EFFECTS OF MOBILIZATION WITH MOVEMENT VERSUS MILLS MANIPULATION TECHNIQUE IN CHRONIC LATERAL EPICONDYLITIS

Abstract

Objective: To determine the effects of Mobilization with Movement and Mill’s Manipulation­ on functional activities, range of motion (ROM) and reducing pain in patients with tennis elbow.

Material & Methods: Single blinded Randomized control trial was conducted at Bajwa Hospital Lahore. Consecutive sampling was utilized to enter the Subjects in the study, while Lottery Method was done to assign Treatment groups. The sample consisting of 54 participants was further allocated into two groups. Mobilization with movement technique with baseline treatment was applied in Group A and Mill’s Manipulation technique with corresponding baseline treatment was applied in Group B for 4 weeks. The assessment tools included patient related tennis elbow evaluation questionnaire, Numeric pain rating scale and Universal Goniometer. Data was analyzed by SPSS version 21.

Results: The result showed that there is significant improvement in group A mean difference of pain is 2.52, Patient related tennis elbow evaluation questionnaire is 65.9, flexion having 23.52, extension 40.14, ulnar deviation 16.19 and radial deviation having 10.0, on the other hand group B having mean difference of pain is 1.88, Patient related tennis elbow evaluation questionnaire  13.37, Flex having 6.41, extension 28.04, ulnar deviation 9.96 and radial deviation is 7.22 with p-value˂ 0.01.

Conclusion: It is concluded that if patient with tennis elbow treated with mobilization with movement technique was demonstrate more improve result in pain, ROM and function then treated with mill’s manipulation technique.