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Active release technique and oscillating energy manual therapy on patients with chronic lateral epicondylitis - a comparative study |
Sharmila S, Sangeetha J, Senthil Selvam P, Sandhiya |
NeuroQuantology 2023;21(1):262-281 |
clinical trial |
2/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
INTRODUCTION: Lateral epicondylitis is the most common lesion of the elbow joint. It is more frequent than medial epicondylitis. It is a common overuse syndrome in the extensor muscles of forearm-Extensor carpi radialis brevis (ECRB), which is affected due to vigorous and repeated wrist movements. The symptoms of lateral epicondylitis including pain production over the lateral epicondyle during gripping activities, lifting heavy objects, shaking the hands. AIM: The aim of the present study is to compare the effectiveness of Active release technique (ART) and Oscillating energy manual therapy (OEMT) on reducing pain, improving grip strength and functional ability in chronic lateral epicondylitis. METHODOLOGY: we have included forty patients with Chronic Lateral Epicondylitis of age group range between 25 to 45 years. Patients were randomly divided into two groups: Group A (n = 20) receives Active release technique and Group B (n = 20) receives Oscillating energy manual therapy. The patients were treated for 4weeks and three outcome measures for pain, grip strength and functional ability. Pain assessed through Numerical pain rating scale (NPRS), grip strength by hand dynamometer and Functional ability by patient rated tennis elbow evaluation (PRTEE). RESULTS: In this study the result showed that Active Release Technique and Oscillating energy manual therapy were effective in all three outcome measures. Based on the statistical analysis Active release technique group was more effective in improving grip strength, reducing pain and disability when compared to oscillating energy manual therapy group. (p < 0.0001). CONCLUSIONS: Active Release Technique and Oscillating energy manual therapy are effective in patients with Chronic Lateral Epicondylitis. Active release technique demonstrated better outcomes than oscillating energy manual therapy in the management of Chronic Lateral Epicondylitis.
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