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

      1 , ,
      Manual therapy

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          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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          Author and article information

          Journal
          Man Ther
          Manual therapy
          1356-689X
          1356-689X
          Aug 2001
          : 6
          : 3
          Affiliations
          [1 ] Institute of Physical Therapy, University of St. Augustine for Health Sciences, Florida, USA. haxby.abbott@anatomy.otago.ac.nz
          Article
          S1356-689X(01)90408-4
          10.1054/math.2001.0408
          11527456
          60dfb708-57d8-4903-92e0-48f72d1ce7b1
          Copyright 2001 Harcourt Publishers Ltd.
          History

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