EFFECTIVENESS OF MET V/S MARHYTHE IN INDIVIDUALS WITH CHRONIC LATERAL EPICONDYLITIS: A RANDOMIZED CLINICAL TRIAL

Authors

  • Varun Naik Assistant Professor in Department of Cardiopulmonary Physiotherapy, KAHER Institute of Physiotherapy, Belagavi. Email id: varunnaik@klekipt.edu.in
  • Rutuja A. Phadke Physiotherapy intern, KAHER Institute of Physiotherapy, Belagavi.
  • Pote Patil Aishwarya Vikrant

DOI:

https://doi.org/10.15621/ijphy/2020/v7i4/745

Keywords:

MET, MaRhyThe, Lateral epicondylitis, Patient Rated Tennis Elbow Evaluation Questionnaire, Pain-Free Grip Strength.

Abstract

Background: Lateral Epicondylitis is the tendinosis of the extensor musculature of the forearm that has their common origin from the lateral epicondyle of the humerus due to angioblastic degeneration. The study aimed to determine and compare the effectiveness of MET and MaRhyThe in individuals with chronic lateral epicondylitis concerning pain, grip strength, and function.
Methods: The study was a randomized clinical trial with 30 subjects divided into two equal groups, with 15 subjects in each group. Group A received MET for seven sessions, and Group B received MaRhyThe for one session. Both the groups received hot moist pack and conventional exercises for seven sessions. Visual Analogue Scale (VAS), Patient Rated Tennis Elbow Evaluation (PRTEE) Questionnaire, and Pain-Free Grip Strength (PFGS) were taken as the outcome measures.
Results: Within-group paired sample t-test showed statistical significance in VAS at rest, VAS on activity, PRTEE, and PFGS with a p-value of 0.001 for all. However, between-group analysis using independent sample t-test showed statistical significance in VAS on activity and PRTEE with a p-value of 0.049 and 0.029, respectively, and clinical significance for VAS at rest and PFGS for Group B.
Conclusion: The study concludes that both MET and MaRhyThe are effective in treating chronic LE concerning pain, improving function, and strength. However, MaRhyThe is more effective in pain reduction and improving functional activities.

References

Cohen M, Motta Filho GD. Lateral epicondylitis of elbow. Revista Brasileira de Ortopedia (English Edition). 2012;47 (4):414-20.

Kushwaha S, Kataria H. EXTRACORPOREAL SHOCK WAVE THERAPY VERSUS ULTRASOUND THERAPY IN LATERAL EPICONDYLITIS. Global Journal For Research Analysis. 2019 Aug 31;8(8).

Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. Journal of physiotherapy. 2015 Oct 1;61 (4):174-81.

Unnisa R, Sivajyothi N, Rahman MW, Ahmed I. Mets and oscillating energy manual therapy in chronic lateral epicondylitis: a comparative study. International Journal of Research in Pharmaceutical Sciences. 2019 Jul 12;10 (3):1914-9.

Fryer G. Muscle energy approaches. SD-Neck and Arm Pain Syndromes E-Book: Evidence-informed Screening, Diagnosis, and Management. 2011 Jan 1:439.

Chaitow L, Crenshaw K. Muscle energy techniques. Elsevier Health Sciences; 2006.

Kumar V, Kothawala B. A comparative study of muscle energy technique versus cyriax technique in lateral epicondylitis among professional Indian cooks.

Marhythe.in. (2020). Matrix Rhythm Therapy, India | Complete Pain Management System. [online] Available at: https://marhythe.in/the-research.html [Accessed 9 Sep. 2019].

Naik V, Bhagwat S, Pathania T, Bootwala F. Effectiveness of MaRhyThe in frozen shoulder with respect to ROM and pain- An experimental study. IJAR. 2018;4(1):73-6.

Hariharasudhan R, Balamurugan J. Effectiveness of muscle energy technique and Mulligan's movement with mobilization in the management of lateral epicondylalgia. Archives of Medicine and Health Sciences. 2015 Jul 1;3(2):198.

Küçükşen S, Yilmaz H, Sallı A, Uğurlu H. Muscle energy technique versus corticosteroid injection for management of chronic lateral epicondylitis: randomized controlled trial with 1-year follow-up. Archives of physical medicine and rehabilitation. 2013 Nov 1;94(11):2068-74.

Lamba D, Verma S, Basera K, Taragi M, Biswas A. A study to compare the effects of moist heat therapy with ultrasonic therapy and ultrasonic therapy alone in lateral epicondylitis. Indian Journal of. 2012 Apr;6(2):41.

Viswas R, Ramachandran R, Korde Anantkumar P. Comparison of effectiveness of supervised exercise program and Cyriax physiotherapy in subjects with Lateral Epicondylitis (lateral epicondylitis): a randomized clinical trial. The scientific world journal. 2012;2012.

Faqih AI, Bedekar N, Shyam A, Sancheti P. Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial. Hong Kong Physiotherapy Journal. 2019 Jun 11;39(01):25-33.

Fryer G. Muscle energy technique: An evidence-informed approach. International Journal of Osteopathic Medicine. 2011 Mar 1;14(1):3-9.

Balamurugan J, Arunachalam R. Effect of repetitive unilateral and bilateral arm training using students designed manual reach equipment (MRE) in improving motor function of the hemiplegic subjects. Int J Health Sci Res 2012;2:52-8.

Naik V, Singh M. Effects of matrix rhythm therapy (MaRhyThe) in plantar fasciitis– An experimental study. Indian Journal of Physical Therapy and Research. 2019 Jul 1;1(2):105.

Balasubramaniam A, Kandhasamy M. Effect of Myofascial Release Therapy and Active stretching on pain and grip strength in Lateral Epicondylitis. Physiotherapy.2016;9:10

Published

09-08-2020
Statistics
Abstract Display: 1525
PDF Downloads: 947

How to Cite

Varun Naik, Rutuja A. Phadke, & Pote Patil Aishwarya Vikrant. (2020). EFFECTIVENESS OF MET V/S MARHYTHE IN INDIVIDUALS WITH CHRONIC LATERAL EPICONDYLITIS: A RANDOMIZED CLINICAL TRIAL. International Journal of Physiotherapy, 7(4), 157–161. https://doi.org/10.15621/ijphy/2020/v7i4/745

Issue

Section

Original Articles