Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis

Authors

  • Aqeel Ahmed Isra Institute of Rehabilitation Sciences, Isra University, Islamabad, Pakistan
  • Muhammad Ibrar Department of Physiotherapy, Paraplegic Center, Peshawar, Pakistan
  • Aatik Arsh
  • Sonia Wali Department of Physical therapy, Islamabad Federal College, Islamabad, Pakistan
  • Shoukat Hayat Isra Institute of Rehabilitation Sciences, Isra University, Islamabad, Pakistan
  • Summar Abass University of Lahore, Islamabad Campus, Pakistan

DOI:

https://doi.org/10.47391/JPMA.399

Abstract

Abstract

Objective: To determine the effectiveness of Mulligan mobilisation versus Cyriax approach in the management of patients with subacute lateral epicondylitis.

Methods: The clinical trial was conducted at the District Headquarter Hospital, Bahawalnagar, Pakistan, from September to December 2018, and comprised lateral epicondylitis patients having symptoms for >2 weeks. The diagnosis was confirmed on the basis of physical tests and musculoskeletal ultrasound. The subjects were randomly allocated to two equal groups A and B. Group A received deep transverse friction and Mill’s manipulation according to Cyriax approach, while group B received Mulligan mobilisation with movement techniques. Patient-related tennis elbow evaluation index was used to collect data which was analysed using SPSS 20.

Results: Of the 60 patients, there were 30(50%) in each of the two groups. The overall mean age was 35.27±7.30 years, and 38(63.3%) participants were male.  After 4 weeks of treatment sessions, both groups showed significant improvements (p<0.05) in pain and functional disability scores. Group A showed significantly more improvement (p<0.05) in pain subscale scores compared to group B, while group B showed significant improvement (p<0.05) in functional disability subscale scores compared to group A. There was no significant difference (p>0.05) between the groups on total the patient-related tennis elbow evaluation index score.

Conclusion: Both Mulligan mobilisation with movement and Cyriax approach decreased pain and improved functional status in lateral epicondylitis patients.

Key Words: Elbow, Lateral epicondylitis, Massage, Mobilisation, Physiotherapy. Continuous..,

Published

2020-10-15

How to Cite

Aqeel Ahmed, Muhammad Ibrar, Aatik Arsh, Sonia Wali, Shoukat Hayat, & Summar Abass. (2020). Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis. Journal of the Pakistan Medical Association, 1-11. https://doi.org/10.47391/JPMA.399

Issue

Section

Original Article