Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis
Objective: To examine the effects of Cyriax manual therapy and Mulligan technique on Grip strength and functional outcomes among the patients of lateral epicondylitis. Methodology: This was a randomized control trial conducted in a duration of eighteen months. 66 diagnosed patients from Gosha E Sh...
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| Format: | Article |
| Language: | English |
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Faculty of Rehabilitation & Allied health sciences, Riphah International University
2021-12-01
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| Series: | Journal Riphah College of Rehabilitation Sciences |
| Online Access: | https://journals.riphah.edu.pk/index.php/jrcrs/article/view/501 |
| _version_ | 1811248276219887616 |
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| author | Nida Akbar Faiza Sharif Waqar Afzal Ashfaq Ahmad Syed Amir Gilani Salwa Atta Mohyudin |
| author_facet | Nida Akbar Faiza Sharif Waqar Afzal Ashfaq Ahmad Syed Amir Gilani Salwa Atta Mohyudin |
| author_sort | Nida Akbar |
| collection | DOAJ |
| description | Objective: To examine the effects of Cyriax manual therapy and Mulligan technique on Grip strength and functional outcomes among the patients of lateral epicondylitis.
Methodology: This was a randomized control trial conducted in a duration of eighteen months. 66 diagnosed patients from Gosha E Shifa Hospital were recruited for the study and were randomized through computer number generator into group A and B. The two primary outcomes were measured i.e. Dynamometer for grip strength and Patient-Rated Tennis Elbow Evaluation Questionnaire for functional outcomes. Research assessor assessed patients before treatment i.e. t1, between treatment i.e. t2 and after treatment i.e. t3.The response rate of overall study was 91.33% thus complying with rule of 85% follow up.
Results: The patients who were in group A had mean age of 36.12 ± 7.56 years and 33.91 ± 3.4 years patients in group B. Grip strength measured by hand grip dynamometer was found to be 32.7 ± 1.41 and 33.3 ± 1.34 at Pre-treatment level (p=0.07 i.e. non-significant), 42.1 ± 1.30 and 38.6 ± 2.82 at mid treatment level (p=0.00 i.e. significant) and 53.5 ± 2.13&42.3 ± 1.97 at post treatment level (p=0.00 i.e. significant). Functional outcomes measured by Patient-Rated Tennis Elbow Evaluation Questionnaire was found to be 78.06 ± 2.76 and 76.93 ± 1.71 at Pre-treatment level (p=0.053 |i.e. non-significant), 60.61 ± 3.78 and 38.06 ± 5.73 at mid treatment level (p=0.00 i.e. significant), 26.86 ± 2.43 and 7.66 ± 1.64 at post treatment level (p=0.00 i.e. significant).
Conclusion: The present study concluded that Grip strength was improved by Cyriax manual therapy better than mulligan technique, while Functional status was improved by Mulligan techniques better than Cyriax manual therapy.
Keywords: Cyriax Manual Therapy, Lateral Epicondylitis, Mulligan Technique, Patient-Rated Tennis Elbow Evaluation |
| first_indexed | 2024-04-12T15:24:09Z |
| format | Article |
| id | doaj.art-c219099517e24f1e939f1b9c9de888bb |
| institution | Directory Open Access Journal |
| issn | 2226-9215 2410-888X |
| language | English |
| last_indexed | 2024-04-12T15:24:09Z |
| publishDate | 2021-12-01 |
| publisher | Faculty of Rehabilitation & Allied health sciences, Riphah International University |
| record_format | Article |
| series | Journal Riphah College of Rehabilitation Sciences |
| spelling | doaj.art-c219099517e24f1e939f1b9c9de888bb2022-12-22T03:27:20ZengFaculty of Rehabilitation & Allied health sciences, Riphah International UniversityJournal Riphah College of Rehabilitation Sciences2226-92152410-888X2021-12-0192428Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral EpicondylitisNida Akbar0Faiza Sharif1Waqar Afzal2Ashfaq Ahmad3Syed Amir Gilani4Salwa Atta Mohyudin5Lecturer, University of LahoreLecturer, University of LahoreSenior Lecturer, University of LahoreAssistant Professor, University of LahoreProfessor, University of LahoreRiphah International University, LahoreObjective: To examine the effects of Cyriax manual therapy and Mulligan technique on Grip strength and functional outcomes among the patients of lateral epicondylitis. Methodology: This was a randomized control trial conducted in a duration of eighteen months. 66 diagnosed patients from Gosha E Shifa Hospital were recruited for the study and were randomized through computer number generator into group A and B. The two primary outcomes were measured i.e. Dynamometer for grip strength and Patient-Rated Tennis Elbow Evaluation Questionnaire for functional outcomes. Research assessor assessed patients before treatment i.e. t1, between treatment i.e. t2 and after treatment i.e. t3.The response rate of overall study was 91.33% thus complying with rule of 85% follow up. Results: The patients who were in group A had mean age of 36.12 ± 7.56 years and 33.91 ± 3.4 years patients in group B. Grip strength measured by hand grip dynamometer was found to be 32.7 ± 1.41 and 33.3 ± 1.34 at Pre-treatment level (p=0.07 i.e. non-significant), 42.1 ± 1.30 and 38.6 ± 2.82 at mid treatment level (p=0.00 i.e. significant) and 53.5 ± 2.13&42.3 ± 1.97 at post treatment level (p=0.00 i.e. significant). Functional outcomes measured by Patient-Rated Tennis Elbow Evaluation Questionnaire was found to be 78.06 ± 2.76 and 76.93 ± 1.71 at Pre-treatment level (p=0.053 |i.e. non-significant), 60.61 ± 3.78 and 38.06 ± 5.73 at mid treatment level (p=0.00 i.e. significant), 26.86 ± 2.43 and 7.66 ± 1.64 at post treatment level (p=0.00 i.e. significant). Conclusion: The present study concluded that Grip strength was improved by Cyriax manual therapy better than mulligan technique, while Functional status was improved by Mulligan techniques better than Cyriax manual therapy. Keywords: Cyriax Manual Therapy, Lateral Epicondylitis, Mulligan Technique, Patient-Rated Tennis Elbow Evaluationhttps://journals.riphah.edu.pk/index.php/jrcrs/article/view/501 |
| spellingShingle | Nida Akbar Faiza Sharif Waqar Afzal Ashfaq Ahmad Syed Amir Gilani Salwa Atta Mohyudin Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis Journal Riphah College of Rehabilitation Sciences |
| title | Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis |
| title_full | Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis |
| title_fullStr | Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis |
| title_full_unstemmed | Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis |
| title_short | Effects of Cyriax Manual Therapy versus Mulligan Technique on Grip Strength and Functional Outcomes in Patients with Lateral Epicondylitis |
| title_sort | effects of cyriax manual therapy versus mulligan technique on grip strength and functional outcomes in patients with lateral epicondylitis |
| url | https://journals.riphah.edu.pk/index.php/jrcrs/article/view/501 |
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