Effect of Therapeutic Intervention and Hand Muscle Training on Pain and Quality of Hand Function in Subjects with Chronic Tennis Elbow Desai Pranali1,*, Varadharajulu G.2, Kanase Smita3, Shinde Sandeep4 1MPT, Faculty of Physiotherapy, Krishna College of Physiotherapy, KIMSDTU, Karad-415110, Maharashtra, India 2Dean, Faculty of Physiotherapy, Krishna College of Physiotherapy, KIMSDTU, Karad-415110, Maharashtra, India 3Assistant Professor, Krishna College of Physiotherapy, KIMSDTU, Karad-415110, Maharashtra, India 4Associate Professor, Krishna College of Physiotherapy, KIMSDTU, Karad-415110, Maharashtra, India *Corresponding Author: Pranali Pradeep Desai MPT, Krishna College of Physiotherapy, KIMSDTU, Karad-415110, Maharashtra, India Phone: 9029631646 Email: pranalidesai15@gmail.com
Online published on 19 August, 2019. Abstract Background Tennis elbow is a form of repetitive injury. It results in pain at the lateral humeral epicondyle on gripping and frequent rotatory motion of the forearm. It leads to reduce hand grip strength and causes functional disability Objectives To find and compare the effect of mulligan mobilisation with movement (MWM), phonophoresis, eccentric strengthening exercises and hand muscle training on pain and quality of hand function in subjects with chronic tennis elbow. Method 30 subjects diagnosed as chronic tennis elbow were included in the study on the basis of inclusion and exclusion criteria. In the study pre and post treatment outcome assessment was taken on (Visual Analogue Scale) VAS, Hand Held Dynamometer and on (Patient Rated Tennis Elbow Evaluation) PRTEE. Mulligan mobilisation with movement, phonophoresis, eccentric strengthening exercises were baseline treatment for both the group. Group A received baseline treatment and hand muscle training and Group B received only baseline treatment for 3 weeks treatment protocol. Results 30 subjects (19 female and 11 male), participated in the study. Intra group comparison results showed statistically significant reduction in post interventional VAS, HHD, and PRTEE score for both the groups (p <0.0001). Inter group comparison results showed Group A was statistically significant in showing improvement in VAS, HHD, and PRTEE score than Group B (p <0.0001). Conclusion Group A treated with baseline treatment and hand muscle training showed significant improvement than Group B. Top Keywords Chronic Tennis Elbow, Mulligan mobilisation, Phonophoresis, Hand muscle training, Hand Held Dynamometer (HHD), Patient Rated Tennis Elbow Evaluation (PRTEE). Top |