TITLE OF DISSERTATION/THESIS

(CAPITAL, BOLD AND 22 FONT SIZE)

Submitted by
Student's name (single space, 16 font size)

(Size 1.6 x 1.6 inch)

In the partial Fulfillment for the Degree of

Doctor of Physical Therapy (single space, 16 font size)

SUPERVISOR:

University Institute of Physical Therapy

(Single space, 14 font size)
Faculty of Allied Health Sciences
(Single space, 14 font size)

THE UNIVERSITY OF LAHORE

(Single space, 18 font size)

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 (YEAR font size 14)
(Date font size 14)
The University of Lahore
Faculty of Allied Health Sciences
University Institute of Physical Therapy

Rules and regulations for synopsis/thesis write up

Pattern of the contents of Synopsis/thesis
1. Title page (Copy attached).
I. Title of the synopsis/thesis.
II. Author's name.
III. Name of the degree.
IV. Department of the author.
V. Session.
2. Supervisory committee (copy attached).
3. Plagiarism evaluation report (copy attached).
4. Examination committee (copy attached).
5. Undertaking by the student (copy attached).
6. Dedication (Single page).
7. Acknowledgment
8. List of contents (Accurate page numbering and no repetition of numbers and
titles).
9. List of tables (Accurate page numbering and no repetition of numbers and
titles).
10. List of figures (Correctly marked for page numbers and titles of figures).
11. List of abbreviation (enlist and elaborate the symbol).
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12. List of symbols (enlist and elaborate the symbol).
13. SUMMARY/ABSTRACT
Minimum page limit (according to the thesis and research work conducted) and
write up font size 12 normal.

14. INTRODUCTION
Chapter title font size 14 bold. Page limit of introduction is 2-5 pages in 12 font
sizes and write up 12 normal.

Citation within the text

Vancouver style
The International Committee of Biomedical Journal Editors in its
Recommendations for the conduct, reporting, editing, and publication of scholarly
work in medical journals gives these general guidelines about references in the
References section under Manuscript preparation and submission:
References should be numbered consecutively in the order in which they are first
mentioned in the text
Identify references in text, tables, and legends by Arabic numerals in parentheses
(see this example).
References cited only in tables or figure legends should be numbered in accordance
with the sequence established by the first identification in the text of the particular
table or figure
The titles of journals should be abbreviated according to the style used for
MEDLINE (see how to find correct abbreviations)
Notes:

3
Vancouver style specifies numbers in parentheses (round brackets) for the in-text
citations (see example). However, some journals use superscript numbers in the
text.
Vancouver style does not specify whether in-text reference numbers should be
placed before or after subsequent punctuation. In the example below, the numbers
are placed before subsequent punctuation (e.g., a full stop).
Please check with your lecturers to see if they have a preference for either of these
features. Whichever options you use, it is important to apply them consistently to
the whole document.
To find correct abbreviations:

Go to www.pubmed.gov
Select Journals in NCBI Databases (under More Resources)
For best results, type the full journal title in quotation marks into the Search box
(e.g., "new zealand medical journal"); click Search
From the results, find and click on the title you want; the correct abbreviation is
given in the NLM Title Abbreviation section

Sample references

Note: Most of these examples are taken from the International Committee of
Medical Journal Editors (ICMJE) Recommendations for the conduct, reporting,
editing, and publication of scholarly work in medical journals: sample references
((see 1 above), maintained by the US National Library of Medicine and available at
http://www.nlm.nih.gov/bsd/uniform_requirements.html.

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Articles in journals (see also #36. Journal article on the Internet)

Note:

The basic elements needed for a reference to a journal article in the Vancouver
style are:

Author(s) name(s)
Title of article
Title of journal (abbreviated according to Medline journal title abbreviations)
Year of publication
Volume number (if the journal has volume numbers)
Issue number (if the volume has individual issues; there is an option not to include
this, see no. 1 in the examples below)
Page numbers (first and last)

15. LITERATURE REVIEW

Chapter title font size 14 bold. Page limit is 2-4 pages in 12 font size and write up
12 normal.
16. OBJECTIVES

17. MATERIALS AND METHODS

Chapter title font size 14 bold. Page limit (according to the thesis and research
work conducted). Write up 12 normal with the subheadings 12 font size.
Methodology should be given in paragraph form not in bullets.

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18. RESULTS
Chapter title font size 14 bold. Page limit (according to the thesis and research
work conducted). Write up 12 normal.

