular shrug 5 repetitions 2 sets Scapular retraction and protraction exercises 5 repetitions 2 sets 3. Elbow Exercises Gentle flexion range of motion 5 repetitions 2 sets Gentle extension range of motion 5 repetitions 2 sets Gentle supination 5 repetitions 2 sets Gentle pronation 5 repetitions 2 sets 4. Wrist Exercises Wrist circles 5 repetitions 2 sets Forearm stretch 5 repetitions 2 sets Wrist flexion and extension stretch 5 repetitions 2 sets Gentle ball squeeze 5 repetitions 2 sets Week 3 to 4 1. Shoulder Exercises Shoulder wheel exercise 10 repetitions 2 sets Arm raise exercise with resistance band 10 repetitions 2 sets Lateral raise exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Shoulder press exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets 2. Scapular Exercises Scapular retraction with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Protraction exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Prone Y T I exercise Hold for 10 seconds relax for 5 seconds 10 repetitions 2 sets Wall angles exercise Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets 3. Elbow Exercises Isometric elbow flexion exercise 10 repetitions 2 sets Isometric elbow extension exercise 10 repetitions 2 sets Biceps curl with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Triceps push down exercise Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets 4. Wrist Exercises Wrist flexion exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Wrist extension exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Eccentric wrist extension exercise with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Wrist curls with resistance band Hold for 20 seconds relax for 10 seconds 10 repetitions 2 sets Theraputty exercises Finger squeeze Pinch strengthening Palm press exercises 10 to 15 repetitions 3 sets each  
 
Inclusion Criteria  
Age From  30.00 Day(s)
Age To  60.00 Day(s)
Gender  Both 
Details  pain over the humeral epicondyle with pain severity of at least four on a visual analogue scale for a minimum of 6 weeks score 4 moderate
At a first evaluation session the diagnosis will be verified by increasing pain in at least two of the following:
(1) Tomson test (restricted wrist extension)
(2) Maudsley s test
(3) Mill’s test (full passive flexion of the wrist]
 
 
ExclusionCriteria 
Details  (1) reception of injection or physiotherapy in previous 6 months

(2) concomitant neck or other arm pain necessitating treatment

(3) bilateral elbow pain

(4) Symptoms suggesting radicular neurological or systemic arthritis condition
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
pain: visual analogues scale

functional:

. Patient-Rated Tennis Elbow Evaluation (PRTEE).

. Quick-DASH questioner
 
pain: visual analogues scale

functional:

. Patient-Rated Tennis Elbow Evaluation (PRTEE).

. Quick-DASH questioner
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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   Phase 1/ Phase 2 
Date of First Enrollment (India)   28/10/2025 
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="6"
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   To find the effectiveness of shoulder and scapular muscle training program on pain and functional status in patient with elbow tendinopathy

1.To find the efficacy of shoulder and scapula muscle training program on pain using visual analogue scale on the patients with elbow tendinopathy

 

2. To find the efficacy of shoulder and scapular muscle training program on functional status using patient rated tennis elbow evaluation and quick dash upper extremity.

PROCEDURE-

 

 Protocol will be prepared, and ethical clearance will be obtained from the IEC.
The participants will be selected based on the inclusion and exclusion criteria for eligibility.
 Informed consent will be obtained from the participants and demographic data is recorded.
 Participants will be randomly allocated 2 groups that is the experimental group and control group. Prior assessment of the participants will be done.
 Experimental group A (n=15) will be given Effect of Shoulder and Scapula Muscle Training Program (SSMT) on pain and functional status in patients with elbow tendinopathy.
 and the control group B (n=15) will be given conventional exercises.
 The participants will be given exercise regimen and administered to perform.
 All the instructions will be given verbally, provided demonstrate on to the participants statistical analysis will be done and the results with the conclusion will be mentioned

 

 

 


 
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