A Comparative study to Evaluate the Efficacy of Supervised Exercise Program and Cyriax Physiotherapy on Pain and Function in Lateral Epicondylitis

Aims: To see the effectiveness of supervised exercises and cyriax physiotherapy both including therapeutic ultrasound for improving pain and function in adults with lateral epicondylitis. Study Design: Comparative study- to find out the efficacy of effectiveness of two different interventions for reducing pain and improving function in patients with lateral epicondylitis Place and Duration of Study: Department of Musculoskeletal Physiotherapy Sciences, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, for 12 months. Methodology: A total of 30 people with lateral epicondylitis (tennis elbow) were selected to take part in a comparative research. Subjects were randomized 1:1 to either (1) supervised exercise programme group, or (2) cyriax physiotherapy group. Over just a 4-week period, three times each week for a sum of 12 sessions, promptly after baseline evaluation and randomization, subjects received static stretching of Extensor Carpi Radialis Brevis followed by eccentric strengthening of the wrist extensors and Therapeutic Ultrasound in supervised exercise programme group. While those in cyriax physiotherapy group received deep transverse friction massage for 10 min immediately followed by Mill’s manipulation and Ultrasound. The study concluded at the 4 weeks. Results: Out of 30 patients half were placed in each group, where p=.0001. Significant increase in mean in the group I and II in pre ad post-test VAS score (4.20±0.77 and 5.20±0.67) and TEFS score pre and post-test (17.33±1.44 and 19.80±1.42). analysis showed significant improvement in both the groups. Conclusion: From the observations and results, the conclusion drawn that there is significant improvement in both the groups but effect of cyriax physiotherapy in the form of deep friction massage and mills manipulation combined with therapeutic ultrasound for improving pain on VAS and function on TEF scale.

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A Comparative study to evaluate the efficacy of Supervised Exercise Program and Cyriax Physiotherapy on pain and function in Lateral Epicondylitis

10.21203/rs.3.pex-1484/v1 ◽

2021 ◽

Author(s):

Gouri Kalaskar ◽

R. K. Sinha ◽

Pratik Phansopkar

Keyword(s):

Tennis Elbow ◽

Exercise Program ◽

Lateral Epicondylitis ◽

Exercise Programme ◽

Functional Improvement ◽

Lateral Epicondyle ◽

Supervised Exercise ◽

Time Period ◽

Elbow Function ◽

And Function

Abstract Background: A typical musculotendinous degenerative condition of the extensors cause at the humerus lateral epicondyle is known as Lateral epicondylitis. Various treatment methods are used in treating lateral epicondylitis. Methods: Thirty Participants with Lateral Epicondylitis shall be recruited in a comparative experimental study. Subjects will be randomized to either (1) Supervised Exercise Programme group, or (2) Cyriax Physiotherapy group. Over a 4-week time period, a 3 times in week for the total of 12 sessions, immediately following baseline assessment and randomization, subjects in both groups will receive Extensor Carpi Radialis Brevis muscle’s static stretching along with the wrist extensor’s eccentric strengthening and Ultrasound and transverse deep friction massage for 10 min with Mill’s manipulation and Ultrasound respectively. Discussion: Effectiveness of the interventions on the pain and the functional improvement will be assessed by visual analogue scale and the Tennis Elbow Function Scale respectively.

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EFFECTIVENESS OF MULLIGAN MOBILISATION WITH MOVEMENT COMPARED TO SUPERVISED EXERCISE PROGRAM IN SUBJECTS WITH LATERAL EPICONDYLITIS

International Journal of Physiotherapy and Research ◽

10.16965/ijpr.2016.104 ◽

2016 ◽

Vol 4 (2) ◽

pp. 1394-1400

Author(s):

Hafizur Rahman ◽

◽

Pilladi A Charturvedi ◽

Patchava Apparao ◽

Pilladi R Srithulasi ◽

...

Keyword(s):

Exercise Program ◽

Lateral Epicondylitis ◽

Supervised Exercise ◽

Supervised Exercise Program

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Effectiveness Of Weight Loss In Overweight And Obese Singaporean Adults: A Comparative Study Of Non-Supervised Exercise Versus Supervised Exercise Program

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2016.08.276 ◽

2016 ◽

Vol 12 (7) ◽

pp. S153

Author(s):

Si Hooi Lee ◽

Jimmy So ◽

Davide LOMANTIO ◽

Serene Lim ◽

Asim Shabbir ◽

...

Keyword(s):

Weight Loss ◽

Comparative Study ◽

Exercise Program ◽

Supervised Exercise ◽

Supervised Exercise Program

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Comparison of Effectiveness of Supervised Exercise Program and Cyriax Physiotherapy in Patients with Tennis Elbow (Lateral Epicondylitis): A Randomized Clinical Trial

The Scientific World JOURNAL ◽

10.1100/2012/939645 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 23

Author(s):

Rajadurai Viswas ◽

Rejeeshkumar Ramachandran ◽

Payal Korde Anantkumar

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Tennis Elbow ◽

Exercise Program ◽

Lateral Epicondylitis ◽

Supervised Exercise ◽

Comparison Of Effectiveness ◽

Supervised Exercise Program

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374 Cognitive Behavioral Therapy with Exercise in Adults with Insomnia and Short Sleep: Daytime Function Outcomes from a Pilot Study

SLEEP ◽

10.1093/sleep/zsab072.373 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A149-A149

Author(s):

Andrew Kubala ◽

Mara Egeler ◽

Daniel Buysse ◽

Martica Hall ◽

Emma Barinas-Mitchell ◽

...

