Similar Outcomes with Mulligan Mobilization vs Manipulation & Massage for Lateral Epicondylitis .
Comparing the effectiveness of Mulligan mobilization versus Cyriax approach in the management of patients with subacute lateral epicondylitis
J Pak Med Assoc. 2021 Jan;71(1(A)):12-15.Sixty patients with subacute lateral epicondylitis were randomized to receive 12 session of the Cyriax method (deep transverse friction massage plus Mill's manipulation; n=30) or Mulligan mobilization with movement (n=30), over a 4 week period. The outcomes of interest was the patient-rated tennis elbow evaluation (PRTEE) pain score, functional disability score, and total score (pain + function scores), assessed at 1, 2, 3 and 4 weeks follow-up. Results revealed no statistical significant differences between the two groups in the PRTEE total scores at all time-points (p>0.05 for all). However, PRTEE pain scores were statistically significantly in favour of the Cyriax group at 2, 3 and 4 weeks follow-up (p<0.01 for all), whilst PRTEE function scores were statistically significantly in favour of the mobilization group at 2 and 3 weeks follow-up (p<0.01 for both).
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