Effects of Mulligan and Cyriax Approach in Patients With Subacute Lateral Epicondylitis.

Isra University

Status: Completed

Conditions: Lateral Epicondylitis

Treatments: Other: Mulligan approach i.e. Taping and MWM; Other: Cyriax approach i.e. DTF massage and Mill's manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT03848117

IIRS-1702-M.Phil OPT-006

Details and patient eligibility

About

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.

Full 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.

Enrollment: 30 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

(DTF massage & Mill's manipulation)(Group 1)

Active Comparator group

Description:

For any given subject in group 1, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in 1st group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.

Treatment:

Other: Cyriax approach i.e. DTF massage and Mill's manipulation

( Taping & MWM) (Group 2).

Active Comparator group

Description:

For any given subject in group 2, PRTEE pain and functional disability evaluations and Hand grip strength were completed on the same day. Then each subject in second group completed 4 weeks of physical therapy sessions which were aimed to decrease pain, increase functional activity level, and improve hand grip strength. Each subject was evaluated for changes in symptoms on 1st week, 2nd week, 3rd week and 4th week.

Treatment:

Other: Mulligan approach i.e. Taping and MWM