Keyword(s):

Sleep Duration ◽

Behavioral Therapy ◽

Exercise Program ◽

Short Sleep Duration ◽

Post Intervention ◽

Short Sleep ◽

Supervised Exercise ◽

Daytime Function ◽

Supervised Exercise Program ◽

Insomnia Severity

Abstract Introduction Cognitive behavioral therapy for insomnia (CBT-I) is efficacious, but there is mixed evidence as to whether improvement is blunted in adults with insomnia and short sleep duration. Exercise training can reduce physiologic hyperarousal and may increase homeostatic sleep drive, which could potentiate CBT-I treatment effects. This pilot study explored changes in self-reported outcomes from a CBT-I intervention augmented by exercise training in a sample of adults with insomnia and objective short sleep duration. Methods Eight adults (50% female, 62.5% white) with insomnia disorder and short sleep duration (mean actigraphic TST <6.5 hr) completed a 12-week single-arm trial. Participants self-administered the online “Sleep Healthy Using the Internet” (SHUT-I) CBT-I program with additional staff guidance while completing a supervised exercise program (EX; 150 min/wk of moderate-intensity aerobic exercise and 2 days/wk of strength training). Participants completed assessments of self-reported sleep and daytime function pre- and post-intervention, including the Insomnia Severity Index (ISI), Flinders Fatigue Scale (FFS), Ford Insomnia Response to Stress Test (FIRST), Perceived Stress Scale (PSS), and Epworth Sleepiness Scale (ESS). Differences between timepoints were analyzed using paired t-tests and Cohen’s d effect size calculations. Results Insomnia severity significantly decreased after the intervention (ISI: p<0.001, d=2.99), with 75% reporting post-intervention ISI ≤ 7. Likewise, fatigue significantly decreased after the intervention (FFS: p=0.032, d=0.95). Symptoms of stress-related sleep reactivity and stress were also reduced (FIRST: p=0.012, d=1.19; PSS: p=0.014, d=1.14). Though nonsignificant, large reductions in sleepiness were additionally observed (ESS: p=0.058, d=0.80). Conclusion In this pilot trial among patients with insomnia and short sleep duration, online CBT-I plus a supervised exercise program resulted in a significant reduction in insomnia severity. The intervention also produced large and meaningful reductions in fatigue and stress, which are common daytime impairments in patients with insomnia. Future research should attempt to disentangle the independent contributions of CBT-I and exercise on outcomes in this population. Support (if any) NIH: K23HL118318

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Effects of a Targeted Exercise Program on Inter-Leg Asymmetries in Patients with Patellofemoral Pain

Symmetry ◽

10.3390/sym13061075 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1075

Author(s):

Denisa Manojlović ◽

Martin Zorko ◽

Darjan Spudić ◽

Nejc Šarabon

Keyword(s):

Exercise Program ◽

Patellofemoral Pain ◽

Ankle Dorsiflexion ◽

Intervention Period ◽

Single Group ◽

Rehabilitation Outcomes ◽

Supervised Exercise ◽

Ankle Muscles ◽

Supervised Exercise Program ◽

Hip Extension

Patellofemoral pain (PFP) is often associated with impaired muscle strength, flexibility, and stability. It has been suggested that inter-leg asymmetries have an important role in increasing the risk of musculoskeletal injuries, including PFP. Thus, the aim of this study was to identify significant asymmetries and determine the effects of a symmetry targeted exercise program in patients with PFP. Eighteen patients aged 13 to 54 years (24.17 ± 12.52 years) with PFP participated in this study. Strength, flexibility and stability outcomes of the trunk, hip, knee and ankle muscles were assessed. A single-group pretest–posttest design was used to assess changes in inter-leg and agonist–antagonist asymmetries resulting from the 8-week period of the supervised exercise program. Results indicated a significant improvement in inter-leg symmetry regarding bilateral stance in a semi-squat position (p = 0.020, d = 0.61, df = 17) and ankle plantarflexion (p = 0.003, d = 0.32, df = 17) and ankle dorsiflexion strength (p < 0.001, d = 0.46, df = 17). In addition, the ratio of ankle dorsiflexion/plantarflexion (p = 0.036, d = 1.14, df = 17) and hip extension/flexion (p = 0.031, d = 0.94, df = 16) changed significantly during the intervention period. To our knowledge, this was the first study to evaluate inter-leg asymmetries resulting from a period of a supervised exercise program. The results indicate that an exercise program focusing on individual asymmetries may influence specific deficits and contribute to better rehabilitation outcomes.

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