Comparison of Mobilization with Movement and Soft Tissue Mobilization on Pain Severity, Hand Grip Strength and Functional Activity in Tennis Elbow Patients

Authors

  • Sidra Shafique Senior Lecturer RCRS Riphah International University, Lahore
  • Hafiza Neelam Muneeb Senior Lecturer RCRS Riphah International University, Lahore
  • Naseem Abbas Student RCRS Riphah International University, Lahore
  • Iqra Abdul Ghafoor Lecturer RCRS Riphah International University, Lahore

Keywords:

Movement, soft tissue, pain, grip, hand strength functional status, tennis elbow

Abstract

BACKGROUND AND AIM

Lateral epicondylitis or tennis elbow is a pain pattern most commonly seen in tennis player due to forceful repetitive movements in a wrong way. So, the Objective was to determine the comparison of mobilization with movement and soft tissue mobilization on pain, grip strength and functional activity in patients with tennis elbow.

METHODOLOGY: In this Randomized Controlled Trial, Non probability sampling technique was used. Thirty tennis players having lateral epicondylitis pain were included in the study. Two interventions were used i.e. Mobilization with movement and soft tissue mobilization. Pain, Muscle power and function activity were 3 outcome measure in both groups.

RESULTS: In both groups the mean age of the participants was 24.30 ± SD 3.01.  There was a significant Mean difference in the pain scores for MWM (5.34) and Soft Tissue Mobilization (3.74) after treatment. P value is significant for both group but there was greater difference with group MWM

 CONCLUSIONS: The present study concluded that Mobilization with movement has greater effect than the Soft Tissue Mobilization in relieving pain and improving Hand grip strength and functional activity in patients with tennis elbow.

References

Bagade VK, Verma C. Effect of Mulligan Mobilization with Movement (MWM) in the Treatment of Chronic Lateral Epicondylitis: 24 Weeks Follow-up Study. Website: www ijpot com. 2015;9(4):199.

Abbas S, Riaz R, Khan A, Javed A, Raza s. effects of mulligan and cyriax approach in patients with subacute lateral epicondylitis: soi: 21-2017/re-trjvol03iss02p107. The Rehabilitation Journal. 2019;3(02):107-15.

Basak T, Pal TK, Saha MB, Agarwal S, Das T. Comparative Efficacy of Wrist Manipulation, Progressive Exercises and Both Treatments in Patients with Tennis Elbow. International Journal of Health Sciences and Research. 2018;8(4):87-94.

Barrington J, Hage WD. Lateral epicondylitis (tennis elbow): nonoperative, open, or arthroscopic treatment? Current Opinion in Orthopaedics. 2003;14(4):291-5.

Cutts S, Gangoo S, Modi N, Pasapula C. Tennis elbow: A clinical review article. Journal of orthopaedics. 2020;17:203-7.

Bisset L, Paungmali A, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. British journal of sports medicine. 2005;39(7):411-22.

Castillo-Lozano R, Casuso-Holgado MJ. Incidence of musculoskeletal sport injuries in a sample of male and female recreational paddle-tennis players. The Journal of sports medicine and physical fitness. 2016;57(6):816-21.

Yan C, Xiong Y, Chen L, Endo Y, Hu L, Liu M, et al. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials. Journal of orthopaedic surgery and research. 2019;14(1):1-12.

Ahn S-w, Yoo T-g. The effect of soft tissue mobilization using prop on the pain, grip strength, functional activity and proprioception in patients with lateral epicondylitis. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2017;23(1):15-22.

Coombes BK, Connelly L, Bisset L, Vicenzino B. Economic evaluation favours physiotherapy but not corticosteroid injection as a first-line intervention for chronic lateral epicondylalgia: evidence from a randomised clinical trial. British journal of sports medicine. 2016;50(22):1400-5.

Abhimanyu V, Ritika P, Osama N, Srishti N, Gita H. Lateral epicondylitis: Are we missing out on radial nerve involvement? A cross-sectional study. Journal of Bodywork and Movement Therapies. 2021;27:352-7.

