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CTRI Number  CTRI/2026/02/102857 [Registered on: 03/02/2026] Trial Registered Prospectively
Last Modified On: 02/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Comparison of Exercise Training and Manual Therapy for Reducing Pain and Improving Hand Strength in Racket Sports Players with Chronic Tennis Elbow 
Scientific Title of Study   Effect of Plyometric Exercises versus Mulligan Mobilization with Movement on Pain, Function and Grip strength in racket sports players with Chronic Lateral Epicondylitis. A Comparative Study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shreya Gulve  
Designation  Masters in Musculoskeletal Physiotherapy  
Affiliation  PES Modern College of Physiotherapy, Pune  
Address  PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar

Pune
MAHARASHTRA
411005
India 
Phone  9657781421  
Fax    
Email  shreyagulve1002@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr M Vijayakumar  
Designation  Professor of musculoskeletal sciences and sports physiotherapy  
Affiliation  PES Modern College of Physiotherapy, Pune  
Address  PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar

Pune
MAHARASHTRA
411005
India 
Phone  9595716282  
Fax    
Email  atlasvijayakumar@gmail.com   
 
Details of Contact Person
Public Query  
Name  Dr M Vijayakumar  
Designation  Professor of musculoskeletal sciences and sports physiotherapy  
Affiliation  PES Modern College of Physiotherapy, Pune  
Address  PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar

Pune
MAHARASHTRA
411005
India 
Phone  9595716282  
Fax    
Email  atlasvijayakumar@gmail.com   
 
Source of Monetary or Material Support  
PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar Pune Maharashtra India 411005 
 
Primary Sponsor  
Name  Shreya Gulve  
Address  PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar Pune Maharashtra India 411005 
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 
Dr Sucheta Golhar   PES Modern College of Physiotherapy   PES Modern College of Physiotherapy Department of Physiotherapy Musculoskeletal Divisio Room no 1 Shivajinagar
Pune
MAHARASHTRA 		 9922007316

pespune5@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee of PES Modern College of Physiotherapy pune  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 
Comparator Agent  Mulligan Mobilization with Movement  Participants will receive Mulligan Mobilization with Movement along with conventional physiotherapy. Conventional therapy includes therapeutic ultrasound at a dosage of zero point eight watt per centimeter square in continuous mode for ten minutes. Mulligan Mobilization with Movement will be applied as sustained lateral glide of the elbow using a mobilization belt while the participant performs pain free gripping. Three sets of ten repetitions will be given per session. Treatment will be given for four weeks, three sessions per week. 
Intervention  Plyometric Exercise Program  Participants will receive plyometric exercises along with conventional physiotherapy. Conventional therapy includes therapeutic ultrasound at a dosage of zero point eight watt per centimeter square in continuous mode for ten minutes. Plyometric exercises for elbow and forearm will be performed for four weeks, three sessions per week, with warm up and cool down. Exercises include dribbling a weighted ball, flipping and catching a weighted ball, bouncing a tennis ball on a racket, rapid eccentric and concentric elbow and forearm movements using elastic resistance, and chest or overhead passes using a weighted plyometric ball. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Recreational racket sports players with minimum six months of playing experience. Participants with pain over lateral aspect of elbow for four to six weeks. Positive Cozens test. Numerical Pain Rating Scale score between four and seven. Willingness to participate and provide written informed consent. 
 
ExclusionCriteria 
Details  History of trauma, fracture or dislocation around the elbow. Previous surgery around the elbow. Neurological impairment. Any systemic illness such as metabolic, infective or metastatic disorders. Participants currently undergoing physiotherapy for elbow pain. 
 
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 intensity measured using Numerical Pain Rating Scale  Baseline and at the end of each week for four weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Functional disability measured using Patient Rated Tennis Elbow Evaluation questionnaire  Baseline and at the end of each week for four weeks 
Grip strength measured using hand held dynamometer  Baseline and at the end of each week for four weeks 
 
Target Sample Size   Total Sample Size="68"
Sample Size from India="68" 
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)   22/02/2026 
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="1"
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   This study aims to compare the effect of plyometric exercises and Mulligan mobilization with movement on pain function and grip strength in recreational racket sports players with chronic lateral epicondylitis. A total of sixty eight participants will be recruited and randomly allocated into two groups. One group will receive plyometric exercises along with conventional physiotherapy and the other group will receive Mulligan mobilization with movement along with conventional physiotherapy. The intervention will be given for four weeks with three sessions per week. Pain will be assessed using Numerical Pain Rating Scale function will be assessed using Patient Rated Tennis Elbow Evaluation questionnaire and grip strength will be measured using hand held dynamometer. The outcomes will be measured at baseline and at the end of each week for four weeks. The results of the study will help to identify the more effective physiotherapy intervention for managing chronic lateral epicondylitis in racket sports players. 
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