Session Type: Abstract Submissions (ACR)
Background/Purpose: The aim of this study was to investigate the effects of Mulligan’s mobilization with movement (MWM) technique in the management of pain and improvement of functional status in patients with lateral epicondylitis (LE).
Methods: A total of 40 patients with LE were randomly assigned to two groups. The MWM group (n=20) was treated with MWM technique, exercise and cold therapy. The patients in control group (n=20) received only exercise and cold therapy. The physical therapy sessions were applied in our clinics five times a week for two weeks (total number: 10). All physical therapy sessions were supervised by the same investigator. We used the Visual Analogue Scale (VAS) to assess the intensity of pain. Moreover, the intensity of pain and functional disability were evaluated by the Patient-rated Tennis Elbow Evaluation (PRTEE) Questionnaire. Both dynamometer and pinchmeter were used to assess muscle strength of the hand. Muscle strength of elbow and wrist were evaluated by the manual muscle testing method. All outcome measures were conducted at baseline and repeated immediately after treatment (post-treatment), and at 1- and 3-month follow-up assessments. To compare the difference between two groups, we used the Mann-Whitney U test (α=0.05).
Results: There was a significant decrease in VAS scores during activity scores in MWM group at post-treatment (p=0.001), 1-month (p<0.001) and 3-month (p=0.040) assessments compared with the control group. Moreover, there was a significant decrease in VAS scores at night in MWM group (p=0.024) and significant increase in pain-free grip strength (p=0.002) at post-treatment assessment compared with the control group. The PRTEE-Pain Subscale scores decreased significantly in MWM group at post-treatment (p<0.001), 1-month (p<0.001) and 3-month (p=0.001) assessments compared with the control group. For all other outcome measures, there was no statistically significant difference between the two groups at all assessment intervals (p>0.05).
Conclusion: Mulligan’s MWM techniques may be effective in reducing pain and improving in grip strength in patients with LE.
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/the-effects-of-mulligans-mobilization-with-movement-techniques-in-patients-with-lateral-epicondylitis/