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Effect of eccentric exercise programme on pain and grip strength for subjects with medial epicondylitis
Akhilesh MP, Babu VK, Kumar SN, Ayyappan VR
International Journal of Physiotherapy 2014;1(1):17-27
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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: Therapeutic eccentric exercise may provide both a structural and functional benefit during tendinopathy rehabilitation. The objective is to find the effect of eccentric exercises on improvement of pain and grip strength for subjects with medial epicondylitis. METHOD: Pre to post test experimental study design randomized thirty subjects with medial epicondylitis, 15 each into group A and group B. Group B subjects were treated with conventional therapy and eccentric exercises. Group A subjects were treated with conventional therapy. RESULTS: When means of post intervention were compared using independent 't' between groups there was no statistically significant difference in improvements obtained in VAS scores and grip strength. There was a statistically significant change in means of VAS score and grip strength when means were analyzed by using paired 't' test and Wilcoxon signed rank test within the groups with positive percentage of change. CONCLUSION: It is concluded that four weeks of eccentric exercise programme combined with conventional therapy shown significant effect on improving pain and grip strength, however the improvement obtained has no difference when compared with control conventional treatment for subjects with medial epicondylitis.

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