Effectiveness of Mulligan Mobilization Technique Versus Cyriax Technique for Lateral Epicondylitis: A Pilot Study

Abstract

Background: Eccentric loading of extensor carpi radialis brevis tendon near its origin causes tennis elbow, alsoknown as lateral epicondylitis. Tennis elbow is primarily caused by repetitive wrist extension or loaded grippingoveruse injuries and when playing tennis, badminton, or any sport are more likely to experience it. The goal of thestudy was to determine whether tennis elbow pain might be decreased and improve the functional status. Subjectsare divided into two groups, Mulligan mobilization technique and Cyriax technique along with ultrasound.Purpose: To find out the effects of Mulligan mobilization technique and Cyriax technique along with ultrasoundin the management of lateral epicondylitis.Materials and Methods: Twenty individuals were chosen with tennis elbow (11 males and 9 females) and receivedtreatment for four times/week for two weeks in RENU’S Physiotherapy & Rehabilitation Centre according to theinclusion and exclusion criteria, explained about the procedure and obtained signed informed consent. Subjectswere divided into two groups by simple random sampling -Mulligan mobilization technique of Movement withMobilization(MWM) and Cyriax technique of Deep Tendon Friction(DTF) massage with Mill’s manipulationalong with ultrasound.Result: Statistical analysis had slight significant difference between Cyriax and Mulligan group for NPRS andPRTEE. Noticeably Cyriax had more improvement in pain reduction than Mulligan group, while Mulligan hadimprovement in functional impairment than Cyriax, with a p value of <0.0001.Conclusion: Mulligan mobilization and Cyriax method with ultrasound both reduced discomfort and enhancedfunctional status.