Ahmed Aqeel, Ibrar Muhammad, Arsh Aatik, Wali Sonia, Hayat Shoukat, Abass Summar
Isra Institute of Rehabilitation Sciences, Isra University, Islamabad, Pakistan.
Department of Physiotherapy, Paraplegic Center, Peshawar, Pakistan.
J Pak Med Assoc. 2021 Jan;71(1(A)):12-15. doi: 10.47391/JPMA.186.
OBJECTIVES: To determine the effectiveness of Mulligan mobilisation versus Cyriax approach in the management of patients with subacute lateral epicondylitis. METHODS: The clinical trial was conducted at the District Headquarter Hospital, Bahawalnagar, Pakistan, from September to December 2018, and comprised lateral epicondylitis patients having symptoms for >2 weeks. The diagnosis was confirmed on the basis of physical tests and musculoskeletal ultrasound. The subjects were randomly allocated to two equal groups A and B. Group A received deep transverse friction and Mill's manipulation according to Cyriax approach, while group B received Mulligan mobilisation with movement techniques. Patient-related tennis elbow evaluation index was used to collect data which was analysed using SPSS 20. RESULTS: Of the 60 patients, there were 30(50%) in each of the two groups. The overall mean age was 35.27±7.30 years, and 38(63.3%) participants were male. After 4 weeks of treatment sessions, both groups showed significant improvements (p<0.05) in pain and functional disability scores. Group A showed significantly more improvement (p<0.05) in pain subscale scores compared to group B, while group B showed significant improvement (p<0.05) in functional disability subscale scores compared to group A. There was no significant difference (p>0.05) between the groups on total the patient-related tennis elbow evaluation index score. CONCLUSIONS: Both Mulligan mobilisation with movement and Cyriax approach decreased pain and improved functional status in lateral epicondylitis patients.
目的:确定Mulligan松动术与Cyriax疗法在亚急性外侧上髁炎患者管理中的有效性。 方法:该临床试验于2018年9月至12月在巴基斯坦巴哈瓦尔纳加区总部医院进行,纳入症状持续超过2周的外侧上髁炎患者。根据体格检查和肌肉骨骼超声确诊。受试者被随机分为A、B两组,每组30人。A组采用Cyriax疗法进行深层横向摩擦和Mill氏手法,B组采用Mulligan动态松动术。使用患者相关网球肘评估指数收集数据,并采用SPSS 20进行分析。 结果:60例患者中,两组各30例(50%)。总体平均年龄为35.27±7.30岁,38例(63.3%)参与者为男性。经过4周的治疗,两组在疼痛和功能障碍评分方面均有显著改善(p<0.05)。A组在疼痛子量表评分方面的改善显著高于B组(p<0.05),而B组在功能障碍子量表评分方面的改善显著高于A组(p<0.05)。两组在患者相关网球肘评估指数总分上无显著差异(p>0.05)。 结论:Mulligan动态松动术和Cyriax疗法均可减轻外侧上髁炎患者的疼痛并改善其功能状态。
Br J Sports Med. 2004-12
BMC Musculoskelet Disord. 2024-10-15