Is Wrist Manipulation and Low-Level Lasertherapy Collectively Benificial for Patients with Lateral Epicondylitis?

Abstract

Aim: The goal of the study is to find the effectiveness of Wrist Manipulation and Low- Level Laser Therapy, Flexibility and Endurance training to reduce pain and improve grip strength in patients with lateral epicondylitis of elbow. Method: A total of 30 subjects with Lateral Epicondylitis (LE),both male and female, between 25 to 50 years were selected and randomly further separated among 2 groups. The 2 separate groups comprised of 15 subjects each (male=7; female=8). Group A received Low-Level Laser Therapy(LLTT), Flexibility and Endurance training and Group B received Low-Level Laser Therapy along with wrist manipulation, flexibility and endurance training for 3 days per week. For both groups, total period of treatment was 4 weeks. Numeric Pain Rating Scale(NPRS) and Grip Strength (GS) were used as pre and post outcome measures. Results: Result of the study suggests improvement in mean value of NPRS and Grip Strength for groups A and B following treatment. The treatment was statically more significant in group B than group A. Conclusion: The study concludes that patients affected with Lateral Epicondylitisreceiving wrist manipulation along with Low-Level Laser Therapy, Flexibility and Endurance training demonstrates significant improvement.