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The initial effects of an elbow mobilization with movement technique on grip strength in subjects with lateral epicondylalgia

Journal: Journal of Osteopathic Medicine Date: 2001/10, 4(2):Pages: 72, type of study: pretest posttest design

Full text    (https://www.sciencedirect.com/science/article/pii/S1443846101800307)

Keywords:

elbow [26]
grip strength [3]
lateral epicondylalgia [3]
OMT [2951]
osteopathic manipulative treatment [2973]
abstract [165]
tennis elbow [16]

Abstract:

This preliminary study indicates the proportion of patients with lateral epicondylalgia that demonstrate a favourable initial response to a manual therapy technique - the mobilization with movement (MWM) for tennis elbow. Twenty-five subjects with lateral epicondylalgia participated. In a one-group pretest - post-test design, we measured (1) pain with active motion, (2) pain-free grip strength and, (3) maximum grip strength before and after a single intervention of MWM. Results of the study indicate that MWM was effective in allowing 92% of subjects to perform previously painful movements pain-free, and improving grip strength immediately afterwards. Significant differences were found between the grip strength of the affected and unaffected limbs prior to the intervention. Both pain-free grip strength and maximum grip strength of the affected limb increased significantly following the intervention. Pain-free grip strength increased by a greater magnitude than maximum grip strength. It can be concluded that MWM is a promising intervention modality for the treatment of patients with Lateral Epicondylalgia. Pain-free grip strength is a more responsive measure of outcome than maximum grip strength for patients with Lateral Epicondylalgia. Further research is warranted to investigate the long-term effectiveness of MWM in the treatment of impairment and disability resulting from Lateral Epicondylalgia.


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