The effects of Mulligan mobilisation with movement and taping techniques on pain, grip strength, and function in patients with lateral epicondylitis. Abstract. This experimental design study investigated the effect of a combination of Mulligan techniques and traditional treatment compared with that of traditional treatment alone in patients with lateral epicondylitis. The applied Mulligan techniques included mobilisation with movement and taping, and were aimed to reduce pain, increase grip strength, and improve activities of daily living. A total of 3. 4 patients aged between 1. Mulligan techniques and traditional treatment (experimental group, n = 1.
They were evaluated before the treatment, and after 4 weeks, using visual analogue scale, maximum grip strength, and Patient- Rated Tennis Elbow Evaluation. Analysis showed statistically significant improvement in all outcomes in both the experimental and the control groups. In addition, the mean improvement in visual analogue scale and maximum grip strength was significantly greater in the experimental group than that in the control group.
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This study showed that the combination of Mulligan techniques with traditional treatment leads to better outcomes in treatment of lateral epicondylitis than traditional treatment alone. Keywordslateral epicondylitis; physiotherapy; Mulligan; mobilisation; taping. Introduction. Lateral epicondylitis (LE) of tennis elbow, involving tendinitis of the extensor carpi radialis brevis [1] and [2], is the most common lesion in the elbow region. In Canada, LE is the most commonly diagnosed elbow condition and affects about 1–3% of the population at large [3]. The annual incidence of LE in general practice is four to seven cases per 1. Dominant arm involvement is most common [1]. Men and women are equally affected [4].
Example Application Letter for Fresh Graduate Civil Engineer. Load more End. About. Browse books; Site directory; About Scribd; Meet the team; Our blog; Join our team! Mulligan Concept: Nags & Snags. The Mulligan Concept - Nags, Snags, Mobilisations with Movement etc - have changed considerably over the years since they were first introduced. There are new techniques, new ways of doing old. Origin. There are many theories about the origin of the term. The United States Golf Association (USGA) cites three stories explaining that the term derived from the name of a Canadian golfer, David Mulligan, one time manager. This experimental design study investigated the effect of a combination of Mulligan techniques and traditional treatment compared with that of traditional treatment alone in patients with lateral epicondylitis. The applied.
LE is a form of “repetitive strain injury” [5] and is characterised by pain at the lateral aspect of the elbow, especially in gripping activities and resistance application to extensor muscles of the forearm [6], [7], [8] and [9]. Many traditional interventions have been used to treat this condition, including non- steroidal anti- inflammatory drugs [1.
US) [1. 4], [1. 6] and [1. As Garret et al. (2. Mulligan mobilisation with movement technique. MWM and taping are modern techniques developed by Mulligan for treating LE. MWM is a form of manual therapy that includes a sustained lateral glide to the elbow joint with concurrent physiological movement [2. This mobilisation technique is often used to correct the faulty position of the elbow joint [2. Miller (2. 00. 0) [3.
MWM for LE as the primary modality for the correction of what Miller diagnosed as a “positional fault of the elbow joint complex mimicking a contractile element pathology of the common extensor bundle.” It was found that MWM resulted in reduced pain, improvement of pain- free grip strength (PFGS), and increased ability to tolerate resisted isometric wrist extension, and that, 2 weeks of treatment and 1- month follow- up showed full function and absence of pain. A number of studies have attempted to compare the effect of MWM with those of other forms of interventions. Geetu and Deepak (2.
MWM led to statistically significant improvement in strength and functional performance when compared with US treatment. There was no statistically significant difference in these two parameters, however, between those who received wrist manipulation and those who underwent Mulligan mobilisation. Bisset et al. (2.
MWM and exercise) with that of corticosteroid injection. They found that corticosteroid injection showed significantly better effects at 6 weeks, but with high recurrence rates thereafter and significantly poorer outcomes in the long term when compared with physiotherapy. Overall, there is limited evidence in supporting the superiority of the Mulligan technique over other treatment approaches.
Other researchers compared the effect of MWM against that of a control/placebo treatment. Vicenzino et al. (2.
PFGS values during and after intervention did not change from baseline in the placebo and control conditions, but that pressure–pain threshold demonstrated an increase after the application of MWM treatment technique. Kochar and Dogra (2. MWM group was able to lift heavier weights than US therapy and control groups from the second week onwards. In the MWM group, grip strength increased, and most patients in this group showed complete recovery.
Taping technique is often applied after mobilisation. It is placed around the elbow joint over extensor carpi radialis muscles and is intended to reduce the load over these muscles and increase the grip strength of the hand [3.
Vicenzino (2. 00. PFGS by 2. 4% from baseline (p = 0. The treatment effect was greater than that for placebo and control conditions. Vicenzino and Wright (1. MWM and combined it with taping and found significant changes in pain- free grip force, pain visual analogue scale (VAS) and function, when compared with traditional treatment.
In summary, there is some evidence to support the use of Mulligan technique and taping in the treatment of LE, but a further study is required to establish the clinical efficacy. The aim of the study was to investigate whether Mulligan techniques, when used in combination with traditional physiotherapy treatment, will cause significantly better outcomes in patients with LE when compared with traditional treatment only. Research methodology. Hypothesis. It was hypothesised that Mulligan techniques can induce significant treatment effect in patients with LE, including reduction in pain, improvement in PFGS, and ability to work.
Design. An experimental design was undertaken. The participants were allocated to either the control or experimental groups, based on their order of coming to the research. Pre and post- test were performed for both groups.
Sample. A convenience sampling method was used. All patients were recruited from all the west bank cities of Palestine, from Tulkarm in the north to Hebron in the south. All subjects had a diagnosis of LE.
The inclusion criteria were (1) a patient with a medical referral of subacute LE, and (2) positive results on two or more tennis elbow tests (see later). Individuals who were complaining of lateral pain because of cervical pathologies, post- traumatic LE, or acute LE, were excluded. Informed, written consent was obtained from each participant before data collection. Anonymity and privacy was assured for each subject.
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When applied correctly, this therapy can significantly. These techniques are also. Cx. 5/6 and Cx 6/7 origin. This book is a must for physical therapists working in the musculoskeletal field. Written by one of the world's foremost experts of Manual Therapy, Brian Mulligan. Illustrated. Softcover, 1.