Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis

Abstract

Abstract
 Objective: To determine the effectiveness of Mulligan mobilisation versus Cyriax approach in the management of patients with subacute lateral epicondylitis.
 Methods: The clinical trial was conducted at the District Headquarter Hospital, Bahawalnagar, Pakistan, from September to December 2018, and comprised lateral epicondylitis patients having symptoms for >2 weeks. The diagnosis was confirmed on the basis of physical tests and musculoskeletal ultrasound. The subjects were randomly allocated to two equal groups A and B. Group A received deep transverse friction and Mill’s manipulation according to Cyriax approach, while group B received Mulligan mobilisation with movement techniques. Patient-related tennis elbow evaluation index was used to collect data which was analysed using SPSS 20.
 Results: Of the 60 patients, there were 30(50%) in each of the two groups. The overall mean age was 35.27±7.30 years, and 38(63.3%) participants were male. After 4 weeks of treatment sessions, both groups showed significant improvements (p<0.05) in pain and functional disability scores. Group A showed significantly more improvement (p<0.05) in pain subscale scores compared to group B, while group B showed significant improvement (p<0.05) in functional disability subscale scores compared to group A. There was no significant difference (p>0.05) between the groups on total the patient-related tennis elbow evaluation index score.
 Conclusion: Both Mulligan mobilisation with movement and Cyriax approach decreased pain and improved functional status in lateral epicondylitis patients.
 Key Words: Elbow, Lateral epicondylitis, Massage, Mobilisation, Physiotherapy. Continuous..,

Efficacy of powerball versus mulligan mobilization with movement on pain and function in patients with lateral epicondylitis: a randomised control trial

“…As compared to conventional mobilisation techniques in which mobilisation is applied in a static position, MMWM focuses on mobilizing the joint throughout physiological movements. Studies have suggested that MMWM is e cacious in relieving pain and functional ability of elbow joints in LE 8 . • Participants will be categorized into two groups • Group A is an experimental group and Group B is conventional group.…”

“…Basically, exercise program involves: exercises performed in clinical setting and home exercise programs 1 . They include stretching and strengthening, manual therapy, taping, electrotherapy, shock wave therapy, myofascial release, therapeutic ultrasound, mobilisation and many more 7,8 . Among those employed in high-risk industries involving loading, frequent gripping and/or wrist extension operations, also racquet sports players, there is a greater prevalence 3 .…”