Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis

The aim of this study was to describe and update current knowledge of manual therapy accuracy in treating cervical and lumbar radiculopathy, to identify the limitations in current studies, and to suggest areas for future research. The study was conducted according to PRISMA guidelines for systematic reviews. A comprehensive literature review was conducted using PubMed and Web of Science databases up to April 2020. The following inclusion criteria were used: (1) presence of radiculopathy; (2) treatment defined as manual therapy (i.e., traction, manipulation, mobilization); and (3) publication defined as a Randomized Controlled Trial. The electronic literature search resulted in 473 potentially relevant articles. Finally, 27 articles were accepted: 21 on cervical (CR) and 6 in lumbar radiculopathy (LR). The mean PEDro score for CR was 6.6 (SD 1.3), and for LR 6.7 (SD 1.6). Traction-oriented techniques are the most frequently chosen treatment form for CR and are efficient in reducing pain and improving functional outcomes. In LR, each of the included publications used a different form of manual therapy, which makes it challenging to summarize knowledge in this group. Of included publications, 93% were either of moderate or low quality, which indicates that quality improvement is necessary for this type of research.

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Effect of Combined Exercise Applying Extracorporeal Shock Wave Therapy on Wrist Extensor Strength, Grip Strength and Functional Change in Lateral Epicondylitis Patients

Journal of Sport and Leisure Studies ◽

10.51979/kssls.2012.12.50.969 ◽

2012 ◽

Vol 50 ◽

pp. 969-980

Author(s):

Hey Young Cho ◽

Yun Jin Park

Keyword(s):

Shock Wave ◽

Grip Strength ◽

Lateral Epicondylitis ◽

Extracorporeal Shock Wave Therapy ◽

Functional Change ◽

Shock Wave Therapy ◽

Wrist Extensor ◽

Combined Exercise ◽

Extracorporeal Shock Wave

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Open release versus radiofrequency microtenotomy in the treatment of lateral epicondylitis: a prospective randomized controlled trial

Shoulder & Elbow ◽

10.1177/1758573217715255 ◽

2017 ◽

Vol 10 (1) ◽

pp. 45-51 ◽

Cited By ~ 5

Author(s):

Katharine Hamlin ◽

Christopher Munro ◽

Scott L. Barker ◽

Sean McKenna ◽

Kapil Kumar

Keyword(s):

Randomized Controlled Trial ◽

Grip Strength ◽

Rating Scale ◽

Numerical Rating Scale ◽

Controlled Trial ◽

Lateral Epicondylitis ◽

Open Release ◽

Randomized Controlled ◽

Prospective Randomized Controlled Trial ◽

Significant Difference

Background Optimal surgical treatment of lateral epicondylitis remains uncertain. Recently, radiofrequency microtenotomy (RFMT) has been proposed as a suitable treatment. We compared RFMT with standard open release (OR) in this prospective randomized controlled trial. Methods In total, 41 patients with symptoms for at least 6 months were randomized into two groups: 23 patients had RFMT and 18 had OR. Two patients from RFMT withdrew. Each patient underwent Numerical Rating Scale (NRS) pain score, grip strength and Disabilities of the Arm, Shoulder and Hand (DASH) scores pre-operatively and at 6 weeks. Pain and DASH scores were repeated at 6 months and 12 months. Results NRS pain scores improved by 4.8 points for RFMT and by 3.9 points for OR. There was a significant improvement in both groups from pre-operative scores, although there was no statistically significant difference between the groups at 1 year. Grip strength improved by 31% in the RFMT group compared to 38% in OR. There was no significant difference between the initial and 6 weeks scores or between treatments. At 1 year, DASH was 39.8 points for RFMT and 24.4 points for OR. There was a significant improvement in both groups from pre-operative scores, although there was no statistically significant difference between the groups at 1 year. Conclusions Both groups showed significant improvements and similar benefit to the patient. The results of the present study do not show any benefit of RFMT over the standard OR. As a result of the extra expense of RFMT, we therefore recommend that OR is offered as the standard surgical management.

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