Efficacy of neural mobilization and Maitland accessory mobilization in patients with tennis elbow- randomized controlled trial.

Autor: Jain C; Banarsidas Chandiwala Institute of Physiotherapy, Kalkaji, New Delhi, 110019, India; Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala BPT, Banarsidas Chandiwala Institute of Physiotherapy, India. Electronic address: jainchanchal81@gmail.com., Goyal M; Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, India. Electronic address: manu.goyal@mmumullana.org., Kothiyal S; Physiotherapy Department, Chandigarh University, Gharaun, Mohali, Punjab, India.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2024 Apr; Vol. 38, pp. 525-533. Date of Electronic Publication: 2024 Mar 25.
DOI: 10.1016/j.jbmt.2024.01.013
Abstrakt: Objective: The objective of the study was to evaluate the efficacy of Maitland accessory mobilization and neural mobilization in patients with tennis elbow.
Method: Twenty-five patients meeting the selection criteria were randomly assigned to three experimental groups: Group C (conventional treatment), Group B (neural mobilization), and Group A (Maitland mobilization). Quality of life was assessed using the Patient Rated Tennis Elbow Evaluation (PRTEE), while pain, range of motion, and grip strength were evaluated using the Visual Analog Scale (VAS), a universal goniometer, and a handheld dynamometer. The interventions were administered three times per week for four weeks to the respective groups.
Results: Non-parametric tests were employed to analyze the results due to the non-normal distribution of the data (p < 0.05). Both the Wilcoxon signed-rank test and the Kruskal-Wallis test were utilized to assess differences within and between groups. The results of the between-group analysis demonstrated significant differences in pain (p = 0.018) and quality of life (p = 0.045) among the three groups.
Conclusion: After a 4-week intervention, all three groups exhibited notable improvements in discomfort levels, grip strength, and quality of life. Notably, Group B demonstrated the most substantial increase in range of motion (ROM) compared to Groups A and C. Consequently, incorporating neural mobilization into the treatment plan is recommended for patients experiencing Tennis Elbow.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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