Effects of Battle Rope Training on ROM and Pain in Children With Post Traumatic Elbow Contractures.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Battle Rope Training, Stretching and Heat Therapy.
- Who it may be relevant to
- Registry conditions: Children, Adult. Basic parameters: 8 years — 15 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The primary objective of this study is to assess the effectiveness of battle rope training in improving ROM, reducing pain, and enhancing overall elbow function in children with post-traumatic elbow contracture. By comparing standard therapy alone to standard therapy plus battle rope training, the study aims to determine if this added intervention leads to greater improvements in functional mobility and pain relief.In this randomized controlled trial, participants will be divided into two groups: a control group, receiving standard treatment (ROM exercises, stretching, and heat therapy), and an intervention group, receiving the same standard treatment plus battle rope training. ROM exercises and stretching will focus on gentle elbow flexion and extension to enhance flexibility, while heat therapy will prepare muscles for movement. The intervention group will additionally perform 10-15 minutes of battle rope training, involving dynamic movements that engage the upper body and increase joint activation. Pre- and post-intervention assessments using a goniometer for ROM, the Flynn scoring system for functional and cosmetic outcomes, and the Visual Analogue Scale (VAS) for pain will provide comprehensive data on the effectiveness of the intervention
Detailed description
Post-traumatic elbow contracture is a common condition in children following elbow injuries, leading to restricted range of motion (ROM), pain, and reduced arm function. Standard treatments often include stretching, heat therapy, and ROM exercises to improve joint mobility and reduce discomfort. However, new approaches such as battle rope training, which is typically used for dynamic strength and endurance, may provide additional benefits by engaging upper body muscles and enhancing functional movement in children with contractures. This study explores whether incorporating battle rope training into a standard rehabilitation program can yield better outcomes than traditional therapy alone.
The primary objective of this study is to assess the effectiveness of battle rope training in improving ROM, reducing pain, and enhancing overall elbow function in children with post-traumatic elbow contracture. By comparing standard therapy alone to standard therapy plus battle rope training, the study aims to determine if this added intervention leads to greater improvements in functional mobility and pain relief.In this randomized controlled trial, participants will be divided into two groups: a control group, receiving standard treatment (ROM exercises, stretching, and heat therapy), and an intervention group, receiving the same standard treatment plus battle rope training. ROM exercises and stretching will focus on gentle elbow flexion and extension to enhance flexibility, while heat therapy will prepare muscles for movement.
The intervention group will additionally perform 10-15 minutes of battle rope training, involving dynamic movements that engage the upper body and increase joint activation. Pre- and post-intervention assessments using a goniometer for ROM, the Flynn scoring system for functional and cosmetic outcomes, and the Visual Analogue Scale (VAS) for pain will provide comprehensive data on the effectiveness of the intervention. This study seeks to offer new insights into pediatric rehabilitation, potentially introducing an effective and engaging therapy option for managing elbow contracture in children
Interventions
- Other Battle Rope Training
All five exercises will be performed 5 days a week with 2 sets.A 12.8-m TR (4.1 kg) was used for all trials Week 1 to 2: During the period the subjects performed 5 selected battle rope exercises. Each exercises the subjects performed ten seconds with two repetitions. The total number of set was 2. The recovery for in between exercise 1minute and in between set was 5 minutes. Week 3 to 4: During the period the subjects performed 5 selected battle rope exercises. Each exercises the subjects perfor - Other Stretching and Heat Therapy
The control group will receive Range of Motion (ROM) exercises, stretching, and heat therapy to manage post-traumatic elbow contracture. ROM Exercises will focus on gentle flexion and extension movements to gradually improve joint mobility . These exercises will be performed daily.Stretching exercises will target the muscles surrounding the elbow specifically designed to lengthen and relax the soft tissues that may contribute to contracture. These stretches will be held for 15-30 seconds and rep
Primary outcome measures
- Visual Analogue Scale [Time frame: 1st week to 5th week]
- ROM using Goniometer [Time frame: 1st week to 5th week]
- Flynn Scoring [Time frame: 1st week to 5th week]
Eligibility criteria
Inclusion criteria
- Age 8 to 15
- Children Suffering from Post-Traumatic Elbow Contracture
- Written informed consent obtained from the parents or guardians
- Participants must report a pain level of at least 3 on a visual analog scale (VAS)
- Children must be able to follow instructions and participate in physical activities.
- Children without any other co-existing illness like Burn Contractures
- Either gender will be included
Exclusion criteria
- Post Traumatic Contracture other than Elbow region
- Known allergies to materials used in battle rope training.
- Children who are unable to commit to the training schedule or follow-up assessments.
- Use of medications that may affect pain perception or muscle function, such as opioids or muscle relaxants.
- Burn Contracture.
- Presence of other significant musculoskeletal disorders or neurological conditions affecting the elbow.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Other
Study locations
Pakistan · 1 center
- Imran Amjad — Lahore
Publications
- Beck CM, Gluck MJ, Zhang Y, McGough JD, Reizner W, Rubin TA, Hausman MR. Outcomes of Arthroscopic Elbow Contracture Release: Improvement for Severe Prosupination and Flexion Contracture. Arthroscopy. 2022 Feb;38(2):315-322. doi: 10.1016/j.arthro.2021.07.020. Epub 2021 Jul 27. PMID 34329701
Identifiers
NCT: NCT07248475 · REC/RCR&AHS/Azlfakarim