[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100638321":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":28,"centralContacts":32,"locations":38,"responsibleParty":60,"collaborators":24,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":24,"eligibilityCriteria":68,"healthyVolunteers":64,"sex":69,"minAge":70,"maxAge":71,"enrollmentInfo":72,"targetDuration":24,"studyType":75,"phases":76,"briefSummary":78,"conditions":79,"keywords":81,"overallStatus":86,"whyStopped":24,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Riphah International University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Tyler Twist Exercises","EXPERIMENTAL","The Tyler Twist is a specific eccentric exercise using the TheraBand FlexBar, designed to target the extensor carpi radialis brevis (ECRB), which is primarily involved in lateral epicondylalgia.",[13],"Other: Tyler Twist Exercises",{"label":15,"type":16,"description":17,"interventionNames":18},"Traditional Eccentric Wrist Extensor Exercises","ACTIVE_COMPARATOR","This protocol involves eccentric strengthening of the wrist extensor muscles (primarily ECRB)using a dumbbell (1-2 kg) or wrist cuff weight.",[19],"Other: Traditional Eccentric Wrist Extensor Exercises",[21,25],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"* Position:\n* The patient holds the FlexBar in both hands.\n* The affected arm is placed in front with the elbow extended and wrist in slight extension.\n* The unaffected hand grips the other end of the FlexBar.\n* Twisting Motion:\n\n  1. The patient uses the unaffected hand to twist the FlexBar into a taut position while the affected hand resists the motion (eccentric loading).\n  2. Once the FlexBar is twisted, the patient extends the arms in front and slowly untwists the bar with the affected wrist, creating a controlled eccentric contraction.\n  3. Emphasis is placed on slow, controlled movement (2-3 seconds for untwist).\n  4. 3 sets of 15 repetitions, once daily.\n  5. Progress to higher resistance FlexBars as tolerated (e.g., from red to green to blue).\n  6. Supervision during clinical visits (twice per week), rest is home-based",[9],null,{"type":6,"name":15,"description":26,"armGroupLabels":27,"otherNames":24},"* Position:\n* Patient seated with the forearm resting on a table, palm facing down, wrist hanging off the edge.\n* Elbow flexed to \\~90 degrees.\n* Eccentric Movement:\n\n  0\\. The patient uses the unaffected hand to assist the affected wrist into extension (starting position).\n  1. The affected wrist then slowly lowers the weight into flexion (eccentric contraction).\n  2. The cycle is repeated, focusing on slow movement (2-4 seconds lowering phase).\n  3. 3 sets of 10-15 reps, once daily.\n  4. Weight increased progressively based on pain-free performance.\n  5. Supervised sessions 2x\u002Fweek; home exercise on other days",[15],[29],{"name":30,"affiliation":5,"role":31},"Hira Shaukat, Mphill","PRINCIPAL_INVESTIGATOR",[33],{"name":34,"role":35,"phone":36,"phoneExt":24,"email":37},"Imran Amjad, PhD","CONTACT","03324390125","Imran.amjad@riphah.edu.pk",[39],{"facility":40,"status":24,"city":41,"state":42,"zip":43,"country":44,"countryCode":45,"cosmosGeoPoint":46,"geoPoint":51,"contacts":52},"Ghurki Hospital Lahore","Lahore","Punjab Province","54000","Pakistan","PK",{"type":47,"coordinates":48},"Point",[49,50],74.35071,31.558,{"lat":50,"lon":49},[53,56,58],{"name":30,"role":35,"phone":54,"phoneExt":24,"email":55},"03360405480","hirabutt7582@gmail.com",{"name":57,"role":35,"phone":54,"phoneExt":24,"email":55},"Hira Butt",{"name":59,"role":31,"phone":24,"phoneExt":24,"email":24},"Hafiza Nukhba SIBGHAT, MSOMPT",{"type":61,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100638321","effects-of-the-tyler-twist-versus-eccentric-exercises-100638321",false,"NCT07626632","Effects of the Tyler Twist Versus Eccentric Exercises","Effects of the Tyler Twist Versus Eccentric Exercises in Patients With Lateral Epicondylagia","Inclusion Criteria:\n\n* ● Males and female patients suffering from lateral epicondylagia in subacute and chronic phase.\n\n  * Age between 20yrs-40yrs.\n  * Patients screened with positive Cozen's test, positive Mill's test, positive Maudsley's test \\[14\\].\n  * NPRS pain score ≥ 4 on activity.\n  * Tenderness on palpation over the lateral epicondyle of humerus,\n  * Pain with gripping, Pain with resisted wrist extension.\n\nExclusion Criteria:\n\n* History of recent trauma or surgery of elbow.\n* Acute stage of lateral epicondylagia.\n* Corticosteroid injection within the last 3 months.\n* Neurological defeciency of the affected limb \\[16\\].\n* Systemic inflammatory diseases, such as rheumatoid arthritis, lupus, or fibromyalgia.\n* Diabetes mellitus (uncontrolled) due to its influence on tendinopathy.","ALL","20 Years","40 Years",{"count":73,"type":74},38,"ESTIMATED","INTERVENTIONAL",[77],"NA","This study aims to compare the effects of the Tyler Twist exercise versus traditional eccentric exercises on pain, grip strength, and functional outcomes in patients diagnosed with lateral epicondylalgia. The primary objective is to determine which intervention offers greater improvement in clinical symptoms and overall function over a defined treatment period.",[80],"Lateral Epicondylalgia",[82,83,84,85],"Hand Strength","Eccentric exercise","Resistance Training","Tyler Twist","NOT_YET_RECRUITING","2026-06-01",{"date":89,"type":90},"2026-06-04","ACTUAL",{"date":92,"type":74},"2026-06-15",{"date":94,"type":74},"2026-11-13",{"name":5,"class":6},1]