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比较Mulligan松动术与Cyriax方法在亚急性外侧上髁炎患者管理中的有效性。

Comparing the effectiveness of Mulligan mobilization versus Cyriax approach in the management of patients with subacute lateral epicondylitis.

作者信息

Ahmed Aqeel, Ibrar Muhammad, Arsh Aatik, Wali Sonia, Hayat Shoukat, Abass Summar

机构信息

Isra Institute of Rehabilitation Sciences, Isra University, Islamabad, Pakistan.

Department of Physiotherapy, Paraplegic Center, Peshawar, Pakistan.

出版信息

J Pak Med Assoc. 2021 Jan;71(1(A)):12-15. doi: 10.47391/JPMA.186.


DOI:10.47391/JPMA.186
PMID:33484510
Abstract

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.

摘要

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。

相似文献

[1]
Comparing the effectiveness of Mulligan mobilization versus Cyriax approach in the management of patients with subacute lateral epicondylitis.

J Pak Med Assoc. 2021-1

[2]
Effectiveness of the Cyriax Technique With Conventional Therapy in the Management of Lateral Epicondylitis: A Case Report.

Cureus. 2024-6-6

[3]
Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in patients with tennis elbow (lateral epicondylitis): a randomized clinical trial.

ScientificWorldJournal. 2012

[4]
Cyriax physiotherapy versus phonophoresis with supervised exercise in subjects with lateral epicondylalgia: a randomized clinical trial.

J Man Manip Ther. 2009

[5]
Effects of extracorporeal shockwave therapy versus ultrasonic therapy and deep friction massage in the management of lateral epicondylitis: a randomized clinical trial.

Sci Rep. 2024-7-17

[6]
Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial.

BMC Musculoskelet Disord. 2015-5-20

[7]
Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis.

Hand (N Y). 2018-1

[8]
Cyriax physiotherapy for tennis elbow/lateral epicondylitis.

Br J Sports Med. 2004-12

[9]
Efficacy of PowerBall Versus Mulligan Mobilization With Movement on Pain and Function in Patients With Lateral Epicondylitis: A Randomized Clinical Trial.

Cureus. 2024-3-19

[10]
Differences in Clinical Tests for Assessing Lateral Epicondylitis Elbow in Adults Concerning Their Physical Activity Level: Test Reliability, Accuracy of Ultrasound Imaging, and Relationship with Energy Expenditure.

Int J Environ Res Public Health. 2023-1-18

引用本文的文献

[1]
Combining the Effects of Mobilization With Movement and Cyriax Physiotherapy in Lateral Epicondylitis: A Case Report.

Cureus. 2025-7-1

[2]
Kinesio Taping, Wrist Splinting, and Epicondylitis Bandaging in Managing Lateral Epicondylitis: A Prospective Comparative Study.

Med Sci Monit. 2025-5-4

[3]
Prevalence of lateral epicondylitis among housewives in Lahore: a cross-sectional study.

BMC Musculoskelet Disord. 2024-10-15

[4]
Efficacy of PowerBall Versus Mulligan Mobilization With Movement on Pain and Function in Patients With Lateral Epicondylitis: A Randomized Clinical Trial.

Cureus. 2024-3-19

[5]
Clinical and radiological effects of Corticosteroid injection combined with deep transverse friction massage and Mill's manipulation in lateral epicondylalgia-A prospective, randomized, single-blinded, sham controlled trial.

PLoS One. 2023

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