Effect of Manual Mobilization with Movement on Pain and Strength in Adults with Chronic Lateral Epicondylitis

Pagorek, Stacey

doi:10.1123/jsr.18.3.448

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…Mokslininko Pagorek (2009) atlikto tyrimo metu buvo gautas panašios skausmo intensyvumo mažėjimo tendencijos. Mūsų tyrime po mobilizacijos su judesiu taikymo, nustatytas skausmo intensyvumo mažėjimo pokytis buvo laipsniškas visas 12 savaičių ir gali būti aiškinamas tuo, kad taikant mobilizaciją su judesiu, pagal Mulligan koncepciją, yra maksimaliai atpalaiduojami audiniai aplink pažeistą arba sutrikusią vietą (Mulligan, 2010).…”

Section: Tyrimo Organizavimasunclassified

Short and Long-term Effects of Mobilization with Movement and Eccentric Overload to Hand Pain and Function in the Treatment of Lateral Epicondylitis

Svalbonas

Masiulis

Jurgelaitienė

et al. 2022

Reabilitacijos mokslai

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Aim. To determine and compare short and long-term effects of mobilization with movement and eccentric overload to hand pain and function in the treatment of lateral epicondylitis. Problem of research & hypothesis. The eccentric overload exercises are one of the best methods in tendinopathy treatment. Mobilization with movement is largely used as an effective treatment method for lateral epicondylitis. Only the short-term effects of these methods in lateral epicondylitis are often evaluated, but no studies were found to use these methods in combination and to evaluate their long-term effects. Methods. The study included individuals (n=30) aged 30–54 years who had been diagnosed with lateral epicondylitis. Subjects were tested by assessing their perceived pain using the visual analogue scale (VAS); handgrip strength was assessed by a dynamometer. The QuickDASH questionnaire was used to assess hand function and perceived disability. Subjects were randomly divided into three groups: mobilization with movement group (n=10), eccentric overload group (n=10), and combined group (combined mobilization with movement and eccentric overload exercises) (n=10). All subjects got 10 physiotherapy procedures, short-term effect evaluated after 10 procedures of physiotherapy, long-term effect evaluated after 2, 6 and 12 weeks post treatment course. Results. Study results revealed that all treatment methods had a significant (p<0.05) effect on pain reduction, increase in handgrip strength as well as improvement in hand function and disability. In follow-up assessments at 2, 6 and 12 weeks after the treatment, the most altered indicators of pain intensity, pain-free handgrip strength and hand function were seen in the mobilization with movement group. Conclusions. An application of mobilization with movement in the treatment of lateral epicondylitis had the greatest positive effect on pain intensity, maximum handgrip strength and hand function and disability compared to mobilization with movement combined with eccentric overload and eccentric overload exercises alone. Keywords: lateral epicondylitis, mobilization with movement, eccentric overload, pain intensity, hand pain-free grip strength.

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Section: Tyrimo Organizavimasunclassified

Short and Long-term Effects of Mobilization with Movement and Eccentric Overload to Hand Pain and Function in the Treatment of Lateral Epicondylitis

Svalbonas

Masiulis

Jurgelaitienė

et al. 2022

Reabilitacijos mokslai

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“…Una forma específica de MWM es el deslizamiento lateral en el codo. Esta técnica realiza movilizaciones en las articulaciones periféricas que produce un alivio del dolor de forma sustancial e inmediata, con un aumento del 48% en la fuerza de agarre sin dolor (6)(7)(8)(9) . Vicenzino et al, en 2007, observaron que el 90% de los pacientes con epicondilopatía lateral tenía hipomo-y el cuestionario Disabilities of the Arm, Shoulder and Hand (DASH), respectivamente, al inicio y al final de la intervención Se analizaron 75 pacientes y se observó una disminución del dolor (2,28 puntos EVA) y una mejora de la funcionalidad (15, ESWT -3,000 pulses, frequencies of 5-10 Hz and low energy doses (0.03 to 0.…”

