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Myofascial release technique in chronic lateral epicondylitis: a randomized controlled study
Khuman PR, Trivedi P, Devi S, Sathyavani D, Nambi G, Shah K
International Journal of Health Sciences and Research 2013 Jul;3(7):45-52
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; 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*

BACKGROUND AND OBJECTIVE: Lateral epicondylitis (LE) is a chronic overuse injury commonly affecting the common tendinous origin of the wrist extensors. The objective of the study was to find the effectiveness of myofascial release technique (MFR) on pain, functional performance and grip strength in chronic lateral epicondylitis (CLE) subjects. STUDY DESIGN: A randomized controlled study. SETTING: Institutional based musculoskeletal physiotherapy outpatient department. OUTCOME MEASURES: Numerical pain rated scale (NPRS), patient rated tennis elbow evaluation (PRTEE), and hand dynamometer (HD). MATERIAL AND METHODS: 30 subjects with the CLE were included in the study. They were divided into two different groups; group A: MFR and conventional physiotherapy (n = 15) and group B: conventional physiotherapy (n = 15). The predefined treatment protocol was provided for four weeks. The pain, functional performance and grip strength were assessed at baseline and post treatment (4th week) using NPRS, PRTEE and HD. RESULT: There was a significant decrease in pain, improvement in functional performance and grip strength (p < 0.05) in both the groups. However, MFR group was found to have a greater effect on all outcome measures in CLE subjects CONCLUSION: The result of this study indicates that 4 weeks of MFR was effective in improving pain, functional performance and grip strength in chronic lateral epicondylitis (CLE) subjects compared to the control group.

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