| CTRI Number |
CTRI/2025/12/098820 [Registered on: 10/12/2025] Trial Registered Prospectively |
| Last Modified On: |
10/12/2025 |
| 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
|
Studying whether core exercises help racket players with tennis elbow feel better, get stronger and improve daily activities |
|
Scientific Title of Study
|
EFFECT OF CORE STRENGTHENING EXERCISE ON FUNCTION,GRIP STRENGTH,CORE STRENGTH IN ELITE RACKET SPORT ATHLETES WITH 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 |
Soumyabrata Dev Roy |
| Designation |
Postgraduate Researcher |
| Affiliation |
Amity Institute of Health and Allied Sciences, Amity University,Uttar Pradesh |
| Address |
Department of Physiotherapy, Amity Institute of Health and Allied Sciences (AIHAS),F-1 Block,Room no.101,1st Floor, Amity University Uttar Pradesh, Sector 125, Noida, Gautam Buddha Nagar – 201313, Uttar Pradesh, India
Gautam Buddha Nagar
UTTAR PRADESH
201313
India |
| Phone |
9706362778 |
| Fax |
|
| Email |
soumyabrata14@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
DrAnu Bansal |
| Designation |
Grade III Assistant Professor, AIHAS Department |
| Affiliation |
Amity Institute of Health and Allied Sciences, Amity University,Uttar Pradesh |
| Address |
AIHAS Department,F3 Block,1st Floor,Amity University Uttar Pradesh,Noida,Gautam Buddha Nagar,Uttar Pradesh
Gautam Buddha Nagar
UTTAR PRADESH
201313
India |
| Phone |
9999620738 |
| Fax |
|
| Email |
abansal@amity.edu |
|
Details of Contact Person
Public Query
|
| Name |
DrAnu Bansal |
| Designation |
Grade III Assistant Professor, AIHAS Department |
| Affiliation |
Amity Institute of Health and Allied Sciences, Amity University,Uttar Pradesh |
| Address |
AIHAS Department,F3 Block,1st Floor,Amity University Uttar Pradesh,Noida,Gautam Buddha Nagar,Uttar Pradesh
Gautam Buddha Nagar
UTTAR PRADESH
201313
India |
| Phone |
9999620738 |
| Fax |
|
| Email |
abansal@amity.edu |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Individual self funded by Principal Investigator Soumyabrata Dev Roy |
| Address |
Department of Physiotherapy, Amity Institute of Health and Allied Sciences,F-1 Block,Room no.101,1st Floor,Amity University Uttar Pradesh,Sector 125,Noida,Uttar Pradesh – 201313,India |
| Type of Sponsor |
Other [Individual ] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Hooriya Afsar PT |
Balance and Move Physiotherapy Clinic |
Shop No.2,House No. 96-B, Street No.8,Zakir Nagar,Jamia Nagar,New Delhi – 110025,India
South
DELHI |
87077055900
hoorafsar22@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional NTCC Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M771||Lateral epicondylitis, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Conventional physiotherapy only |
Participants in the control group will receive only conventional physiotherapy for five weeks,three sessions per week.Treatment will include progressive wrist extensor and flexor strengthening, gripping exercises, resisted wrist motions with elastic bands,wrist rotation,soft tissue mobilization,stretching of wrist flexors and extensors and pulsed ultrasound therapy as per standardized protocol. No core strengthening exercises will be provided in this group.
Duration: 5 weeks
Frequency:3 supervised sessions per week
Route:Exercise based physiotherapy intervention
Dosage: 30 to 40 minutes per session |
| Intervention |
Core strengthening exercise program plus conventional physiotherapy |
Participants in the experimental group will receive conventional physiotherapy along with a five week progressive core strengthening exercise program delivered three sessions per week.The core program includes pelvic tilts,abdominal bracing,seated torso twists,supine leg slides,bridging,modified dead bug exercises and supine marching.Exercises will be progressed weekly based on tolerance and correct technique using a pressure biofeedback unit to ensure activation of deep core muscles.In addition,participants will receive conventional management which includes strengthening exercises for wrist extensors and flexors,stretching,soft tissue mobilization and pulsed ultrasound as per protocol.
Duration:5 weeks
Frequency:3 supervised sessions per week
Route:Exercise based physiotherapy intervention
Dosage:45 to 50 minutes per session |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Both |
| Details |
1. Racket sport athletes aged 18 to 40 years.
2. Clinical diagnosis of lateral epicondylitis confirmed by a physiotherapist or sports physician.
3. Duration of symptoms at least four weeks.
4. Reduced core stability assessed using Sahrmann Core Stability Test Level 3 with pressure biofeedback unit showing pressure deviation more than twenty millimetres of mercury.
5. Ability to participate in supervised physiotherapy sessions for five weeks.
6. Willingness to participate and provide written informed consent |
|
| ExclusionCriteria |
| Details |
1. Previous surgery or fracture to the affected elbow.
2. Concurrent significant injury to ipsilateral shoulder or wrist that would interfere with rehabilitation.
3. Systemic disorders affecting musculoskeletal function.
4. Currently enrolled in another interventional rehabilitation study.
5. Any contraindication to participating in supervised exercise (cardiac instability, uncontrolled hypertension) as deemed by investigator.
6. Pregnancy. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change in functional disability measured using the Patient-Rated Tennis Elbow Evaluation (PRTEE) total score. |
Baseline,End of 5th week |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Change in hand grip strength measured using a handheld dynamometer. |
Baseline (Week 0) and Post-intervention (Week 5) |
| Change in core stability measured using Sahrmann Core Stability Test (Level-3) with Pressure Biofeedback Unit (PBU). |
Baseline (Week 0) and Post-intervention (Week 5) |
|
|
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)
|
22/12/2025 |
| 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="4"
Days="30" |
|
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 known as tennis elbow is a common overuse injury in racket sport athletes and results in pain, reduced grip strength and impaired function. Traditional management mainly focuses on local treatment at the elbow but increasing evidence suggests that core muscle weakness may contribute to abnormal upper limb loading. This randomized controlled trial will evaluate whether adding a structured core strengthening exercise program to conventional physiotherapy improves function, grip strength and core stability in elite racket sport athletes with lateral epicondylitis. Thirty participants aged 18 to 40 years with clinically diagnosed lateral epicondylitis and weak core stability will be randomly allocated into two groups. The experimental group will receive conventional physiotherapy along with a five week progressive core strengthening program. The control group will receive only conventional physiotherapy based on strengthening and stretching protocols. Outcomes will include PRTEE score, hand grip strength using a handheld dynamometer and core stability using Sahrmann Core Stability Test Level 3 with a pressure biofeedback unit. Assessments will be performed at baseline and at the end of week five. The results of the study will help determine whether incorporating core strengthening into rehabilitation provides additional benefits for racket sport athletes with lateral epicondylitis. |