Effectiveness of myofascial release for patient with tennis elbow

Abstract

Purpose: The purpose of the study is to find out the effectiveness of Myofascial release with conventional physiotherapy compare to only conventional physiotherapy for tennis elbow. Objectives: To compare pain intensity at rest, at forceful wrist extension, during strong grip, doing a task with repeated arm movement, during cozen test, at resisted middle finger extension, during turn a doorknob or key or open a jar and during palpation at affected site before and after conventional physiotherapy with myofascial release and conventional physiotherapy alone in patients with tennis elbow. Methodology: 7 patients with tennis elbow were selected and randomly assigned to myofascial release with conventional physiotherapy group and 7 patients to the only conventional physiotherapy group for this randomize control trial study. The study was conducted at musculoskeletal department of CRP, savar. Numeric Pain Rating Scale was used to measure pain intensity in different functional position. Data was analysed by using Mann Whitney „U‟ test and Microsoft Excel Worksheet 2010 was used to decorate data. Results - After observing pre-test and post-test score the significant improvement was found. Improvements were statistically significant. Following treatment the study found that the experimental group showed a significant improvement in case of resting pain (p<.05), pain at forceful wrist extension (p<0.05), pain during strong grip (p<0.05), doing a task with repeated arm movement (p<0.05), pain on forceful middle finger extension (p<0.05), during turn a doorknob or key or open a jar, & pain during palpation (p<0.05). Only in case of cozen test, reduction of pain intensity was not found to be significant. Conclusion: This experimental study shows that myofascial release with conventional physiotherapy is more effective than conventional physiotherapy alone for patients with tennis elbow. Key words: Tennis elbow, Myofascial release, conventional physiotherapy.