Comparative Effect of Cyriax Therapy and Mobilization with Movement in The Management of Chronic Tennis Elbow
Abstract
Background: Chronic tennis elbow (lateral epicondylalgia) is a prevalent musculoskeletal disorder that significantly impacts daily activities and occupational performance. Various physiotherapy interventions, including Cyriax therapy and mobilization with movement, are commonly employed; however, their comparative effectiveness remains unclear.
Objective: This study aims to compare the efficacy of Cyriax therapy combined with ultrasound therapy and strengthening exercises versus mobilization with movement, ultrasound therapy, and strengthening exercises in improving pain and grip strength in individuals with chronic tennis elbow.
Methods: A randomized comparative study was conducted with 30 participants diagnosed with chronic tennis elbow. They were assigned to either Group A (Cyriax therapy + ultrasound therapy + strengthening exercises) or Group B (mobilization with movement + ultrasound therapy + strengthening exercises) for a treatment duration of 10 days. Pain levels (Visual Analogue Scale, VAS) and grip strength (hand dynamometer) were assessed pre- and post-intervention.
Results: Both groups demonstrated significant improvements in pain reduction and grip strength post-treatment (p < 0.05). However, Group A showed a greater reduction in VAS scores and a more substantial increase in grip strength compared to Group B, suggesting superior effectiveness of Cyriax therapy.
Conclusion: Cyriax therapy, in combination with ultrasound therapy and strengthening exercises, is more effective than mobilization with movement in reducing pain and improving grip strength in individuals with chronic tennis elbow. These findings support the integration of Cyriax therapy into physiotherapy treatment protocols for managing this condition.
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