Effectiveness of Therapeutic Ultrasound with and without Mulligan Mobilzation in Lateral Epicondylitis

Background and Introduction: Mechanical mal-function of elbow joint is the usual cause of lateral elbow pain. Even though varied procedures have suggested for maximizing elbow movements and decreasing elbow pain but mobilization of joints has validated the most efficacious technique. The outcome of manual therapy procedure i.e. Mulligan Mobilization along with Therapeutic ultrasound in lateral epicondylitis to reduce pain and recovery of function had been assimilated in this recent research. Methods: Study is true experimental in nature, randomized control trial adopted to select the subjects with lateral epicondylitis. Thirty patients 15 in each group having LE were chosen Simple random sampling technique and arranged into two groups as guided by CONSORT (Consolidated Standards of Reporting Trials) guidelines. Group A received Ultrasound therapy with intensity of 1.2 W/cm^2 with pulsed mode (3MHZ) and duration is 5 minutes .Group B received Ultrasound therapy with an intensity of 1.2 W/cm with pulsed mode (3MHZ) for 5 minutes and MWM applied on elbow in supine position shoulder positioned as internal rotation, forearm pronation and elbow extens-ion with 10 repetition for 6 seconds with 15 seconds duration of rest. Total 12 sessions was conducted in duration of 4 weeks after including the patient in study. Four questionnaires was asked to fill i.e. one after every 3 sessions Pain and functional activities were evaluated by PRTEE. Repeated measure ANOVA was used to compare the significance at different time intervals. Results: The results exhibited that The P-value for PRTEE (patient – rated tennis elbow evaluation) in group A using Therapeutic Ultrasound and was after four weeks of treatment which was less than the level of significance 0.05. So Therapeutic Ultrasound with Mulligan mobilization was more effective than Therapeutic Ultrasound to reduce pain and restoration of function. Conclusion: It was concluded that combination of mobilization of Mulligan and Therapeutic ultrasound was more effective compared with Therapeutic Ultra-sound in and PRTEE scores in sufferers of lateral epicondylitis.