Effects of Tendon Neuroplastic Training (TNT) in Lateral Epicondylitis.

The aim of this research is to determine effects tendon neuroplastic training on strength, pain, and function in lateral epicondylitis. Randomized controlled trials will be conduct in National Institute of Rehabilitation Medicine Islamabad and Lady Reading Hospital Peshawar. The sample size is 34. The subjects will be divided in two groups, 17 subjects in tendon neuroplastic training group and 17 subjects will be assigned to conventional exercises group. Study duration is of one year. Sampling technique applied will be non-probability convenient sampling technique. Only 20-45 years old patients diagnosed with lateral epicondylitis will be included. Tools used in the study are Numeric pain scale, Dynamometer for grip strength and Patient rated tennis elbow evaluation for functional status.

Inclusion Criteria:Both male and femaleAge between 20-45 yearsPain and Tenderness over the lateral epicondyleAt least 2 of cozen's test, Maudsley's test and Mill's test will cause pain at lateral epicondylitis.Exclusion Criteria:Open woundsFracture of elbow Humerus, radius, ulnaSurgical procedure done around the elbow joint.Elbow instability.Extensor tendon rupture.Symptoms of cervical radiculopathy.Radial nerve entrapment.Major upper limb surgery.Tumor or woundCompartment syndrome of anconeus muscle.