Shafiee E, MacDermid JC, Walton D, Vincent JI, Grewal R. Psychometric properties and cross-cultural adaptation of the Patient-Rated Tennis Elbow Evaluation (PRTEE); a systematic review and meta-analysis. Disability and Rehabilitation. 2021:1-16.

Baschung Pfister P, de Bruin ED, Sterkele I, Maurer B, de Bie RA, Knols RH. Manual muscle testing and hand-held dynamometry in people with inflammatory myopathy: An intra-and interrater reliability and validity study. PloS one. 2018;13(3):e0194531.

Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, et al. Hypertonic dextrose and morrhuate sodium injections (prolotherapy) for lateral epicondylosis (tennis elbow): Results of a single-blind, pilot-level randomized controlled trial. American journal of physical medicine & rehabilitation/Association of Academic Physiatrists. 2013;92(7):587.

Fry A, Littlejohns TJ, Sudlow C, Doherty N, Adamska L, Sprosen T, et al. Comparison of sociodemographic and health-related characteristics of UK Biobank participants with those of the general population. American journal of epidemiology. 2017;186(9):1026-34.

Stasinopoulos D, Papageorgiou SN, Kirsch F, Daratsianos N, Jäger A, Bourauel C. Failure patterns of different bracket systems and their influence on treatment duration: a retrospective cohort study. The Angle Orthodontist. 2018;88(3):338-47.

Pitsillides A, Stasinopoulos D. The beliefs and attitudes of cypriot physical therapists regarding the use of deep friction massage. Medicina. 2019;55(8):472.

Lyngdoh AW, Khatonier P, Das J, Lyngdoh S. Bengal Slow Loris, Nycticebus bengalensis.

Selvan KM, Krishnakumar BM, Ramasamy P, Thinesh T. Diel activity pattern of meso-carnivores in the suburban tropical dry evergreen forest of the Coromandel Coast, India. Journal of Threatened Taxa. 2019;11(8):13960-6.

Rezkallah SS, Abdullah GA. Comparison between sustained natural apophyseal glides (SNAG’s) and myofascial release techniques combined with exercises in non specific neck pain. Physiotherapy Practice and Research. 2018;39(2):135-45.

Kaya Mutlu E, Ercin E, Razak Ozdıncler A, Ones N. A comparison of two manual physical therapy approaches and electrotherapy modalities for patients with knee osteoarthritis: A randomized three arm clinical trial. Physiotherapy theory and practice. 2018;34(8):600-12.

Lee J-H, Oh J-S, Kim M-H. Effect of Deep Friction Massage with Taping Technique on Strength, Pain, Function and Wrist Extensor Muscle Activity in Patient with Tennis Elbow. Journal of Musculoskeletal Science and Technology. 2020;4(2):76-83.

Sobhani V, Shamsoddini A, Khatibi-Aghda A, Mazloum V, Kia HH, Meybodi ME. Effectiveness of Dry Needling, Manual Therapy, and Kinesio Taping (R) for Patients with Chronic Myofascial Neck Pain: A Single-Blind Clinical Trial. Trauma Monthly. 2017;22(6):8.

Collins NJ, Barton CJ, Van Middelkoop M, Callaghan MJ, Rathleff MS, Vicenzino BT, et al. 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain: recommendations from the 5th International Patellofemoral Pain Research Retreat, Gold Coast, Australia, 2017. British journal of sports medicine. 2018;52(18):1170-8.

Joseph MF, Taft K, Moskwa M, Denegar CR. Deep friction massage to treat tendinopathy: a systematic review of a classic treatment in the face of a new paradigm of understanding. Journal of sport rehabilitation. 2012;21(4):343-53.

Amsterdam EA, Wenger NK, Brindis RG, Casey DE, Ganiats TG, Holmes DR, et al. 2014 AHA/ACC guideline for the management of patients with non–ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology. 2014;64(24):e139-e228.

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Published

2022-01-14

How to Cite

Comparison of Mobilization with Movement and Soft Tissue Mobilization on Pain Severity, Hand Grip Strength and Functional Activity in Tennis Elbow Patients. (2022). Pakistan Journal of Rehabilitation, 11(1), 68-75. https://ojs.zu.edu.pk/pjr/article/view/1379