Efficacy of Neural mobilzation and Maitland Accessory Mobilization in patients with Tennis Elbow- Pre test post test experimental design

Background- tennis elbow is the most common lesion affecting forearm causing problem in functional movements like holding, gripping, grasping. this lesion has affected more women than men with incidence rate of 4-7% in general population. Objective- the objective of the study was to evaluate the effect of neural mobilization and Maitland mobilization in patients suffering from tennis elbow. Methods- there were 25 paticipants in the study with the pain in their dominant arm allocated to three different groups ( group A- Maitland Mobilization,group B - Neural Mobilization and group C - conventional treatment). the participants were assessed and then data was collected at baseline and after 4 weeks for pain by VAS, grip strength by Hand Held Dynamometer and ROM of elbow (flexion and extension), forearm supination and pronation and wrist (flexion and extension) by Goniometer and quality of life by PRTEE (Patient Rated Tennis Elbow Evaluation). then treatment was given for 4 weeks ( 3 times a week). Results- results were anlysed by non parameteric tests (Krushkal Wallis test and Wilcoxon Signed Rank Test). The level of significance was set as p&lt;0.05. there was significant difference in between group comparison of pain scores, and quality of life.. Conclusion- there were changes in pain, grip strength, elbow ROM and quality of life in all the three groups. supination, pronation and wrist flexion was improved in group B only and wrist extension in group C only was improved. Key words-Tennis elbow, Grasping, Gripping, Neural mobilization, Maitland Mobilization, Qualty of life.背景——网球肘（tennis elbow）是累及前臂最常见的病灶，可导致持物、捏握、抓握等功能活动障碍。该病灶的发病人群女性多于男性，普通人群中的发病率为4%~7%。 目的——本研究旨在评估神经松动术（neural mobilization）与麦特兰德松动术（Maitland mobilization）对网球肘患者的干预效果。 方法——本研究共纳入25名患优势侧手臂疼痛的受试者，将其分为3组：A组接受麦特兰德松动术治疗，B组接受神经松动术治疗，C组接受常规治疗。受试者在基线期及治疗4周后分别进行评估并采集数据：采用视觉模拟评分法（VAS）评估疼痛程度，采用手持肌力测试仪（Hand Held Dynamometer）测量握力，采用量角器（Goniometer）测量肘关节活动度（屈曲、伸展）、前臂旋后与旋前活动度以及腕关节活动度（屈曲、伸展），采用患者网球肘评价量表（PRTEE，Patient Rated Tennis Elbow Evaluation）评估生活质量。随后受试者接受为期4周、每周3次的治疗。 结果——采用非参数检验（Kruskal-Wallis检验与威尔科克森符号秩检验）对结果进行分析，设定显著性水平为p<0.05。组间比较显示，疼痛评分与生活质量存在显著差异。 结论——三组受试者的疼痛程度、握力、肘关节活动度及生活质量均有改善。仅B组的前臂旋后、旋前及腕关节屈曲功能得到改善，仅C组的腕关节伸展功能得到改善。 关键词——网球肘，抓握，捏握，神经松动术，麦特兰德松动术，生活质量。