Lateral Epicondylitis
Conditions
Keywords
Patient Rated Tennis Elbow Evaluation (PRTEE), Mobilization with movement, Deep Transverse friction massage
Brief summary
Lateral epicondylitis (LE) is a pain causing musculoskeletal disease which mainly occurs due to the over exertion or over use of extensors of wrist mainly ECRB and pain is felt at the origin of common extensor tendon. This study was focused to assess the effectiveness of cyriax approach and mulligan approach to improve the functional status of sub acute lateral epicondylitis patients through patient related tennis elbow evaluation form.
Detailed description
A total of 39 athletes with knee pain were recruited and randomly divided into two groups. 30 subjects fulfilled the inclusion criteria and were part of this trial, 15 in each group.The data was collected through general demographic questionnaire, PRTEE questionnaire to determine the level of pain and functional disability and Hand grip strength chart to measure grip strength while having epicondylitis.
Interventions
OTHERCyriax approach i.e. DTF massage and Mill's manipulation
Each patient in group I i.e. Cyriax group was given 20-minute session. Each session started in sitting position and initially deep transverse friction massage was done at lateral compartment of the elbow joint and immediately after that mill's manipulation at elbow joint with flexion at wrist joint in pronated arm position. This session was repeated three times a week for one month (Total 12 sessions/ one month).
OTHERMulligan approach i.e. Taping and MWM
Each patient in group II i.e. Mulligan group was given 30 to 45-minute session. Each session started in sitting position and it included mobilization with movement which was given in such a way that initially lateral glide at elbow joint was performed and after holding it, I asked the patient to make a fist and open the fist. In this way, I repeated this procedure 36 times and after 12 repetitions, a short rest period was given. Taping was applied after mobilization around the elbow joint over extensor carpi radialis muscles. This session was repeated three times a week for one month (Total 12 sessions/ one month).
Sponsors
Isra University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Patients were randomly assigned into two groups: Cyriax Approach group and Mulligan approach group. A coin was flipped at start of data collection for the first patient to be assigned odd number and included in cyriax group. Later on odd and even numbered patients were included in specific group. Additionally, data was collected from lateral epicondylitis patients visiting the DHQ Hospital Bahawalnagar.
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age group 20-50 years of both gender. * Vas \< 7 * Positive mills test and cozens test. * Local tenderness on palpation over lateral epicondyle of the humerus. * From sub-acute to chronic more than 2 weeks.
Exclusion criteria
* Any previous pathology of bone around elbow. * Corticosteroid injection in the preceeding 3 months. * Absence of clinical signs of tennis elbow. * Any other systemic illness like metabolic, metastatic, infective disorders. * Any other neurological abnormalities. * Allergies to Mulligan tape.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient related tennis elbow evaluation functional disability scale | Upto 4 weeks | Degree of difficulty in performing daily tasks associated with elbow joint is measured through Patient related tennis elbow evaluation functional disability scale in categories as 0 for no difficulty in task and 10 for unable to do a task. |
| Patient related tennis elbow evaluation pain scale | Upto 4 weeks | Pain associated with daily tasks is measured through Patient related tennis elbow evaluation pain scale with categories as 0 for no pain and 10 for worst imaginable pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand grip strength chart index | Upto 4 weeks | It is also measured through hand grip dynamo meter with reference values according to gender description. |
Countries
Pakistan
Outcome results
None listed