Effect of Mobilization with Movement on Lateral Epicondylitis

P- ISSN: 2226-9215

Abstract

Background: Lateral epicondylitis (tennis elbow) is a frequent complaint in primary care, and is judged an overload injury, affecting the common extensor muscles at the lateral humeral epicondyle. The prevalence and incidence rate is 1–3 % of the adult population.
Objectives: The objective of this study was to determine the effect of mobilization with movement (MWM) on pain and functional disability in lateral epicondylitis.
Methodology: This was a quasi- experimental study design. Study settings were Ch. M Akram Teaching Hospital & Research Centre and Jamiat Hospital, Lahore. Both Genders with age group of 20-35 years were equally inclusive in study. Study duration was six months. Patient –Rated Tennis Elbow Evaluation (PRTEE) tool was used to collect data. Two groups were enrolled as group (a) conventional therapy alone and group (b) MWM with conventional therapy. Treatment given to conventional group included ultrasound (pulsed mode), soft tissue release and strengthening exercises. In group (b) MWM was added in traditional treatment.
Results: Mean age was 31.66±3.15 of conventional group and 32.06±5.59 of MWM group. Intra-group (within groups) comparison of conventional group and MWM group showed significant improvement in pain with P-value of 0.001 and 0.001, P-value for functional disability in conventional group was 0.002 and in MWM group was 0.001, P-value for usual activities in conventional group was 0.001 and in MWM group was <0.001. .Inter-group comparison showed significant improvement in MWM group as post-treatment comparison with of pain in conventional group was 0.868 and in MWM group was 0.001, P-value of functional disability in conventional group 0.168 and in MWM group was <0.001, P-value of usual activities in conventional group was 0.379 and in MWM group was 0.001.
Conclusion: This study concludes that Mobilization with movement technique is more effective and better in reducing pain and gaining functional outcomes in the treatment of the lateral epicondylitis as compares to conventional Physical therapy alone.