Author(s): Savaliya Vidhi Vinod Kumar and Pavana

Abstract:

A study to evaluate the effect of ultrasound and stretching versus ultrasound and stretching and strengthening to relieve pain and improve grip strength in lateral epicondylitis. The study included 40 subjects with lateral epicondylitis. The subjects who fulfil the inclusion and exclusion criteria were selected. Informed consent was obtained from the subjects then the patients were randomly assigned into two groups. Group A and group B having 20 subjects in each group. Pre-treatment assessments of pain and grip strength were recorded for both the groups. Visual analogue scale and hand-held dynamometer to measure pain and grip strength. Brief introduction was given about ultrasound, stretching and strengthening exercise. In group A received treatment of ultrasound and stretching. Group B received treatment of ultrasound, stretching and strengthening exercise. On the same assessment parameters, after 2 weeks of the treatment and post treatment assessment of pain and grip strength were taken, at the end of 4 week for both the groups, for comparison with pre-treatment assessment data and 2weeks after the treatment data. At end of 2 weeks group A showed 9.35% change and group B 23.22% change which is statistically significance as p=0.000<0.01 and end of 4 weeks of treatment group A showed 16.71% and group B 47.06% change which is statistically significance as p=0.000<0.01. So, group B is highly effective compare to group A in improvement of grip strength. At end of 2 weeks group A showed 32.64% change and group B 38.19% change which is statistically significance as p=0.000<0.01 and end of 4 weeks of treatment group A showed 61.81% and group B 71.53% change which is statistically significance as p=0.000<0.01. So, group B is highly effective compare to group A in reduction of pain level. At the end of 4 weeks of treatment after analysing the result, it had been found that ultrasound, stretching and strengthening exercise significantly reduced symptoms of lateral epicondylitis by minimizing pain and improve grip strength in group B. Parallel treatment observed by comparison of ultrasound and stretching exercise showed significance in controlling the pain and no significance in enhancing grip strength in group A.

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