Original Research Article
Year: 2018 | Month: April | Volume: 8 | Issue: 4 | Pages: 87-94
Comparative Efficacy of Wrist Manipulation, Progressive Exercises and Both Treatments in Patients with Tennis Elbow
Dr Tanusree Basak1, Dr Tapas Kumar Pal2, Mr Biswajit Saha3, Dr Shabnam Agarwal1, Dr Tirthadeep Das4
1Associate Professor, 2Assistant Professor, 3Post graduate Scholar,
Nopany Institute of Healthcare Studies, Kolkata- 700006
4Physiotherapist, Dept. of Neuro Rehabilitation, Institute of Neurosciences, Kolkata- 700017
Corresponding Author: Dr Tanusree Basak
Background: Tennis elbow is an overuse injury of common Extensor tendon of wrist which occurs due to repetitive micro trauma. Although the uses of Wrist Manipulation and Progressive Exercises have been established as suitable treatment methods separately in Tennis Elbow Patients in terms of pain relief and rapid restoration of function, but the benefit of one over the other has not been exclusively explored and also the combined efficacy of Wrist Manipulation and Progressive Exercises is yet to be established. Therefore, the aim of the study is to compare the efficacy of Wrist Manipulation versus Progressive Exercises versus both together to improve Pain, Grip Strength and Functional Disability of Tennis Elbow.
Methods: Both gender (n = 90), age 30-65 years, presented with Chronic Tennis Elbow were selected based on inclusion and exclusion criteria and randomly allocated into 3 groups. All groups received treatment for total duration of 6 weeks. The outcome measures were assessed using 101 Numerical Pain Rating Scale, Jamar Hand-held Dynamometer and Patient Rated Tennis Elbow Evaluation to measure difference between pre and post intervention Pain intensity, Grip Strength and Functional Disability of Tennis Elbow.
Result: ANOVA was used to compare the difference among three groups. The level of significance was set at critical F-value >4. Within group analysis showed significant improvement over elbow Pain and Functional Disability after 6 weeks of intervention who received combined of wrist manipulation and progressive exercise program.
Conclusion: This study concluded that both group showed improvement in Elbow Pain, Grip Strength and Functional Disability in Tennis Elbow patients. However it was found that the Group who received combined treatment showed better improvement than the group of Wrist Manipulation and group of Progressive Exercises.
Key words: Tennis Elbow, Wrist Manipulation, Progressive Exercises program, 101 NPRS, Jamar hand held dynamometer, PRTEE.