Wrist Heavy Slow Resistance and Shoulder Stabilization Exercises on Pain, Grip Strength and Functional Ability in Lateral Epicondylitis

NCT07576829 — Not applicable, Recruiting, 32 participants, University of Faisalabad

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Comparative Impact of Wrist Heavy Slow Resistance and Shoulder Stabilization Exercises on Pain, Grip Strength and Functional Ability in Lateral Epicondylitis

Registry	NCT07576829
Status	Recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, treatment
Enrollment	32 (Estimated)
Sponsor	University of Faisalabad (Other)
Conditions	Lateral Epicondylitis, Tennis Elbow
Interventions	Wrist heavy slow resistance exercises, Shoulder stabilization exercises (Procedure)
Dates	start 2026-02-02, primary completion 2026-06-02 (estimated), completion 2026-06-02 (estimated), first posted 2026-05-08, last updated 2026-05-08
Locations	1 site in Pakistan

-Summary

The study will compare the shoulder and wrist treatment approaches to determine their effect on elbow. Thirty-two medically stable participants with active shoulder and wrist movements will be enrolled into two groups. Both groups will receive structured training for six weeks. Outcomes will be measured using standardized assessment tools. The aim is to identify the more effective strategy for improving upper limb kinetic chain which is affected by lateral epicondylitis

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+Arms and interventions

Arm	Type	Interventions	Description
Group A: Wrist heavy slow resistance exercises with hot pack.	Experimental	Procedure: Wrist heavy slow resistance exercises	Hot pack applied to target muscles (depending on requirement of patient like wrist and finger extensors) with 15-20 minutes duration Treatment: Wrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.
Group B: Shoulder stabilization exercises with hot pack.	Active comparator	Procedure: Shoulder stabilization exercises	Hot pack applied to target muscles (depending on requirement of patient like shoulder stabilizers) with 15-20 minutes duration Treatment: This trial include the shoulder stabilization exercises performed with the help of theraband by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis. Sessions conducted 3 times/week for 6 weeks.

Wrist heavy slow resistance exercises (Procedure): Wrist heavy slow resistance exercises performed with the help of weights by stabilizing the hand on the table. As the repetitions will got increased, as the weight will decrease. Sessions conducted 3 times/week for 6 weeks.
Shoulder stabilization exercises (Procedure): This trial include the shoulder stabilization exercises performed with the help of thera-band by stabilizing the subject across the wall and check the effect on elbow to treat lateral epicondylitis

+Outcome measures

Primary outcomes

Pain [Six weeks]: Pain will be measured with the help of Numeric Pain Rating Scale (NPRS). This scale is validated to measure the pain in both upper and lower limb.

Secondary outcomes

Grips strength and Functional Ability [Six weeks]: Dynamometer will be used to measured to grip strength on the wrist, and patient rated tennis elbow questionnaire will be used to evaluate the functional ability. Both tools are validated to measure these outcomes and have accuracy to target these measures

+Eligibility

Sex: All, ages: 30 Years to 50 Years

Inclusion Criteria:

* Both genders will be involved with ages 30-50. Patients who have had pain for the last 2 weeks with tenderness. Subjects who will have a positive cozen test. Also include those who have a radiological graph with normal bone and joint alignment of the upper limb.

Include those who will be clinically diagnosed with LE from the orthopedic OPD. A pain score of more than or equal to 4 in NPRS diagnosed as tennis elbow.

Exclusion Criteria:

* Those who will have pain on the lateral aspect of the elbow for 6 months or more than 6 months.

Subjects who will be diagnosed with cervical radiculopathy. Those who will have the injury and disease around the shoulder, elbow and wrist.

Those with a history of elbow surgery, open wound and infectious limb. Those with a history of rheumatoid arthritis and osteoarthritis. Those who have any fracture of the treatment side upper limb. systemic illness like bleeding disorders, anticoagulants, diabetes, and hypertension.

+Locations (1)

Facility	City	Country	Status
Pulse Hospital	Sādiqābād	Pakistan	Recruiting