Tyler Twist versus traditional eccentric wrist extensor exercises for lateral epicondylalgia

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study compares two exercise approaches for lateral epicondylalgia. Participants with subacute to chronic symptoms will be randomized to perform either Tyler Twist exercises or traditional eccentric wrist extensor exercises. Outcomes include pain during activity, grip strength, and functional measures over a defined treatment period. The Tyler Twist uses a TheraBand FlexBar to provide both eccentric and concentric loading in a controlled, functional manner. Prior evidence suggests benefit from eccentric training, but direct comparisons with Tyler Twist are limited, making this head-to-head trial important for guiding conservative management.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* ● Males and female patients suffering from lateral epicondylagia in subacute and chronic phase.

  * Age between 20yrs-40yrs.
  * Patients screened with positive Cozen's test, positive Mill's test, positive Maudsley's test \[14\].
  * NPRS pain score ≥ 4 on activity.
  * Tenderness on palpation over the lateral epicondyle of humerus,
  * Pain with gripping, Pain with resisted wrist extension.

Exclusion Criteria:

* History of recent trauma or surgery of elbow.
* Acute stage of lateral epicondylagia.
* Corticosteroid injection within the last 3 months.
* Neurological defeciency of the affected limb \[16\].
* Systemic inflammatory diseases, such as rheumatoid arthritis, lupus, or fibromyalgia.
* Diabetes mellitus (uncontrolled) due to its influence on tendinopathy.

Where it's running

• Ghurki Hospital Lahore
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Principal investigator: Hira Shaukat, Mphill — Riphah International University
• Study coordinator: Imran Amjad, PhD
• Email: Imran.amjad@riphah.edu.pk
• Phone: 03324390125

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Telerehabilitation vs. supervised rehabilitation for patellofemoral pain syndrome

  This study tests whether remote exercise therapy can work as well as in-person supervised rehab for people with patellofemoral pain.

  Recruiting Riphah International University · Lahore, Punjab Province · NCT07921212

• Vestibular Stimulation vs Core Stability Training for Sitting Balance in Hypotonic Cerebral Palsy

  This study tests whether vestibular stimulation or core stability training helps improve sitting balance in young children with hypotonic cerebral palsy.

  Recruiting Riphah International University · Chakwal, Punjab Province · NCT07921186

• Hybrid mobile health and telerehabilitation vs in-person physiotherapy for shoulder pain

  This study tests whether a mobile-health program, tele-rehabilitation sessions, or conventional physiotherapy can help adults with Subacromial Pain Syndrome.

  Recruiting Riphah International University · Rawalpindi, Federal · NCT07921160

• Telerehabilitation vs clinic-based physiotherapy for children with spastic cerebral palsy

  This study tests whether structured telerehabilitation can be as effective as in-clinic physiotherapy for improving movement in children aged 4–12 with spastic cerebral palsy.

  Recruiting Riphah International University · Swābi, Kpk · NCT07921147

• tDCS plus Action Observation Therapy for leg function in children with diplegic CP

  This study tests whether adding active brain stimulation to action observation therapy can improve leg movement in kids with diplegic cerebral palsy better than a sham stimulation with the same therapy.

  Recruiting Riphah International University · Wah, Punjab Province · NCT07921095

• Sensory Integration Therapy vs Conventional Physical Therapy in Children With Mixed Cerebral Palsy

  This study tests whether Sensory Integration Therapy helps improve gross motor function more than standard physical therapy in children aged 4–10 with mixed cerebral palsy.

  Recruiting Riphah International University · Peshawar, Kpk · NCT07921069

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.