Table: Table should be self-contained and complement, but not duplicate

information should contain in the text. Table should be numbered consecutively in
the text in Roman numerals (e.g. Table VI).
Each table to be interpreted separately in 12 font size with titles as under:
Table VI: Effect of insulin
Figures: Legends to the figures should be concise but comprehensive. Figures
should be numbered consecutively in the text in the Arabic numerals (e.g. Fig. 6)
and should appear as legend as under: Figure 6:
Effect of insulin

19. DISCUSSION
Chapter title font size 14 bold. Minimum page limit (according to the thesis and
research work conducted). Write up 12 normal. Significance observed in each
parameter has to be mentioned and correlated with past work of similar type and no
data is needed.

20. CONCLUSION
Si using font size 12,

21. REFERENCES
Chapter title font size 14 bold. Write up in font size 12 normal. According to the
pattern given below;

6
All the references mentioned in the text should be listed in alphabetical order at the
end of text as follows. Names of the Journals should be abbreviated according to
the latest edition of the World List of Scientific Periodicals.

I. Research paper reference

Arrami M, Garner H. A tale of two citations. Nature. 2008;451(7177): 397–399

II. Book reference

i. Watkins PJ. ABC of Diabetes. 5th ed. London: Blackwell Publishing; 2003.
ii. Simons NE, Menzies B, Matthews M. A Short Course in Soil and Rock Slope Engineering. London:
Thomas Telford Publishing; 2001.

22. APPENDICES
I. Tables or figures which are not mentioned in the manuscript should be
included in the appendices.
II. Published work from the thesis should be included as appendix.

23. SIZE OF PAPER

A4 size to be used.

24. PAPER SPECIFICATION

Good quality paper (minimum 80 g) should be used.

25. LAYOUT OF THE MANUSCRIPT

I. Type script should be on one side only, line spacing at least 1.5 but can be
double spaced.
II. The manuscript should have a uniform style consisting of subsections in the
following sequence;
1. INTRODUCTION
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2. REVIEW OF LITERATURE
3. OBJECTIVES
4. MATERIALS AND METHODS
5. RESULTS
6. DISCUSSION
7. CONCLUSION
8. REFERENCES
9. APPENDICES

III. Font style of the transcript should be Times New Roman. Single Tab (0.5")
should be given at the start of each paragraph.
VI. Foot notes, quotations, references and figure captions should be Single-
spaced and of 10 font size.
V. Figure legends should be at the bottom of the figure and reference of the
figure should be given at the end of the legend as mentioned within the text (e.g.
Ahmad, 1990). Table captions should be at the top of the table.
VI. Script text should be justified.

26. PAPER MARGINS

I. At least 1.25-1.5 inches on left hand side of paper.
II. 3/4 -1 inch at top & bottom.
III. 0.5-0.75 inch at right hand side.

27. PAGE NUMBERING

At bottom right 0.5 inch from the edge of the paper.
28. BINDING OF THESIS
The color of binding for different degrees is as follows:

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I. DPT Dark Blue with silver typing
Spine of the thesis along with the length should show DPT degree, name of the
candidate (in the middle) and year of submission. Spine should be 18pt and in bold
face.

9
 TITLE OF DISSERTATION/THESIS
(CAPITAL, BOLD AND 22 FONT SIZE)

Submitted by
Student's name (single space, 16 font size)

(Size 1.6 x 1.6 inch)

In the partial Fulfillment for the Degree of

Doctor of Physical Therapy (single space, 16 font size)

SUPERVISOR: (Name)

University Institute of Physical Therapy

(Single space, 14 font size)
Faculty of Allied Health Sciences
(Single space, 14 font size)
THE UNIVERSITY OF LAHORE
(Single space, 18 font size)
(YEAR font size 14)
(Date font size 14)

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The University of Lahore
Faculty of Allied Health Sciences
University Institute of Physical Therapy (UIPT)

Supervisory Committee
We the Supervisory Committee, certify that the contents and the form of thesis
submitted by (Student Name) have been found satisfactory and recommend it for
the evaluation of the External Examiner for the award of degree of DPT
(Discipline)

Supervisor

Member

HOD, University Institute of Physical Therapy

Dean Faculty of Allied Health Sciences

The University of Lahore

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Faculty of Allied Health Sciences
University Institute of Physical Therapy (UIPT)

Examination Committee

The Thesis viva of ----------------------------- (Regd. No.) was held on------------------

------------ at University Institute of Physical Therapy, The University of Lahore.
The Supervisory and Examination Committee gave satisfactory remarks on the
thesis and viva and were approved for the award of the degree of DPT (Discipline)

External Examiner Internal Examiner

HOD, University Institute of Physical Therapy (UIPT)

Dean Faculty of Allied Health Sciences

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The University of Lahore
Faculty of Allied Health Sciences
University Institute of Physical Therapy (UIPT)

Undertaking

I (Name & Regd. No.)

declare that the contents of my thesis entitled "
(Thesis topic)"
are based on my own research findings and have not been taken from any other
work except the references and has not been published before. I also undertake that
I will be responsible for any plagerization in this thesis.

