Prakash, S (2011) Effectiveness of wrist manipulation Versus traditional physiotherapy in the management of laterl epicondylitis in sports persons: A Comparative study. Masters thesis, College of Physiotherapy, Trinity Hospital and Medical Foundation, Madurai.
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Abstract
INTRODUCTION: Lateral epicondylitis (“tennis elbow”) is characterized as pain on the lateral side of the elbow that is aggravated with movements of the wrist, by palpation of the lateral side of the elbow, or by contraction of the extensor muscles of the wrist. Lateral epicondylitis is a soft-tissue lesion affecting men and women equally, with a reported incidence of up to 3% in the population and a peak occurrence in the fifth decade. Despite the commonly used term ‘tennis elbow’, fewer than 5% of sufferers play regular predisposing sport, although up to 50% of regular tennis players are said to be affected at some time in their playing life. Symptom development is felt to occur in the contralateral arm as a result of favouring this limb. Development of lateral epicondylitis is usually insidious, although the onset may result from strenuous overuse relating to particular repetitive actions. The duration of lateral epicondylitis is highly variable, ranging from 3 weeks to several years. With the avoidance of aggravating factors, most cases resolve spontaneously within 12 months. There is currently no consensus on the optimum treatment, but numerous options are available. A significant number of treatments are offered for lateral epicondylitis, ranging from medical interventions such as medication, surgery and use of orthotic devices to physical therapy including modalities, exercise, and manual therapy including advising patients that the condition is self-limiting and providing encouragement. However interventional studies of this disorder have been disappointing and evidence is lacking for the long-term benefit of physical therapies. AIM OF THE STUDY: The main aim of this study is to compare the effectiveness of wrist manipulation versus traditional physiotherapy in the management of lateral epicondylitis in sports persons. OBJECTIVES: 1. To find out the effect of wrist manipulation in reducing pain and improving function in sports persons with lateral epicondylitis. 2. To find out the effect of traditional physiotherapy in reducing pain and improving function in sports persons with lateral epicondylitis. 3. To compare the effect of wrist manipulation versus traditional physiotherapy in reducing pain and improving function in sports persons with lateral epicondylitis. MATERIALS AND METHODOLOGY: STUDY DESIGN: Two group Pretest –Post test Experimental design. POPULATION: Sports persons with unilateral lateral epicondylitis. SAMPLING METHOD: Purposive Random Sampling: Subjects were selected in accordance to a predetermined inclusion and exclusion criteria to ensure homogeneity of the subjects. The subjects were then randomly assigned into two groups, Group A and Group B. SAMPLE SIZE: Total : 30 Subjects. Group A : 15 Subjects (Traditional Physiotherapy) Group B : 15 Subjects (Wrist Manipulation along with Traditional Physiotherapy) INCLUSION CRITERIA: • Subjects diagnosed as lateral epicondylitis with complaints being present for at least 6 weeks and no longer than 6 months. • Both Sexes were included. • Age: 18 – 30 Years. EXCLUSION CRITERIA: • Bilateral Complaints • A definite decrease in pain for the last 2 weeks as described by the patient. • Severe Neck (or) Shoulder problems likely to cause elbow pain. STUDY DURATION: 6 Months CONCLUSION: The promising results of this comparative study need replication in a large-scale randomized clinical trial that would include a control group and longer follow-up. The trial should be sufficiently powered and should compare manipulation of the wrist with the most commonly used and potentially effective conservative intervention strategies for lateral epicondylitis. Validated outcome measures should be used and evaluated over the short-term, intermediate term and long term. More physical therapists should be included, and inter-performer variability (variability in effectiveness of the manipulation among different therapists, as determined by means of a learning curve for application of the intervention) should be studied. In addition to the analysis of the effectiveness of the compared intervention strategies, a cost effectiveness analysis should be incorporated in the trial, because reduced costs are an important advantage of the manipulative treatment. The analysis should concentrate on both direct and indirect costs. Thus it can be concluded that both traditional physiotherapy and wrist manipulation are effective in the management of lateral epicondylitis in sports persons. Manipulation has an additional greater effect on pain reduction.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.27091207 |
| Uncontrolled Keywords: | wrist manipulation, traditional physiotherapy, management of laterl epicondylitis, sports persons, Comparative study. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Jan 2020 04:17 |
| Last Modified: | 12 Jan 2020 00:16 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11804 |
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