Effectiveness of Mulligan Mobilization Technique Versus Cyriax Technique for Lateral Epicondylitis: A Pilot Study

Abstract

Background: Eccentric loading of extensor carpi radialis brevis tendon near its origin causes tennis elbow, also
known as lateral epicondylitis. Tennis elbow is primarily caused by repetitive wrist extension or loaded gripping
overuse injuries and when playing tennis, badminton, or any sport are more likely to experience it. The goal of the
study was to determine whether tennis elbow pain might be decreased and improve the functional status. Subjects
are divided into two groups, Mulligan mobilization technique and Cyriax technique along with ultrasound.
Purpose: To find out the effects of Mulligan mobilization technique and Cyriax technique along with ultrasound
in the management of lateral epicondylitis.
Materials and Methods: Twenty individuals were chosen with tennis elbow (11 males and 9 females) and received
treatment for four times/week for two weeks in RENU’S Physiotherapy & Rehabilitation Centre according to the
inclusion and exclusion criteria, explained about the procedure and obtained signed informed consent. Subjects
were divided into two groups by simple random sampling -Mulligan mobilization technique of Movement with
Mobilization(MWM) and Cyriax technique of Deep Tendon Friction(DTF) massage with Mill’s manipulation
along with ultrasound.
Result: Statistical analysis had slight significant difference between Cyriax and Mulligan group for NPRS and
PRTEE. Noticeably Cyriax had more improvement in pain reduction than Mulligan group, while Mulligan had
improvement in functional impairment than Cyriax, with a p value of <0.0001.
Conclusion: Mulligan mobilization and Cyriax method with ultrasound both reduced discomfort and enhanced
functional status.