Effectiveness of muscle energy technique and Mulligan′s movement with mobilization in the management of lateral epicondylalgia

Abstract

Aim: To evaluate the therapeutic effectiveness of muscle energy technique (MET) and mobilization with the movement of elbow in subjects with lateral epicondylalgia (LE). Settings and Design: This study was conducted in Global Hospitals and Health City, Chennai 100. Subjects were allocated into group A and B through simple randomization method and double-blinded randomized controlled trial was performed. Materials and Methods: An interventional comparative study was conducted on 30 patients having LE. They were randomly assigned to one of the two groups. Group A (n = 15) was treated using movement with mobilization, group B (n = 15) was treated with MET. Both groups received conventional treatment of therapeutic ultrasound, after corresponding interventions. Visual analog scale (VAS) and elbow functional assessment (EFA) scales were the outcome measures, respectively. Measurements were performed before the beginning of treatment, after 10 days and 3 weeks afterward. Statistical Analysis Used: ANOVA and post-hoc analysis Bonferroni method were used to analyze measurements taken at baseline and follow-up at 10 th day and 3 rd week. Results: Subjects who received mobilization with movement showed a significant improvement in both VAS and EFA than the other group which received MET. Conclusion: We conclude that mobilization with the movement of elbow appears to be more effective manual technique in treating LE in comparison with MET.