A comparative study of mulligan's technique vs mulligan combined with dry needling on pain and function in patients with lateral epicondylitis: A clinical trial
Journal of International Medical Research and Health Sciences
and Purpose: Lateral Epicondylitis is a most common lesion of the elbow affecting the tendinous origin of the wrist extensors especially extensor carpi radialis bravis. The tennis elbow syndrome has been recognized for a century and received its name more than 90 years ago. In clinical practice, different outcome measures were used to evaluate functional recovery in the tennis elbow. This study has used two outcome measures for evaluating the functional recovery in tennis elbow, they are VAS,
... d Patient rated tennis elbow scale (PRTES). Objectives: To compare the efficacy of Mulligan's technique Versus Mulligan's technique in combination with dry needling therapy, to reduce pain and improve functional disability in lateral epicondylitis. Materials and methods: Subjects with known cases of tennis elbow diagnosed by clinical confirmatory tests by the specialists; were chosen for the study from the Outpatient department of Parul institute of orthopedics department. After dividing the subjects, groups of 20 each, they were pre-tested using PRTES for functional disability and VAS for pain intensity. The first group was given Mulligan's technique along with the conventional exercise and the second group was given Dry needling Therapy and Mulligan's technique along with the conventional exercise 3 times a week for six weeks. The patients were assessed for pain intensity using VAS and functional disability using PRTES was taken by the end of six weeks. The results were computed and analyzed to see which group has better improvement. Results: Thus, there was a significant improvement in functional disability and reduction in VAS in group A and group B. Also there was a significant improvement in functional disability and VAS in group B as compared to group A. Conclusion: In this study, both the groups statistically showed a significant response to their interventions. The mean score in the case of VAS is less and in the case of PRTES is high for Mulligan's technique and dry needling therapy as compared to mulligan's technique alone mulligan's technique and dry needling was found to be more effective than the mulligan's technique alone to reduce the pain and to increase functional disability in treating Lateral Epicondylitis.