<?xml version="1.0" encoding="UTF-8"?> <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd"> <ArticleSet> <Article> <Journal> <PublisherName>jimrhs</PublisherName> <JournalTitle>Journal of International Medical Research and Health Sciences</JournalTitle> <PISSN>I</PISSN> <EISSN>S</EISSN> <Volume-Issue>Volume 1 Issue 3</Volume-Issue> <PartNumber/> <IssueTopic>Multidisciplinary</IssueTopic> <IssueLanguage>English</IssueLanguage> <Season>(Oct-Dec, 2021)</Season> <SpecialIssue>N</SpecialIssue> <SupplementaryIssue>N</SupplementaryIssue> <IssueOA>Y</IssueOA> <PubDate> <Year>-0001</Year> <Month>11</Month> <Day>30</Day> </PubDate> <ArticleType>Physiotherapy</ArticleType> <ArticleTitle>A comparative study of mulligan’s technique vs mulligan combined with dry needling on pain and function in patients with lateral epicondylitis: A clinical trial</ArticleTitle> <SubTitle/> <ArticleLanguage>English</ArticleLanguage> <ArticleOA>Y</ArticleOA> <FirstPage>1</FirstPage> <LastPage>9</LastPage> <AuthorList> <Author> <FirstName>Nensi V.</FirstName> <LastName>Gandhi</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>N</CorrespondingAuthor> <ORCID/> <FirstName>Dharmang</FirstName> <LastName>Vyas</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Lubna</FirstName> <LastName>Malek</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> </Author> </AuthorList> <DOI/> <Abstract>Background and Purpose: Lateral Epicondylitis is a most common lesion of the elbow affecting the tendinous origin of the wrist extensors especially extensor carpi radialis bravis. The tennis elbow syndrome has been recognized for a century and received its name more than 90 years ago. In clinical practice, different outcome measures were used to evaluate functional recovery in the tennis elbow. This study has used two outcome measures for evaluating the functional recovery in tennis elbow, they are VAS, and Patient rated tennis elbow scale (PRTES). Objectives: To compare the efficacy of Mulligan’s technique Versus Mulligan’s technique in combination with dry needling therapy, to reduce pain and improve functional disability in lateral epicondylitis. Materials and methods: Subjects with known cases of tennis elbow diagnosed by clinical confirmatory tests by the specialists; were chosen for the study from the Outpatient department of Parul institute of orthopedics department. After dividing the subjects, groups of 20 each, they were pre-tested using PRTES for functional disability and VAS for pain intensity. The first group was given Mulligan`s technique along with the conventional exercise and the second group was given Dry needling Therapy and Mulligan`s technique along with the conventional exercise 3 times a week for six weeks. The patients were assessed for pain intensity using VAS and functional disability using PRTES was taken by the end of six weeks. The results were computed and analyzed to see which group has better improvement. Results: Thus, there was a significant improvement in functional disability and reduction in VAS in group A and group B. Also there was a significant improvement in functional disability and VAS in group B as compared to group A. Conclusion: In this study, both the groups statistically showed a significant response to their interventions. The mean score in the case of VAS is less and in the case of PRTES is high for Mulligan`s technique and dry needling therapy as compared to mulligan`s technique alone mulligan`s technique and dry needling was found to be more effective than the mulligan`s technique alone to reduce the pain and to increase functional disability in treating Lateral Epicondylitis.</Abstract> <AbstractLanguage>English</AbstractLanguage> <Keywords>lateral epicondylitis, mulligan`s mobilization with movement, dry needling therapy, visual analogue scale, patient rated tennis elbow scale</Keywords> <URLs> <Abstract>https://www.jimrhs.com/ubijournal-v1copy/journals/abstract.php?article_id=13173&title=A comparative study of mulligan’s technique vs mulligan combined with dry needling on pain and function in patients with lateral epicondylitis: A clinical trial</Abstract> </URLs> <References> <ReferencesarticleTitle>References</ReferencesarticleTitle> <ReferencesfirstPage>16</ReferencesfirstPage> <ReferenceslastPage>19</ReferenceslastPage> <References>Alexander J. Chien et Al.1 Sonography and MR Imaging of Posterior Interosseous Nerve Syndrome with Surgical Correlation. The American Journal of Roentgenology, number 1, volume 181, July 2003, p219-221. Level of Evidence:2C Van Rijn RM, Huisstede BM, Koes BW, BurdorfA. Associations between work-related factors and specific disorders at the elbow: a systematic literature review. Rheumatology (Oxford). May 2009;48(5):528-36.A1 Dommerholt, J. and Gerwin, R., Trigger Point Needling Course Manual, The Janet Travell, MD Seminar Series,2006 TuomoPienimand;auml;ki, TuulaTarvainen, PerttiSiira, Antti Malmivaara, HeikkiVanharanta The Clinical journal of pain 18 (3), 164-170,2002 Bisset L, PaungmaliA, Vicenzino B, Beller E. A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia. Br J Sports Med 2005 Jul; 39(7):411-22. Brukner P, Khan K. Clinical Sports Medicine, Sydney: McGraw-Hill;1993. Vicenzino B, Wright A. Effect of a novel manipulative physiotherapy technique on tennis elbow: a single study. Manual therapy 1995; 1:30-35. HutsonAM.Work-RelatedUpperLimbDisorders:RecognitionandManagement.1997;54 Abbott JH, PatlaCE, Jensen RH. The initial effects of an elbow mobilization with movement technique on grip strength in subjects with lateral epicondylalgia. Manual Therapy 2001; 6(3): 163-169. Vicenzino B, PaungmaliA, Buratowski S, Wright A. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Manual Therapy 2001; 6(4):205-212. Vicenzino B. Lateral epicondylalgia: a musculoskeletal physiotherapy perspective. Manual Therapy 2003; 8(2):66–79. Manchanda G, Grover D. Effectiveness of movement with mobilization compared with manipulation of wrist in case of lateral epicondylitis. Indian Journal of Physiotherapy and Occupational 2008; 2(1). Norris C. Sports injuries – diagnosis and management, Butterworth Heinemann 3rded 2005; 412-417.</References> </References> </Journal> </Article> </ArticleSet>