To Study the Effectiveness of Cyriax Mill’s Manipulation and Deep Transverse Friction Versus Myofascial Release Technique on Pain, Grip Strength and Functional Disability in Subjects with Lateral Epicondylitis: An Experimental Study

Abstract

BACKGROUND: Lateral epicondylitis is one of the common diseases of the elbow joint. Lateral epicondylitis primarily affects the muscles and soft tissues around the elbow joint. Research has found that the extensor muscles, particularly the extensor carpi radialis brevis (ECRB), are involved in vigorous and repetitive movements of the wrist. Various treatments have been identified, from conservative treatment to surgical treatment, cryotherapy to ergonomic advice, but the results are still inconclusive. OBJECTIVE: The aim of the study is to compare the effectiveness of cyriax mill’s manipulation and deep transverse friction versus the myofascial release technique on pain, grip strength, and functional disability in subjects with lateral epicondylitis. METHOD: 30 patients with lateral epicondylitis between the age of 30 to 45 years were included in the study according to the inclusion criteria, individuals are divided into 2 groups. Group A which was Cyriax physiotherapy and conventional physiotherapy and Group B which was MFR and conventional physiotherapy. The treatment is given for 4 weeks 3 times a week. OUT COMES: NPRS (for pain), HHD (for grip strength), PRTEE (for functional disability) RESULT: After treatment for 4 weeks and 3 times a week, there was a significant improvement in pain, grip strength and functional disability in both groups. But more improvement in group B, which is MFR and conventional treatment. CONCLUSION: It can be concluded that after 12 treatment sessions, both the cyriax technique and the myofascial release technique were effective in the treatment of lateral epicondylitis, but the MFR technique was found to be more effective than cyriax physiotherapy in reducing pain and improving grip strength and function in patients with lateral epicondylitis. Key words: Cyriax, MFR technique, Deep transverse friction massage, Tennis elbow, NPRS, Grip strength, PRTEE