Student's Name

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The University of Lahore
Faculty of Allied Health Sciences
University Institute of Physical Therapy (UIPT)

Plagiarism evaluation report

This is to certify that I have examined the Turnitin report of the thesis entitled"

The thesis contains no text that can be regarded as plagiarism.

The overall similarity index obtained from the Turnitin software is %

Supervisor

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 TABLE OF CONTENTS

Sr.No. Contents Page No.

1 INTRODUCTION (it should be 0f 2-5 pages efinition-

descriptions, prevalence, incidence, pathophysiology,

applied anatomy rationale of study )

2 LITERATURE REVIEW( it should be 2-4 pages and

only previous studies like in this pattern what johan et al

in 2007 evaluated 3000 patient and concluded low back

pain in 45% in teachers e

3 OBJECTIVES Clearly write you objectives of your

study)

4 OPERATIONAL DEFINITION ( the most important

terms in your topic like Cervical spondylosis, tennis

elbow or any other)

5 MATERIALS AND METHODS

(see next pages )

6 DATA ANALYSIS

7 REFERENCES

8 PROFORMA

9 CONSENT FORM

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ABSTRACT

Background and Introduction: Mechanical malfunction of elbow joint is the usual cause of
lateral elbow pain. Even though varied procedures have suggested for maximizing elbow
movements and decreasing elbow and so on………..

Methods: Study is true experimental in nature, randomized control trial adopted to select the
subjects with lateral epicondylitis.Thirty patients 15 in each group having LE were chosen
Simple random sampling technique and arranged into two groups as guided by CONSORT
(Consolidated Standards of Reporting Trials) guidelines. Group A received Ultrasound therapy
with intensity of 1.2 W/cm2 with pulsed mode (3MHZ) and duration is 5 minutes .Group B
received …………………….so on…………………………..

Results: The results exhibited that The P-value for PRTEE (patient-rated tennis elbow
evaluation) in group A using Therapeutic Ultrasound and was after four weeks of treatment
which was less than the level of sign.,,,,,so on……... So Therapeutic Ultrasound with Mulligan
mobilization was more effective than Therapeutic Ultrasound to reduce pain and restoration of
function.

Conclusion: It was concluded that combination of mobilization of Mulligan and Therapeutic

ultrasound was more effect so on……………………………………

Key Words:

Lateral epicondylitis, Therapeutic Ultrasound, Mulligan mobilization, PRTEE

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 1. INTRODUCTION
Lateral Epicondolytis has many analogous terms in addition to tennis elbow,
peritendinitis of the elbow, lateral elbow pain, lateral epicondylalgia, lateral
epicondylitis, and tendonitis of the common extensor origin. Lateral Epicondolytis
presents with tenderness and pain on the lower end of the humerus known as
lateral epicondyle and pain increases when resistance is applied to the extension of
the middle finger, wrist and mostly both.(1, 2) Because of deprivation of adequate
understanding related to pathophysiology give rise to a wide range of treatment
options in routine physiotherapy practice along with electrotherapeutic modalities
with manual therapy techniques and exercise interventions.(1, 3)
Predominantly the dominant arm is more frequently affected with tennis elbow
and form 1000 patients almost 4 to 7 present with this condition, the annual
occurrence in the general population is of 1-3% which has increased up to 19% in
the population of 30-60 years(2, 4, 5) It is identified in cricketers , slaughterhouse
workers, tennis players, woodworkers and factory workers those need repeated
movements of wrist(2, 6)………………………………………………..and so on

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LITERATURE REVIEW

Herquelot et al conducted a research that intended to estimate the association

between incidence of lateral epicondolytis and repeated measures of occupational
risk factors in a large working population. The study elaborated the occupational
risk factors and their temporal dimensions in the increasing incidence of lateral
epicondolytis. The author concluded that the strong association is present between
occupational risk factors and the lateral epicondolytis and further studies are
needed in this regard.(26) ……………..so on……………………. 2-4 pages

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OBJECTIVES
The objective is to assess t

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4. Operational definition
Tennis elbow

There w…………………………….lateral epicondylitis.

Radiculopathy
There ………………………………………..epicondylitis.

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MATERIALS AND METHODS
Study Design:

Setting Data was collected from Services Hospital

Duration of study was completed within 6 months after the approval of synopsis

Sample size: Sample size of

Sample Technique:

Sample selection criteria

Inclusion Criteria:
•
•
•
Exclusion Criteria:
• Cervical radiculopathy
• Stroke
Methodology
Thirty patients was selected ……………………………….

