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TECHNIQUE WITH ECCENTRIC VERSUS CONCENTRIC EXERCISES ON PAIN AND FUNCTION IN PLAYERS WITH TENNIS ELBOW

. Dr Mushaf Hassan PT, Dr Madiha Younas PT, Dr Talha Bilal PT, Dr Waqas Ahmad PT, Dr Akhtar Rasul PT & Dr Kiran Sikandar Gondal PT


Abstract

The other name for tennis elbow is lateral epicondylitis or lateral elbow tendinopathy that causes pain in elbow and reduces functional abilities such as finger extension, wrist extension and forearm eversion. It usually causes inflammation and damage to the tendon of the short radial extensor muscle of the lateral epicondyle.

Objective: The aim of this study is to compare the effects of mulligan technique with eccentric versus concentric exercises on pain and function in players with tennis elbow.

Methods: A randomized controlled trial was performed on thirty-two players. Participants were selected through non-probability convenient sampling. Members who fulfilled the inclusion/exclusion criteria were identified by an assessor and were enrolled for specific study. Informed written consent was taken by the participants and were randomly allocated to two groups. The study was single blinded. The assessor was unaware of the treatment given to both groups. Group 1 received Mulligan technique with Eccentric exercises and Group 2 Mulligan technique with Concentric exercises. All Exercises were performed with 12 reps and 3 sets, 3 times a week for 6 weeks.

Results: The mean age of individuals in Group 1 is 25.82 ±2.48 and the individuals in Mulligan Concentric group are 25.38 ±2.27. Parametric tests were performed as the data was normally distributed which was proved by Shapiro-wilk test. Within group comparison was made by using Paired t test and it showed significant results with in group (P value <0.001). Between group analysis was done by using independent T test which showed insignificant difference between groups (P value >0.05) for pain and function.

Conclusion: Both interventions are equally effective in reducing pain, improving function in players with tennis elbow which showed that these interventions can be included in the rehabilitation plan of these athletes.

Indexed terms: Elbow pain. Mulligan technique, Eccentric exercises, Concentric Exercises

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