EVALUATION OF THE EFFECT OF MOBILIZATION WITH MOVEMENT ON PAIN, KINESIOPHOBIA AND ACTIVITIES OF DAILY LIVING IN LATERAL EPICONDYLITIS

Abstract

BACKGROUND AND OBJECTIVES: Lateral epicondylitis is medical condition of the myotendinous junction of the wrist extensors at the lateral epicondyle and is characterized by onset of severe pain, weak grip strength and limited extension at elbow joint which restricts activities of daily living. Kinesiophobia is one of the most extreme forms of fear related movement. Fear of movement is an important factor to result in disability, disuse and depression in subjects with musculoskeletal pain. Intervention with Mobilization with movement combine a sustained manual `gliding' force to a joint with concurrent physiologic (osteo-kinematic) motion of the joint. Hence, the purpose of this study is to evaluate the effects of Mobilization with movement on pain, kinesiophobia and activities of daily living in subjects with lateral epicondylitis using Tampa Scale of Kinesiophobia, Visual Analogue Scale and Oxford Elbow Scale. MATERIALS AND METHODOLOGY: Total number 30 subjects, embraces both the gender. A brief evaluation of the subject will be done using the clinical test for lateral epicondylitis. Subjects will be administered a questionnaire and after understanding it, the subject will be filling the form. To apply this treatment the physical therapist will use one hand to stabilize the distal end of the humerus on the lateral side just proximal to the elbow joint line while using the other hand to apply a laterally directed glide of the proximal ulna and radius. The hand applying the lateral glide will be situated just distal to the elbow joint line on the medial side of the ulna. The glide should be painlessly applied and sustained for approximately 6 seconds while the participant performed a pain-free gripping action. The gliding pressure will be then maintained until the participant completely released the grip. This is given for approximately 10 repetitions for 3 sets with 30 seconds rest in between. The length of the treatment is 10 minutes. RESULTS: VAS showed statistical significant difference in reducing pain with ‘p’ value being 0.0001 after MWM, similar trend were seen in kinesiophobia and oxford elbow score. CONCLUSION: This study showed beneficial results, in effects of Mobilization with movement on pain, kinesiophobia and activity of daily living in Lateral epicondylitis.