Open Access
Subscription Access
Open Access
Subscription Access
Comparing the effects of Manipulation of Wrist and Ultrasound, Friction Massage and Exercises on Lateral Epicondylitis: A Randomized Clinical Study
Subscribe/Renew Journal
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.
Keywords
- Friedlander HL, Reid RL, Cape RF. Tennis elbow. Clin Orthop. 1967;51:109–116.
- Hamilton PG. The prevalence of humeral epicondylitis: a survey in general practice. J R Coll Gen Pract. 1986;36(291):464–465.
- Bailey RA, Brock BH. Hydrocortisone in tennis elbow: a controlled series. J R Soc Med. 1957; 50:389–390.
- Cyriax JH. The pathology and treatment of tennis elbow. J Bone Joint Surg Am. 1936; 4:921–940.
- Koes BW, Assendelft WJ, van der Heijden GJ, et al. Spinal manipulation and mobilisation for back and neck pain: a blinded review. BMJ. 1991; 303 (6813) : 1298–1303.
- Shekelle PG, Adams AH, Chassin MR, et al. Spinal manipulation for low-back pain. Ann Intern Med. 1992;117:590–598.
- Cooperstein R, Perle SM, Gatterman MI, et al. Chiropractic technique procedures for specific low back conditions: characterizing the literature. J Manipulative Physiol Ther. 2001;24:407–424.
- Triano JJ. Studies on the biomechanical effect of a spinal adjustment. J Manipulative Physiol Ther. 1992;15:71–75.
- Wilder DG, Pope MH, Frymoyer JW. The biomechanics of lumbar disc herniation and the effect of overload and instability. J Spinal Disord. 1988;1:16–32.
- Lewit K. Manuelle Medizin: Im Rahmen der Medizinischen Rehabilitation. Leipzig, Germany: Auflage Johan Ambrosius Barth; 1977.
- Binder A, Hodge G, Greenwood AM, et al. Is therapeutic ultrasound effective in treating soft tissue lesions? BMJ (Clin Res Ed).1985;290(6467):512–514.
- Pienimaki TT, Tarvainen TK, Siira PT, Vanharanta H. Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis. Physiotherapy. 1996;82:522–530.
- Hay EM, Paterson SM, Lewis M, et al. Pragmatic randomized controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ. 1999; 319 (7215) : 964–968.
- Solveborn SA. Radial epicondylalgia (“tennis elbow”) – treatment with stretching or forearm band: a prospective study with long-term followup including range-of-motion measurements. Scand J Med Sci Sports. 1997;7:229–37.
- Koes BW, Bouter LM, van Mameren H, et al. Randomised clinical trial of manipulative therapy and physiotherapy for persistent back and neck complaints: results of one year follow up. BMJ. 1992; 304 : 601–605.
Abstract Views: 852
PDF Views: 0