Author(s): Anand Kumar Singh, Kanika Wadhwa, Saurabh Kumar, Tabish Fahim and Richa Mahajan

Abstract:
Background: Pain over the lateral epicondyle, which is exacerbation by work or recreational activities that involves gripping action of the hand, such as holding tools, shaking hands, and lifting a kettle, usually signals that the individuals has a condition termed lateral epicondylitis, or tennis elbow. Deep friction massage, Mobilization with movement of wrist is capable of relieving symptoms in lateral epicondylitis patients. Objectives: The purpose of the present study is to compare the effect of Cyriax physiotherapy and mobilization with movement technique in reducing pain and improving grip strength in the patients having tennis elbow. Methods: Study included 30 patients with lateral epicondylitis between ages 30-50 years. The subjects were randomly divided into 2 groups: Group-A and Group-B. Group A (n = 15) was treated using cyriax physiotherapy, group B (n = 15) was treated with movement with mobilization. Patients were treated for 3 times a week for 4 weeks. Outcome measures are NPRS (Numeric Pain Rating Scale) and DASH (The Disabilities of the Arm, Shoulder and Hand). Result: Results showed significant improvement in NPRS and DASH in Group A (Experimental group) than Group B. Comparison of Group A and Group B was done with independent t-test. Group A showed significant improvement in NPRS (p=0.024) and DASH (p= 0.002). Conclusion: From the result it is concluded that cyriax physiotherapy is more effective in relieving pain, improving functional disability and improving pain free grip strength than the mobilization with movement in patients having lateral epicondylitis.

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