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Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis
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 201...
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Published in: | Journal of the Pakistan Medical Association 2020-10, p.1-11 |
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creator | Aqeel Ahmed Muhammad Ibrar Aatik Arsh Sonia Wali Shoukat Hayat Summar Abass |
description | 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 |
doi_str_mv | 10.47391/JPMA.399 |
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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..,</description><identifier>ISSN: 0030-9982</identifier><identifier>DOI: 10.47391/JPMA.399</identifier><language>eng</language><ispartof>Journal of the Pakistan Medical Association, 2020-10, p.1-11</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c749-c42e845fb2ef9337960c57dcf526551713aa29b0d5d91b55e9640024329bb3bb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,870,27957,27958</link.rule.ids></links><search><creatorcontrib>Aqeel Ahmed</creatorcontrib><creatorcontrib>Muhammad Ibrar</creatorcontrib><creatorcontrib>Aatik Arsh</creatorcontrib><creatorcontrib>Sonia Wali</creatorcontrib><creatorcontrib>Shoukat Hayat</creatorcontrib><creatorcontrib>Summar Abass</creatorcontrib><title>Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis</title><title>Journal of the Pakistan Medical Association</title><description>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..,</description><issn>0030-9982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNotkMtOwzAQRb0AiVJY8Afeskhx4ripl1XFU0Ww6D6aOOPWKLEj2ymUf-CfcQvSSDO60hzpHkJucjYrKy7zu5f31-WMS3lGJoxxlkm5KC7IZQgfjBVzwdiE_KxcP4A3dkvjDilqjSqaPVoMgTpN-7HrzBYs7V1jOvMN0ThL9-jDGKg6eANfFIbBO1A7auwJ0oOFLfZo45EwpJd0Bvpp4o6GsQE1RqQdRPTQURyMcrY9dCaacEXONXQBr__3lGwe7jerp2z99vi8Wq4zVZUyU2WBi1LopkAtOa_knClRtUqLVErkVc4BCtmwVrQyb4RAOS9T4ZKnsOFppuT2D6u8C8GjrgdvevCHOmf1SV19VFcndfwXHxxnSQ</recordid><startdate>20201015</startdate><enddate>20201015</enddate><creator>Aqeel Ahmed</creator><creator>Muhammad Ibrar</creator><creator>Aatik Arsh</creator><creator>Sonia Wali</creator><creator>Shoukat Hayat</creator><creator>Summar Abass</creator><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20201015</creationdate><title>Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis</title><author>Aqeel Ahmed ; Muhammad Ibrar ; Aatik Arsh ; Sonia Wali ; Shoukat Hayat ; Summar Abass</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c749-c42e845fb2ef9337960c57dcf526551713aa29b0d5d91b55e9640024329bb3bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Aqeel Ahmed</creatorcontrib><creatorcontrib>Muhammad Ibrar</creatorcontrib><creatorcontrib>Aatik Arsh</creatorcontrib><creatorcontrib>Sonia Wali</creatorcontrib><creatorcontrib>Shoukat Hayat</creatorcontrib><creatorcontrib>Summar Abass</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of the Pakistan Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aqeel Ahmed</au><au>Muhammad Ibrar</au><au>Aatik Arsh</au><au>Sonia Wali</au><au>Shoukat Hayat</au><au>Summar Abass</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis</atitle><jtitle>Journal of the Pakistan Medical Association</jtitle><date>2020-10-15</date><risdate>2020</risdate><spage>1</spage><epage>11</epage><pages>1-11</pages><issn>0030-9982</issn><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..,</abstract><doi>10.47391/JPMA.399</doi><tpages>11</tpages></addata></record> |
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title | Comparing the effectiveness of mulligan mobilization versus cyriax approach in the management of patients with subacute lateral epicondylitis |
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