Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 2 | Page No. 1394-1400
Date of Publication: 11-04-2016
EFFECTIVENESS OF MULLIGAN MOBILISATION WITH MOVEMENT COMPARED TO SUPERVISED EXERCISE PROGRAM IN SUBJECTS WITH LATERAL EPICONDYLITIS
Hafizur Rahman 1, Pilladi A Charturvedi *2, Patchava Apparao 3, Pilladi R Srithulasi 4.
1 Post Graduate Student, Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundhry, Andhra Pradesh, India.
*2 Vice Principal, Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundhry, Andhra Pradesh, India.
3 Principal, Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundhry, Andhra Pradesh, India.
4 Assistant Professor, Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundhry, Andhra Pradesh, India.
Corresponding author: Dr. Pilladi A Charturvedi, MPT Sports, Vice Principal, Swatantra Institute of Physiotherapy and Rehabilitation, Rajahmundhry, Andhra Pradesh, India.
Background and Purpose: Lateral epicondylitis commonly referred to as lateral elbow Tendinopathy or tennis elbow is one of the most common lesions of the arm. Men and women are equally affected. There are many treatment options available for tennis elbow; an exercise program is used as the first treatment option. Mulligan has proposed the use of mobilization with movement for lateral epicondylitis. The main Purpose of the study is to compare the effects of mulligan mobilization with movement and supervised exercise program in subjects with lateral epicondylitis.
Materials and Methods: 60 Subjects fulfilled the inclusive criteria and were randomly assigned into two groups. Group A were given Mobilization with movement and Group B performed Supervised Exercise Program. Both groups performed three sessions per week for the duration of 4 weeks. After the treatment, subjects were evaluated for their pain profile using visual analogue scale, and grip strength by Hand grip dynamometer.
Results: Paired t-test analysis is used within group and Independent t-test is used for between group comparisons. At the end of 4 weeks Mulligan mobilisation with movement group showed significant improvement in VAS and hand grip strength scores than the supervised exercise program group (P<0.000).
Conclusion: It is concluded that both techniques showed improvements in hand grip strength and VAS. The group that performed mulligan mobilisation with movement showed significantly greater improvement in reduction of pain and increase in hand grip strength than the supervised exercise program.
KEYWORDS: Mulligan Mobilization with Movement (MWM), Visual Analogue Scale (VAS), Hand Grip Dynamometer (HGD).
- Akram Amro, MPH , Ina Diener, PhD , et al,. The effects of Mulligan mobilisation with movement and taping techniques on pain, grip strength, and function in patients with lateral epicondylitis. Hong Kong Physiotherapy Journal. 2010;28(1):19-23.
- D Stasinopoulos, K Stasinopoulou, M I Johnson. An exercise programme for the management of lateral elbow tendinopathy. Br j Sports Med. 2005;39:944-947.
- Pandian Sankara Kumaran, Tamilvanam M, Karthikeyan Paragangimalai Diwakar. Effectiveness of Manual Mobilization with Movement on Pain and Strength in Adults with Chronic Lateral Epicondylitis. International Journal of Science and Research. 2013;2(8):290-293.
- Bill Vincenzino, Aatit Paungmal, Pamela Tetys. Mulligan mobilisation-with-movement, positional faults and pain relief: Current concepts from a critical review of literature. Manual Therapy.2007;12(2):98-108.
- Namrata Patel. Effectiveness of mobilization with movement of elbow compared with manipulation of wrist in patients of lateral epicondylitis. International journal of Physiotherapy and Research. 2013;1(4):177-182.
- Dimitrios Stasinopoulos, Pantelis Manias. Comparision of two exercises programmes for the management of lateral tendinopathy(Tennis elbow/Lateral Epicondylitis) – A Controlled clinical Trial. The Open Acess Journal of Science and Technology. 2013; 1(1):1-8.
- Rajadurai viswas, Rejeesh kumar Ramachandran, Payal Korde Anant kumar. Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with Tennis elbow (Lateral Epicondylitis)- A Randomized Clinical Trail. Scientific World journal. 2012:1-8.
- Aatit Paungmali, Shaun O’Leary, T Souvlis, Bill Vicenzino. Hypoalgesic and Sympatho excitatory effects of Mobilization with movement for Lateral Epicondylalgia. Physical Therapy.2003, 83(4):374-383.
- Anap DB, Shende ML, Khatri S. Mobilization with Movement Technique as an Adjunct to Conventional Physiotherapy in Treatment of Chronic Lateral Epicondylits-A Comparative Study. J Nov Physiother 2012;2:121. doi: 10.4172/2165-7025.1000121.
- Maher S. Is low-level laser therapy effective in the management of lateral epicondylitis? Physical Therapy. 2006; 86(8):1161–1167.
- R. de Bruijn. Deep transverse friction; its analgesic effect. International Journal of Sports Medicine. 1984;5:35–36.
- Moneet Kochhar, Ankit Dogra. Effectiveness of a specific physiotherapy regimen on patients with tennis elbow. Physiotherapy. 2002; 88(6):333-341.
- Miller J. Mulligan concept e management of tennis elbow. Can Physiother Assoc Ortho Div Rev. 2000:45.
- M. Geetu, G. Deepak. Effectiveness of movement with mobilization compared with manipulation of wrist in case of lateral epicondylitis. Indian J Physiother Occup Ther 2008;2.
- Ron E L Hawary, William D Stanish, Sandra L Curwin. Rehabilitation of tendon injuries in sport. Sports Med. 1997; 24(5):347-358.
- Ohberg L, Lorentzon R, Alfredson H. Neovascularisation in Achilles tendons with painful tendinosis but not in normal tendons: an ultrasonographic investigation. Knee Surg Sports Traumatol Arthrosc. 2001; 9(4): 233–238.
- Vilarta R., Vidal Bde, C. Anisotropic and biomechanical properties of tendons modified by exercise and denervation: aggregation and macromolecular order in collagen bundles. Matrix. 1989;9(1):55-61.
Hafizur Rahman, Pilladi A Charturvedi, Patchava Apparao, Pilladi R Srithulasi. EFFECTIVENESS OF MULLIGAN MOBILISATION WITH MOVEMENT COMPARED TO SUPERVISED EXERCISE PROGRAM IN SUBJECTS WITH LATERAL EPICONDYLITIS. Int J Physiother Res 2016;4(2):1394-1400. DOI: 10.16965/ijpr.2016.104