Comparison of the Effectiveness of Mulligan Mobilization and Myofascial Release Technique in Patients With Lateral Epicondylitis
This study compares two different physical therapy techniques for treating lateral epicondylitis, commonly known as tennis elbow. Researchers will evaluate whether Mulligan mobilization or myofascial release technique is more effective at reducing pain and improving function in the elbow.
Key Objective: The trial aims to determine which treatment approach—Mulligan mobilization or myofascial release—provides better pain relief and functional improvement for lateral epicondylitis.
Who to Consider: People with lateral epicondylitis (tennis elbow) who are interested in comparing the effectiveness of these two non-invasive physical therapy techniques should consider enrolling.
Trial Parameters
Brief Summary
Lateral epicondylitis (LE), recognized as one of the most prevalent causes of elbow pain, has an estimated incidence ranging from 1% to 3%. It most commonly presents in individuals between the ages of 40 and 50 and tends to affect the dominant limb more frequently. In the adult population, LE is the leading cause of lateral elbow pain. To date, more than 40 different treatment modalities have been described for the management of LE, primarily aiming to alleviate pain and enhance functional outcomes. However, a universally accepted standard treatment has yet to be established. The objective of this thesis is to compare the clinical effectiveness of the Mulligan mobilization technique and the myofascial release technique-both commonly utilized in the treatment of LE-through a prospective clinical study.
Eligibility Criteria
Inclusion Criteria: Aged between 18 and 65 years Diagnosed with unilateral lateral epicondylitis (LE) Exclusion Criteria: Younger than 18 or older than 65 years Communication difficulties History of injection, surgery, or physical therapy in the elbow region within the past 6 months Pain originating from the cervical spine (e.g., radiculopathy, spinal stenosis), shoulder problems, or other elbow pathologies unrelated to LE History of elbow osteoarthritis or previous elbow fracture History of polyneuropathy Uncontrolled systemic diseases (e.g., cardiovascular, pulmonary, hepatic, renal, hematologic disorders) Uncontrolled systemic endocrine disorders (e.g., diabetes mellitus, hyperthyroidism) History of major psychiatric disorders History of rheumatic diseases such as fibromyalgia, polymyalgia rheumatica, ankylosing spondylitis, or rheumatoid arthritis Presence of bleeding disorders or use of anticoagulant medications Neurological deficits Posterior interosseous nerve (PIN) syndrome Cur