Comparing the effects of Manipulation of Wrist and Ultrasound, Friction Massage and Exercises on Lateral Epicondylitis: A Randomized Clinical Study
Design: A Randomized Clinical Study.
Subjects and Method: Ten subjects with a history and examination results consistent with lateral epicondylitis participated in the study. The subjects were randomly assigned to either a group that received manipulation of the wrist (group 1) or a group that received ultrasound, friction massage, and muscle stretching and strengthening exercises (group 2). Follow-up was at 3 weeks. The primary outcome measure was a global measure of improvement, as assessed on a 10-point scale. Analysis was performed using independent t tests, Mann-Whitney U tests, and Fisher exact tests.
Results: Differences were found for 2 outcome measures: success rate and decrease in pain at 3 week. Both findings indicated manipulation was more effective than the other protocol. After 3 weeks of intervention, the success rate in group 1 was 62%, as compared with 20% in group 2. Also, improvement in pain as measured on a 10-point numeric scale was 5.2 (+ 2.4) in group 1, as compared with 3.2 (+ 2.1) in group 2.
Conclusion: Manipulation of the wrist appeared to be more effective than ultrasound, friction massage, and muscle stretching and strengthening exercises for the management of lateral epicondylitis when there was a short-term follow-up.
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