COMPARATIVE ANALYSIS BETWEEN MOBILIZATION WITH MOVEMENT (MWM) AND MANIPULATION IN THE MANAGEMENT OF LATERAL EPICONDYLITIS

OBJECTIVESTo compare the effect of Mobilization with Movement (MWM) andManipulation in the management of lateral epicondylitis with regardto ache, grip power and functional activities.METHODOLOGY20 patients presented with lateral epicondylitis (Tennis elbow) toOPD in Ziauddin Hospital (Clifton, North and Kemari campuses). Theywere enrolled for the purpose of research study after writteninformed consent. Subjects were erratically assigned into 2 groups,i.e. group A for MWM and group B for manipulation. All patients wereexamined before and after the treatment and then findings wereevaluated. Pain was sedated by Visual analogue scale (VAS), gripstrength was measured by hand–held dynamometer and functionalactivities’ outcomes were measured by forearm analysis questionnairesurvey for lateral epicondylitis, by H B Leung et al 2004.RESULTA total of 20 patients were randomly selected and divided into twogroups i.e. Group–A & Group–B. The result shows for Group A: Themean of pain score on VAS before treatment was 4.70±1.418 whileafter treatment was 0.10±0.316 with P value (0.05) and the mean ofgrip strength score before treatment was 13.40±7.442 while aftertreatment was 22.60±8.501. For Group B: The mean of pain score onVAS before treatment was 5.20±0.632 while after treatment was0.5±0.527 with P value (0.05) and the mean of grip strength beforetreatment was 26.20±21.028 and after treatment was 32.00±24.33.CONCLUSIONThis study shows evidence to support the effectiveness of bothapproaches (MWM + Manipulation) for relieving ache, strengtheningand functionality along with tennis elbow.KEYWORDSLateral epicondylitis, Manipulation, Mobilization with movement(MWM), dynamometer, visual analog scale, and analysis.