ROLE OF HVLAT ON IMPROVING HAND GRIP STRENGTH AND RELIEF OF PAIN IN LATERAL EPICONDYLALGIA (TENNISELBOW)
Main Article Content
Keywords
Epicondylalgia, HVLAT, Physiotherapy, Tennis elbow
Abstract
Role of HVLAT on improving hand grip strength and relief of pain in lateral epicondylalgia(TennisElbow)
Background & purpose: Tennis elbow is medically known as Lateral epicondylitis is inflammation of the lateral epicondyle at common extensor origin. There is a wide spectrum of treatment modalities in lateral epicondylitis including drug therapy, non-electrotherapeutical treatments, acupuncture, electrotherapeutical treatments and surgery. Most of the available treatment modalities are not cost-effective, requires sophisticated equipment and are time consuming. The present study was conducted with an aim to find the role of HVLA THRUST on improving hand grip strength and relieving pain in patients with lateral epicondylalgia which is cost effective and requires no sophisticated equipment in comparison to conventional physiotherapy.
Materials and Methods: The two groups of the study were Group A (experimental group) who were given HVLAT single thrust at elbow and Group B (control group) who were given conventional physiotherapy.
Results: The statistical data of PRTEE, VAS and Hand grip strength, Group A is significantly different from Group B with p<0.05, i.e. 95% of significance. The one week trial has found significant differences favouring the experimental group in the form of reduction of pain, improving functional abilities and improvement in hand grip strength.
Conclusion: From this study it is concluded that the high velocity low amplitude thrust has a beneficial effect in alleviating pain, improving functional abilities and hand grip strength in patients diagnosed with lateral epicondylalgia. The high velocity low amplitude trust is faster, safer and effective in alleviating pain, improving functional abilities and hand grip strength in patients diagnosed with lateral epicondylalgia over the conventional physiotherapy techniques.
References
2. T. T. Pienimaki, T. K. Tarvainen, P. T. Siira, and H. Vanharanta, 1996.“Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis,” Physiotherapy, vol. 82, no. 9, pp. 522–530,.
3. Gruchow HW, Pelletier D, 1979.An epidemiologic study of tennis elbow.Incidence, recurrence, and effectiveness of prevention strategies. Am J Sports Med;7:234–238.
4. RahmanShiri et al, 2006.Prevalence and Determinants of Lateral and Medial Epicondylitis: A Population Study. American Journal of Epidemiology, Volume 164, Issue 11, Pages 1065–1074
5. Haker E, 1993. Lateral epicondylalgia: Diagnosis, treatment and evaluation. Crit Rev PhysRehabil Med.;5:129–154.
6. Leanne M Bisset, 2015. Physiotherapy management of lateral epicondylalgia,Journalof Physiotherapy 61; 174-181
7. Thomas G Wadsworth, 1987. Tennis elbow: Conservative, Surgical, and Manipulative treatment. British Medical Journal ;294: 621 – 624
8. Brukner P and K. Khan, 1993.Clinical Sports Medicine.4th edition. Sydney, McGrawHill Book Company..
9. Vicenzino B, 2003. Lateral epicondylalgia: a musculoskeletal physiotherapy perspective. Manual Therapy; 8(2): 66-79
10. DrTanusreeBasak, 2003.Comparative Efficacy of Wrist Manipulation, Progressive Exercises and Both Treatments in Patients with Tennis Elbow. International Journal of Health Sciences & Research 87 Vol.8; Issue: 4. 2018
11. Struijs PA, Smidt N, Arola H, van DijkCN, Buchbinder R, Assendelft WJ, 2001. Orthotic devices for tennis elbow: a systematic review. Br J Gen Pract;51:924-9
12. Ali SALLI, 2016.Comparison of High Intensity Laser and Epicondylitis Bandage in the Treatment of Lateral Epicondylitis. Arch Rheumatol;31(3):234-238
13. Stasinopoulos D, Johnson MI, 2004.Cyriax physiotherapy for tennis elbow/ lateralepicondylitis. Br J Sports Med;38:675–677.
14. Stasinopoulos D, Stasinopoulos I, 2006.Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis.ClinRehabil;20:12–23.
15. Struijs PAA, Damen PJ, Bakker EWP, Blankevoort L, Assendelft WJJ, Van Dijk CN, 2003. Manipulation of the wrist for management of lateral epicondylitis: A randomized pilot study. Phys Ther;83:608–616.