Efficacy of Cyriax Physiotherapy versus Cyriax and low level Laser Therapy on pain and grip strength in Lateral Epicondylitis

Abstract

Objective: The study was designed to evaluate the efficacy of Cyriax physiotherapy versus Cyriaxand Low Level Laser Therapy to compare these techniques in reducing pain and improving gripstrength in patients with lateral epicondylitis.
 Methodology: The study population included 30patients of lateral epicondylitis (signs and symptoms present for more than 6 weeks) diagnosedin outpatient and indoor facilities of MM Hospital, Mullana. The subjects were selected bymeans of simple random sampling. After fulfilling the inclusion and exclusion criteria, thepatients were randomly allocated in two groups: Group A and Group B. Group A received cyriaxphysiotherapy alone whereas Group B patients were subjected to combined Cyriax and low levelLaser therapy. Baseline measurements of pain and grip strength were taken before treatmentand then at 3 weeks respectively.
 Results: Our findings showed that there was significantlyhigher improvement in pain and grip strength in Group B (patients receiving combination ofcyriax therapy with low dose laser therapy) as compared to Group A (p<0.05).
 Conclusion:Cyriax physiotherapy and low level laser therapy were effective in reducing pain and improvinggrip strength after the treatment sessions. But benefits of cyriax physiotherapy with low levellaser therapy in lateral epicondylitis patients are significantly higher as compared to cyriaxphysiotherapy alone over a three week period. Hence, cyriax with low level laser therapy isproved to be a better treatment.
 Bangladesh Journal of Medical Science Vol.20(2) 2021 p.356-360

Immediate effects of 850 nm Diode Laser on patients with Cervical Myofascial Pain Syndrome: a Randomized-controlled trial

“…25 Another study found that; patients with lateral epicondylitis gain significantly more with cyriax physiotherapy combined with low level laser therapy than from cyriax physiotherapy alone during a three-week period. 26 It is evident from these studies that the optimal effective parameters of LLLT for MPS were not yet known. There are a wide range of LLLT protocols with different parameters, wavelengths, powers, doses, duration and depth of the trigger points, which could attribute to these differences in laser therapy effectiveness.…”

A Comparative Study to Evaluate the Efficacy of Supervised Exercise Program and Cyriax Physiotherapy on Pain and Function in Lateral Epicondylitis

“…The therapist used one hand to support the patient's pronated and wrist fully flexed, while the other hand was, put on the olecranon. The therapist administered a thrust of low-amplitude and high velocity at the end range of elbow extension at the same time maintaining complete wrist flexion and pronation [17,18] (Fig. 3)…”

Physiotherapy Interventions in Lateral Epicondylitis

“…Lateral epicondylitis, commonly called "tennis elbow", is an overuse injury to the wrist extensor that causes inflammation resulting in degenerative changes such as tendinosis and micro-tearing (small tears) in fibrous tissue. 1 Lateral epicondylitis is determined to have a relatively constant annual incidence of around 15.1 cases per 10.000 patients in the United States. The general population prevalence of lateral epicondylitis is reported to be 1% to 3%.…”

“…3 Pain around the lateral elbow is known by various names, periostitis, extensor carpi radialis brevis (ECRB) tendinosis, epicondylgia, tennis elbow and lateral epicondylitis. 1 The main goals in the management of lateral P-ISSN: 2830-6317 epicondylitis are pain relief, inflammation and microbleeds, rehabilitation, and prevention of recurrence. 1,3…”

“…1 The main goals in the management of lateral P-ISSN: 2830-6317 epicondylitis are pain relief, inflammation and microbleeds, rehabilitation, and prevention of recurrence. 1,3…”