Effects of Eccentric Exercises Along With Muscle Energy Technique in Lateral Epicondylitis

This study is intended to find the effects of Eccentric exercises along with muscle energy technique (MET) on pain, functional disability, range of motion and grip strength in Lateral Epicondylitis. For this trial, participants will be enrolled with their consent after assessing on basis of inclusion \& exclusion criteria from orthopedic workshop, Jinnah post graduate medical center Karachi. Total of 66 participants will be recruited and will be equally randomized into three groups consisting of 22 participants in each group. They would recruit into either Eccentric exercise (EE) along with MET group (group A) or MET group (group B) or EE group (group C). Participants will be allocated to intervention by sealed envelope method and will undergo a total of 8 treatment sessions within 2 weeks. Baseline assessment will carry out before treatment on 1st session and follow-up assessment on 8th session after treatment through tool named as Numeric Pain-Rating Scale (NPRS), Patient Rated Tennis Elbow Evaluation (PRTEE), Goniometer and Handheld dynamometer.

Inclusion Criteria: * Subacute \& chronic patients * Participants diagnosed with lateral epicondylitis based on * Pain local to the lateral epicondyle reproduced with palpation. * Positive Mill's test and Cozen's test and/or Maudsley's test * Patient's willingness in participation in this study. Exclusion Criteria: * Any recent history of fracture /surgery * Acute patients * Peripheral nerve entrapment like radial tunnel syndrome * Cervical radiculopathy * Instability of joint * Corticosteroid injection within 3- 6 months * Neurological impairments * Cardiovascular diseases * Osteoporosis * Local infection * Malignancy * Congenital /structural anomalies * Systemic illness affecting joint function like Rheumatoid arthritis, psoriatic arthritis etc.