Background: Lateral epicondylitis (LE) often benefits from eccentric training exercises, but combining them with deep friction massage (DFM) might enhance outcomes.
Objective: To evaluate if adding DFM to eccentric training improves pain, function, wrist extensor strength, and hand grip strength more than eccentric training alone.
Design: A triple-blinded, randomized controlled trial involving 46 participants aged 16-30 with unilateral LE. Participants will be randomly assigned to receive either eccentric training plus sham massage (Control Group) or eccentric training plus DFM (Experimental Group) over 4 weeks.
Methods: Outcomes will be measured using the Visual Analogue Scale (VAS) for pain, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire for function, a hand-held dynamometer for wrist extensor strength, and a grip dynamometer for hand grip strength.
Blinding: The study is triple-blinded-assessors, statisticians, and participants are unaware of group allocations.
Significance: This study aims to determine if DFM enhances the effectiveness of eccentric training in LE rehabilitation, potentially leading to improved treatment protocols.
Both gender male and female
Age from 16 to 30
Unilateral elbow pain
Body mass index ranges from 18.5 to 29.9
Any injury or disease around the shoulder, elbow and wrist on the affected side
Any b local intervention such as injection of steroids 6 month prior to the intervention
Cervical radiculopathy
History of fracture of radius, ulna and humerus with resultant deformity of the affected extremity