Abstract
Objective: The study was designed to evaluate the efficacy of Cyriax physiotherapy versus Cyriaxand Low Level Laser Therapy to compare these techniques in reducing pain and improving gripstrength in patients with lateral epicondylitis.
 Methodology: The study population included 30patients of lateral epicondylitis (signs and symptoms present for more than 6 weeks) diagnosedin outpatient and indoor facilities of MM Hospital, Mullana. The subjects were selected bymeans of simple random sampling. After fulfilling the inclusion and exclusion criteria, thepatients were randomly allocated in two groups: Group A and Group B. Group A received cyriaxphysiotherapy alone whereas Group B patients were subjected to combined Cyriax and low levelLaser therapy. Baseline measurements of pain and grip strength were taken before treatmentand then at 3 weeks respectively.
 Results: Our findings showed that there was significantlyhigher improvement in pain and grip strength in Group B (patients receiving combination ofcyriax therapy with low dose laser therapy) as compared to Group A (p<0.05).
 Conclusion:Cyriax physiotherapy and low level laser therapy were effective in reducing pain and improvinggrip strength after the treatment sessions. But benefits of cyriax physiotherapy with low levellaser therapy in lateral epicondylitis patients are significantly higher as compared to cyriaxphysiotherapy alone over a three week period. Hence, cyriax with low level laser therapy isproved to be a better treatment.
 Bangladesh Journal of Medical Science Vol.20(2) 2021 p.356-360
Highlights
Lateral epicondylitis, commonly called “tennis elbow”, is an overuse injury of the wrist extensors leading to inflammation and degenerative changes such as tendinosis and micro-teared fibrous tissue at these points
Efficacy of Cyriax Physiotherapy versus Cyriax and low level Laser Therapy on pain and grip strength in Lateral Epicondylitis this increases to 19% at 30-60 years of age
On comparison of the two groups (Table 5 and 6), our findings showed that there was significantly higher improvement in pain and grip strength in Group B as compared to Group A (P
Summary
Commonly called “tennis elbow”, is an overuse injury of the wrist extensors leading to inflammation and degenerative changes such as tendinosis and micro-teared fibrous tissue at these points. The stretch was given at forearm pronated and elbow extended; the wrist being palmar flexed using the other hand of patient or with the help of wall. This was held for few seconds and released. Progression included forearm pronation as the starting position and increasing resistance.[9] Group B Group B received Cyriax in addition to Low Level Laser Therapy at the tenoperiosteal junction of the extensor carpi radialis brevis The Mid 1500 IRRADIA laser machine was used, wavelength: 904 nm, mean power output: 12 mW, peak value: 8.3 W; frequency: 70 Hz (pulse train).
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