The effects of extracorporeal shock-wave therapy (ESWT) versus Mulligan concept of manual therapy in treating lateral epicondylitis = Efektywność terapii zewnątrzustrojową falą uderzeniową versus terapia manualna w koncepcji Mulligana w leczeniu zapalenia nadkłykcia bocznego

Abstract

Kocjan Janusz. The effects of extracorporeal shock-wave therapy (ESWT) versus Mulligan concept of manual therapy in treating lateral epicondylitis = Efektywność terapii zewnątrzustrojową falą uderzeniową versus terapia manualna w koncepcji Mulligana w leczeniu zapalenia nadkłykcia bocznego. Journal of Education, Health and Sport. 2016;6(7):411-418. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.58333

http://ojs.ukw.edu.pl/index.php/johs/article/view/3705

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755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

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Received: 15.06.2016. Revised 09.07.2016. Accepted: 21.07.2016.

THE EFFECTS OF EXTRACORPOREAL SHOCK-WAVE THERAPY (ESWT) VERSUS MULLIGAN CONCEPT OF MANUAL THERAPY IN TREATING LATERAL EPICONDYLITIS

EFEKTYWNOŚĆ TERAPII ZEWNĄTRZUSTROJOWĄ FALĄ UDERZENIOWĄ VERSUS TERAPIA MANUALNA W KONCEPCJI MULLIGANA W LECZENIU ZAPALENIA NADKŁYKCIA BOCZNEGO

Janusz Kocjan

Medical University of Silesia, Doctoral Studium of School of Medicine, Katowice, Poland

Śląski Uniwersytet Medyczny, Studium Doktoranckie Wydziału Lekarskiego w Katowicach

SUMMARY

Extracorporeal shockwave therapy (ESWT) is a conservative treatment in case of many musculoskeletal disorders, including lateral epicondylitis. The aim of the study was the assessment of the efficacy of the shockwave - compare to manual therapy treatment (Mulligan concept) in a population of consecutive patients affected by tennis elbow. 26 patients who suffered from chronic persistent tennis elbow were randomly assigned to one of the two treatment groups. Group 1 (n=13, mean age=37,14±10,07) received an extracorporeal shock wave treatment (ESWT; 2,500 shocks), while Group 2 (n=13, mean age=) was undergoing manual therapy in Mulligan concept. Visual Analogue Scale (VAS) and Patient-Rated Tennis Elbow Evaluation (PRTEE) were used. The results of the study presented here shows that ESWT and Mulligan therapy are an effective treatment of lateral epicondylitis. Both groups achieved improvement in all of analysed variables, but in case of Mulligan Concept statistical significant differences were found in 4 from 6 variables. It is concluded that ESWT and Mulligan therapy appears to be a useful non invasive treatment methods that reduces the symptoms of lateral epicondylitis.

Key words: ESWT, mulligan, tennis elbow, lateral epicondylitis.