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Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals
Ajimsha MS, Chithra S, Thulasyammal RP
Archives of Physical Medicine and Rehabilitation 2012 Apr;93(4):604-609
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate whether myofascial release (MFR) reduces the pain and functional disability of lateral epicondylitis (LE) in comparison with a control group receiving sham ultrasound therapy in computer professionals. DESIGN: Randomized, controlled, single blinded trial. SETTING: Nonprofit research foundation clinic in Kerala, India. PARTICIPANTS: Computer professionals (n = 68) with LE. INTERVENTIONS: MFR group or control group. The techniques were administered by certified MFR practitioners and consisted of 12 sessions per client over 4 weeks. MAIN OUTCOME MEASURE: The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale was used to assess pain severity and functional disability. The primary outcome measure was the difference in PRTEE scale scores between week 1 (pretest score), week 4 (posttest score), and follow-up at week 12 after randomization. RESULTS: The simple main effects analysis showed that the MFR group performed better than the control group in weeks 4 and 12 (p < 0.005). Patients in the MFR and control groups reported a 78.7% and 6.8% reduction, respectively, in their pain and functional disability in week 4 compared with that in week 1, which persisted as 63.1% in the follow-up at week 12 in the MFR group. CONCLUSIONS: This study provides evidence that MFR is more effective than a control intervention for LE in computer professionals.

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