A Comparative Analysis of Effectiveness of Mulligan’s Mobilisation Versus Cyriax Approach in the Case of Tennis Elbow

Abstract

Objective: To determine and compare the effects of the Cyriax approach and Mulligan’s mobilization in lateral epicondylitis patients

Material & Methods: A Randomized Control Trial was conducted in Physiotherapy OPD of the University of Health Sciences after approval from the authority. Non-probability convenient sampling technique was used to collect the sample. The N=60 sample size was randomly allocated into two groups Group A i.e., the Mulligan group, and Group B i.e., the Cyriax group (DTF Massage & Mill’s Manipulation), with 30 participants in each group having lateral epicondylitis. Data was collected in terms of age, gender, BMI, and occupation. VAS scale and TEFS were used to determine the level of pain and functional disability. Paired sample student t–test used to analyze the data. The significance level was set at p<0.05.

 Results:The Cyriax group and Mulligan group both showed significant improvement in pain, and functional ability throughout the treatment duration. When comparing both groups regarding pain, Cyriax’s approach showed significant improvement over Mulligan’s approach.

Conclusion: Mobilization with movement and mill’s manipulation with DTF massage (Cyriax), both are effective in improving pain, and functional ability in lateral epicondylitis. Cyriax’s approach is more effective in relieving pain in lateral epicondylitis as compared to Mulligan’s approach.