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CTRI Number  CTRI/2022/10/046258 [Registered on: 07/10/2022] Trial Registered Prospectively
Last Modified On: 15/09/2023
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   Compairing the effects of post isometric relaxation vs reciprocal inhibition technique on pain, range of motion, function and quality of life in post operative elbow stiffness 
Scientific Title of Study   Effects of post isometric relaxation and reciprocal inhibition muscle energy techniques on pain, ROM, function and quality of life in post operative elbow stiffness: A comparative study 
Trial Acronym  MET 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sheetal Agrawal 
Designation  Postgraduate student 
Affiliation  Sancheti Institute College Of Physiotherapy  
Address  Sancheti Institute College of Physiotherapy, 11/12,Thube park, Shivajinagar, Pune.

Pune
MAHARASHTRA
411005
India 
Phone  7558415832  
Fax    
Email  sheetalagrawal1999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Venu Mohan 
Designation  Associate Professor,Musculoskeletal department. 
Affiliation  Sancheti Institute College Of Physiotherapy  
Address  Musculoskeletal department, Sancheti Institute College of Physiotherapy,1st floor, 11/12,Thube park, Shivajinagar, Pune.

Pune
MAHARASHTRA
411005
India 
Phone  9440690707  
Fax    
Email  venumohan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Venu Mohan 
Designation  Associate Professor,Musculoskeletal department. 
Affiliation  Sancheti Institute College Of Physiotherapy  
Address  Musculoskeletal department, Sancheti Institute College of Physiotherapy,1st floor, 11/12,Thube park, Shivajinagar, Pune.

Pune
MAHARASHTRA
411005
India 
Phone  9440690707  
Fax    
Email  venumohan@gmail.com  
 
Source of Monetary or Material Support  
N/A 
 
Primary Sponsor  
Name  Sancheti Institute College of Physiotherapy 
Address  11/12 Thube park Shivajinagar, Pune - 411005 
Type of Sponsor  Research institution and hospital 
 
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 
Sheetal Agrawal  Sancheti institute of orthopaedics and rehabilitation  Ground floor, Physiotherapy department, Shivajinagar, Pune.
Pune
MAHARASHTRA 
7558415832

sheetalagrawal1999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sancheti Institute College of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Post isometric relaxation muscle energy technique along with institution based treatment  Post isometric relaxation muscle energy technique will be given for improving elbow flexion and extension range of motion in postoperative elbow stiffness patient immobilized for 3-5 weeks post operatively(technique will be given 3 times a week for 3 weeks) 
Comparator Agent  Reciprocal inhibition muscle energy technique along with institution based treatment  Reciprocal inhibition muscle energy technique will be given for improving elbow flexion and extension range of motion in postoperative elbow stiffness patient immobilized for 3-5 weeks post operatively(technique will be given 3 times a week for 3 weeks) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Subjects with post operative elbow stiffness immobilized for 3 weeks
2. Between the age group of 18 - 50 year
3. Range of motion of elbow flexion restricted to less than 120 and extension greater than 30
4. Subjects understanding English language 
 
ExclusionCriteria 
Details  1. Subjects who have pathological fracture
2. Subjects who have undergone for revision surgeries
3. Subjects with associated ipsilateral injuries
4. Any neuro vascular disorders
5. Dislocated fractures
6. Subjects with associated soft tissue injuries 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Pain(Visual Analogue Scale)
2.ROM (universal half goniometer)
3.Function( patient rated elbow evaluation scale)
4.Quality of life(Musculoskeletal health Questionnaire) 
At the initiation of study and at the end of 3 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
N/A  NIL 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/10/2022 
Date of Study Completion (India) 22/08/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   “none yet” 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
we have analyzed the effects of post isometric relaxation and reciprocal inhibition, muscle energy techniques on pain, range of motion ,function and quality of life in post operative elbow stiffness.
Subjects were randomly divided into two groups, group I  received post isometric relaxation muscle energy technique and  group II received  reciprocal inhibition muscle energy technique ,conventional exercise protocol and home exercise program was common for both groups.
Both the techniques of MET, PIR and RI can be safely administered and are found to have significant effect in terms of reducing pain, improving ROM, function and quality of life in post operative elbow stiffness subjects. Whereas in, between group comparison both the techniques are found to have comparable effects and can be used as an adjunct to the conventional rehabilitation protocol in the early stages of rehabilitation for post- operative elbow fracture cases managed surgically with open reduction and rigid internal fixation. 
 
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