Section: Introductionunclassified

Análisis de la eficacia sobre el dolor y la capacidad funcional en el abordaje terapéutico de la epicondilopatía lateral crónica del codo con ondas de choque extracorpóreas radiales

Sanz¹,

Guirao-Cano²,

Monné-Cuevas³

2019

RETLA

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La epicondilopatía lateral (EL) cursa con dolor en la cara externa del codo que aumenta con la extensión resistida de muñeca. El abordaje terapéutico incluye: corrección de los factores predisponentes, tratamiento médico y fisioterapéutico. Las ondas de choque (ESWT) son impulsos acústicos de alta energía que van a estimular las células para producir factores de regeneración. Han sido utilizadas previamente en el tratamiento de las tendinopatías crónicas de forma estática local; sin embargo, sin tratar los posibles trigger points asociados. El objetivo del presente estudio fue analizar la eficacia de las ESWT sobre el dolor y la incapacidad funcional en pacientes afectos de EL resistentes al tratamiento conservador (3-6 meses) y con dolor prolongado superior a 3 meses. La metodología utilizada ha seguido los criterios de la International Society for Medical Shockwave Treatment (ISMST) utilizando una ESWT radial-3.000 impulsos, frecuencias de 5-10 Hz y dosis de energía baja (0,03 a 0, 12 mJ/mm 2)-. La duración del tratamiento fue de 5 sesiones (1/semana). Se evaluó el dolor y la capacidad funcional mediante la escala visual analógica (EVA)

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“…Miller ( 2000 ) reports the use of mobilization with movement for lateral epicondylitis as the primary modality for the correction of “positional fault of the elbow joint complex mimicking a pathological contractile element of the common extensor beam”. Pagorek ( 2009 ) reports in their literature review that the technique of mobilization with movement could be further studied to explore the effects caused in individuals with lateral epicondylosis and it would be important to have a long-term evaluation of these patients to observe a beneficial effect of this technique.…”

Section: Introductionmentioning

confidence: 99%

Multimodal approach to rehabilitation of the patients with lateral epicondylosis: a case series

Marcolino

Neves

Oliveira³

et al. 2016

SpringerPlus

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PurposeThe objective of this study was to evaluate the effectiveness of mobilization with movement and kinesiotherapy in the treatment of patients with lateral epicondylosis.MethodsThis cases series included eight volunteers who had chronic lateral epicondylosis. The patients were treated with stretching, massage deep transverse at the lateral epicondyle and mobilization with movement associated with eccentric exercise. The mobilization with movement that consisted of a force of lateral glide of the proximal forearm. We performed twelve sessions, twice a week for 45 min/session. All patients underwent an evaluation with a visual analog scale and functional assessment through questionnaires patient-rated tennis elbow evaluation (PRTEE) and disabilities of the arm, shoulder and hand (DASH), before and after the treatment. Data were analyzed by student’s t test (p < 0.05).ResultsThe results showed statistical differences in pain symptoms before and after treatment, in the analysis and functional assessment through both questionnaires comparing the pre and post treatment.ConclusionThe data obtained in this study demonstrates improvement of the function and pain status of the sample investigated.

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Effect of Manual Mobilization with Movement on Pain and Strength in Adults with Chronic Lateral Epicondylitis

Cited by 9 publications

References 9 publications

Short and Long-term Effects of Mobilization with Movement and Eccentric Overload to Hand Pain and Function in the Treatment of Lateral Epicondylitis

Short and Long-term Effects of Mobilization with Movement and Eccentric Overload to Hand Pain and Function in the Treatment of Lateral Epicondylitis

Análisis de la eficacia sobre el dolor y la capacidad funcional en el abordaje terapéutico de la epicondilopatía lateral crónica del codo con ondas de choque extracorpóreas radiales

Multimodal approach to rehabilitation of the patients with lateral epicondylosis: a case series

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