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22
 5. DATA ANALYSIS
After taking informed written consent. Data was collected through Questionnaire
………………………………………………………………

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Results:

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 6. DISCUSSION:
Lateral epicondylitis or tennis elbow is a leader amongst the most generally
perceived injuries of the arm. This harm is a foremost test, as it is difficult to treat,
slanted to rehash and may continue going for a couple of weeks or months, with an
ordinary compass of a regular scene which has been represented to be between six
months to two years.(2)
……………………………………………………………..It is evident that the
agglomeration of limited range of injuries of the extensors muscles at their
origination from lateral epicondyle is the root sources of tennis elbow.Along these
lines, this is envisioned that cautious muscle-guarding to prevent pain
subsequently this devilment hinders the typical course of action of the humerus,
eventually weakness develops due to positional fault at the elbow.(72)
two methodology that are routinely in used, one is Ultrasound treatment and second
is ultrasound treatment with Mulligan Mobilization treatment. Ultrasound for the
treatment of debilitated musculoskeletal disorders like tennis elbow .There were
various early attempts in the past to use ultrasound in treatment for a collection of
employments remembering some of these have not been looked for after others
have driven on to clinical applications which are right now used routinely. This
improvement in treatment is made possible by different components fusing
advances in transducer arrangement, more exact estimation besides, of acoustic
power and attentive examinations to choose the precise method for substance
strategies happening in the midst of and taking after the presentation of tissue to
ultrasound. Huge advances have been made in a couple fields where ultrasound is
used, for instance, physiotherapy.(16)
The modification of a positional issue is the main emphasis of the treatment. The
change in normal position implies a state in which the joint surface are not in their

25
natural and symphonious position, and it is not readily observed nor immediately
perceived by radiological evaluation. These positional imperfections produce
deteriorations and muscular strains. Along these evidences the review of positional
issues buttoned up that Mobilzation With Movement technique restores normal
joint function by influencing fluid stream and recovery.(11)A significant part of
the time, desolation is the essential variable that limits the down to earth execution
in patients with LE. By satisfactorily facilitating desolation, MWM furthermore
upgrades the ability to perform each day utilitarian activities.(14) Purpose of this
research was to conclude the comparative effectiveness of Mulligan Mobilization
and Therapeutic ultrasound for the treatment of lateral epicondylitis pain regarding
reduction of pain and restoration of function. In the present research both of these
Treatment methods have been used as an intervention to treat the patients with this
condition. Patients with lateral epicondylitis were divided randomly into two
groups. In ‘group A’ Therapeutic Ultrasound w

CONCLUSION:

26
Hence,it is concluded that Mulligan Mobilization technique is found better and
superior in reducing pain and gaining functional outcomes in the treatment of the
lateral epicondylitis as compares to conventional Physical therapy alone as with
Therapeutic Ultrasound Therapy only.

27
 7. RECOMMENDATIONS
Upcoming studies are reconnoiter about the techniques of Mulligan Mobilization
therapy and type of specific Technique in Late………………….

28
 8. LIMITATIONS
The study was done on small sample size, there should be a large sample
size. Other things like radiculaopathy and post fractures and traumatic cases need
to study as well. In my study only Mobilization techniques with Therapeutic
Ultrasound were used, other manual techniques along with taping techniques and
other therapeutic modalities should also be addressed as well.

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APPENDIX
Questionnaire
Age Gender
Dominant Hand Occupation
Pain in affected arm
Rate your pain No pain Worst
When you are at rest 0 1 2 3 4 5 6 7 8 9 10
When doing a task with repeated arm 0 1 2 3 4 5 6 7 8 9 10
movement
When carrying a plastic bag of 0 1 2 3 4 5 6 7 8 9 10
groceries
When your pain was at its least 0 1 2 3 4 5 6 7 8 9 10
When your pain was at its worst 0 1 2 3 4 5 6 7 8 9 10

Functional disablity
Turn a doorknob or key 0 1 2 3 4 5 6 7 8 9 10
Carry a grocery bag or briefcase by the 0 1 2 3 4 5 6 7 8 9 10
handle
Lift a full coffee cup or glass of milk to 0 1 2 3 4 5 6 7 8 9 10
your mouth
Open a jar 0 1 2 3 4 5 6 7 8 9 10
Pull up pants 0 1 2 3 4 5 6 7 8 9 10
Wring out washcloth or wet towel 0 1 2 3 4 5 6 7 8 9 10

Usual activites
Personal activites(dressing,washing) 0 1 2 3 4 5 6 7 8 9 10
Household 0 1 2 3 4 5 6 7 8 9 10
30
work(cleaning,maintenance)
Work(your job or every day work) 0 1 2 3 4 5 6 7 8 9 10
Recreational or sporting activities 0 1 2 3 4 5 6 7 8 9 10

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