Title:

Eccentric training vs muscle energy technique in adjunct to low-level laser therapy for lateral epicondylitis

Creator:

Sumedha, Govindaswamy ; Gurudut, Peeyoosha ; Welling, Aarti

Subject and Keywords:

lateral epicondylitis ; low-level laser therapy ; manual therapy ; exercise therapy

Abstrakt:

Introduction. Low-level laser therapy (LLLT) is considered a mainstay intervention for lateral epicondylitis (LE) with clear evidence. Eccentric Exercises (EE) and Muscle Energy Technique [MET] have been shown to be beneficial individually. However, trials are lacking where the above two approaches are compared. Further, no comprehensive EE protocol exists for LE. Hence, this study aimed to develop an EE protocol and evaluate the effectiveness of the EE protocol versus MET as adjuncts to LLLT for the management of LE.Methods. A total of 34 (n = 17 in each group) participants with LE were randomly allocated to two study groups (EE and MET). The participants received either EE or MET along with LLLT as a common intervention over 3 weeks. The outcomes measured were pinch strength, grip strength, and pain pressure threshold, assessed at pre-intervention and post-intervention (3rd week). The patient-rated tennis elbow evaluation (PRTEE) questionnaire was assessed at 4 points in time: pre- and post-3 weeks with follow-up in the 6th week and 12th week.Results. When compared between the groups, a statistically significant difference was noted with the EE group being more effective than the MET group for pain pressure threshold (p = 0.001), key pinch strength (p = 0.003), tripod pinch strength (p = 0.107), grip strength (p = 0.046), pain and functional disability (p = 0.001).Conclusions. Although both EE and MET were effective in treating lateral epicondylitis, eccentric exercises were superior to the MET group even at the 6th and 12th week follow-up, suggesting a longer-lasting effect of EE without recurrences.

Publisher:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu

Place of publication:

Wrocław

Date:

2024

Resource Type:

artykuł

Language:

ang

Relation:

Physiotherapy Quarterly ; Physiotherapy Quarterly,2024,vol.32,nr2

Rights:

Wszystkie prawa zastrzeżone (Copyright)

Access Rights:

Dla wszystkich zgodnie z licencją

License:

CC BY-NC-ND 4.0

Rights Owner:

Wydawnictwo Akademii Wychowania Fizycznego im. Polskich Olimpijczyków we Wrocławiu