Effectiveness of Mobilization with Movement of Elbow Compared with Manipulation of Wrist in Patients of Lateral Epicondylitis

Purpose: To evaluate the effectiveness of mobilization with movement of elbow compared with manipulation of wrist on pain, strength and activities of dai ly l iving in patients of lateral epicondylitis. Methodology: An interventional comparative study was conducted on 30 patients having symptomatic lateral epicondylitis. They were randomly assigned to one of the three groups. Group A (n=10) control group, Group B (n=10) Mobilization with movement group and Group C (n=10) wrist manipulation. All the 3 groups were received conventional treatment of ultrasound, stretching and strengthening of wrist extensors. Baseline measurements of pain (VAS score), functional status (PRTEE questionnaire) and strength (maximal isometric grip strength) were taken on day 1 and after 10th treatment session. Results: The data analysis was performed with Graph Pad Instat trial version 3 software. All three groups showed improvement in VAS, maximal isometrics grip strength and PRTEE questionnaire. There is statistically significant difference between groups B (Mobilization with movement) and Group C (Manipulation of wrist) for VAS and PRTEE questionnaire score. But No statistically significant difference is found in maximal isometric grip strength. Mobilization with movement of elbow along with conventional therapy showed significant improvement in Pain and functional status as compared to wrist manipulation. Conclusion: It can be concluded that mobilization with movement of elbow along with conventional therapy program is effective in treating chronic lateral epicondylitis.