| K. Jessie Tejaswi1, Ratchamarri Useni*2, A. Nityal Kumar3, P. Apparao4, P. Chaturvedi5 Authors: 1Associate professor, Department of Physiotherapy, Raghava college of physiotherapy, (Affiliated by dr. NTR university of health sciences, Vijayawada), Kakinada, Andhra Pradesh, India 3Professor, NITTE institute of physiotherapy, Mangaluru, Karnataka, India. 4Principal, Department of Physiotherapy, Swatantra Institute of Physiotherapy, and Rehabilitation, GSL Medical College, Rajamahendravaram, NTR University, Andhra Pradesh, India 5Professor, Department of Physiotherapy, Swatantra Institute of, Physiotherapy, and Rehabilitation, GSL Medical College, Rajamahendravaram, NTR University, Andhra Pradesh, India Corresponding Author : *2Associate Professor, Department of Physiotherapy in orthopedic, Navodaya Physiotherapy College, Raichur, Karnataka, India. Email: useni128@gmail.com |
ABSTRACT
| Background of the study: It was proposed to study the effect of mulligan mobilization (MWM) and eccentric exercise program in subjects with lateral epicondylitis (LE). Methods: An experimental study 60 Subjects having clinical diagnosis of LE and full filled with the inclusive criteria and randomly assigned. Group A & B with 30 subjects in each group. Group A MWM is given with subject lying in supine position having their elbow extended and forearm pronated. Group B performed Eccentric exercises for LE should be performed on a bed with the elbow supported on the bed in full extension position ,and the wrist hanging over the edge of the bed .In this position ,patients should flex their wrist slowly until full flexion is achieved, and then return to the starting position. Both groups performed the exercises 3 times per week for the duration of 4 weeks. After the treatment, subjects were evaluated for their pain profile using visual analogue scale (VAS), hand grip strength(HGS)using hand grip dynamometer (HGD), functional activity using patient rating tennis elbow evaluation (PRTEE). Results: For within group comparison Paired t-test analysis, for Between group comparisons Independent t-test used for statistical analysis. At the end of 4 weeks, it was found that subjects treated with MWM and eccentric exercise showed significant improvement in terms of VAS,HGS, PRTEE scores P=0.02. When compared between Groups the PRTEE showed a significant improvement in both group P=0.02. Conclusion: This study concludes that the 4 weeks of MWM and Eccentric exercises found statically and clinically significant effect on improving VAS, HGS, PRTEE for subjects with LE. |
Keywords: Lateral epicondylitis, mulligan mobilization , eccentric exercise, Visual analog scale, Patient rating tennis elbow evaluation ,Handgrip strength, Hand grip dynamometer
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