Neural Tissue Mobilisation Using ULTT2b and Radial Head Mobilisation v/s Exercise Programme in Lateral Epicondylitis

Abstract

Background & Purpose: Lateral epicondylitis has been associated with adverse neural tension in radial nerve. Research also implicates the affection of radial head in this condition. Exercise program advocates claim that it is the most effective treatment for lateral epicondylitis. Thus comparison between Exercises alone and Neural tissue mobilisation along with Radial head mobilisation seems to give an insight into its different treatment strategy. Methodology: Total 40 subject with lateral epicondylitis were recruited. They were divided in 2 groups. 20 in Experimental Group and 20 in Control Group. In Experimental group, NDS + Radial Head Mobilisation + Exercise programme was given and in Control group only Exercise programme was given to the patient. The outcome measures were Visual Analogue Scale (VAS), Pain Free Grip Strength (GS), Pain Pressure Threshold (PPT) and Patient Rated Tennis Elbow Evaluation Questionnaire (PRTEE) were assessed Pre and Post treatment. Duration of treatment was 4 days/ week for 4 weeks. Results: Experimental group, have shown that Mulligan's MWM to Radial head and Neural tissue mobilisation have found to achieve favourable outcome as compared to exercise group and even Exercise group, have been shown to have significant effects. Conclusion: Neural tissue mobilization along with radial head mobilization was found to have a favourable outcome as compared to exercise programme.