A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Ebnezer, C.
- Comparing the effects of Manipulation of Wrist and Ultrasound, Friction Massage and Exercises on Lateral Epicondylitis: A Randomized Clinical Study
Authors
1 KLE Institute of Physiotherapy
2 Metas of Seventh Day Adventist College of Physiotherapy, Surat, Gujrat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 205-209Abstract
Background and Purpose: Lateral epicondylitis ("tennis elbow") is a common entity. Several nonoperative interventions, with varying success rates, have been described. The aim of this study was to compare the effectiveness of 2 protocols for the management of lateral epicondylitis: (1) manipulation of the wrist and (2) ultrasound, friction massage, and muscle stretching and strengthening exercises.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
Tennis Elbow, Manipulation, Ultrasound, Stretching
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