COMPARATIVE ANALYSIS BETWEEN MOBILIZATION WITH MOVEMENT (MWM) AND MANIPULATION IN THE MANAGEMENT OF LATERAL EPICONDYLITIS

Abstract

OBJECTIVES
To compare the effect of Mobilization with Movement (MWM) and
Manipulation in the management of lateral epicondylitis with regard
to ache, grip power and functional activities.
METHODOLOGY
20 patients presented with lateral epicondylitis (Tennis elbow) to
OPD in Ziauddin Hospital (Clifton, North and Kemari campuses). They
were enrolled for the purpose of research study after written
informed consent. Subjects were erratically assigned into 2 groups,
i.e. group A for MWM and group B for manipulation. All patients were
examined before and after the treatment and then findings were
evaluated. Pain was sedated by Visual analogue scale (VAS), grip
strength was measured by hand–held dynamometer and functional
activities’ outcomes were measured by forearm analysis questionnaire
survey for lateral epicondylitis, by H B Leung et al 2004.
RESULT
A total of 20 patients were randomly selected and divided into two
groups i.e. Group–A & Group–B. The result shows for Group A: The
mean of pain score on VAS before treatment was 4.70±1.418 while
after treatment was 0.10±0.316 with P value (0.05) and the mean of
grip strength score before treatment was 13.40±7.442 while after
treatment was 22.60±8.501. For Group B: The mean of pain score on
VAS before treatment was 5.20±0.632 while after treatment was
0.5±0.527 with P value (0.05) and the mean of grip strength before
treatment was 26.20±21.028 and after treatment was 32.00±24.33.
CONCLUSION
This study shows evidence to support the effectiveness of both
approaches (MWM + Manipulation) for relieving ache, strengthening
and functionality along with tennis elbow.

KEYWORDS
Lateral epicondylitis, Manipulation, Mobilization with movement
(MWM), dynamometer, visual analog scale, and analysis.