BACKGROUND: Lateral elbow tendinopathy (LET) is one of the most common lesions of the upper extremity. The level of evidence from studies on LET treatment protocols is insufficient. OBJECTIVE: The aim of this study was to compare the acute effects of mobilization with movement (MWM) and muscle energy technique (MET) on pain, grip strength, and functionality in patients diagnosed with LET. METHODS: Forty-five patients with LET aged 30–55 years were enrolled in this study. Patients were divided into three groups: MWM, MET, and control group. The control group received a 4-week home exercise program. In addition to the home exercise program in the MWM group, 12 sessions of MWM and 12 sessions of MET were performed in the MET group. Participants’ pain, grip strength, and functionality were assessed before and after the study. RESULTS: After the treatment period, greater improvement in pain, grip strength, finger strength, and functionality were observed in the MWM and MET groups than in the control group (p< 0.05), but no statistically significant difference was found between the MWM and MET groups (p> 0.05). CONCLUSIONS: This study shows that MWM and MET, used in addition to home exercises, can be used to relieve pain and increase grip strength, finger strength, and functionality.

中文翻译：

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一项关于肘关节外侧疼痛的疼痛、握力和功能的随机对照试验：Mulligan 与肌肉能量技术

背景：肘外侧肌腱病（LET）是上肢最常见的病变之一。来自 LET 治疗方案研究的证据水平不足。目的：本研究的目的是比较活动与运动 (MWM) 和肌肉能量技术 (MET) 对诊断为 LET 患者疼痛、握力和功能的急性影响。方法：本研究招募了 45 名年龄在 30-55 岁的 LET 患者。患者分为三组：MWM、MET和对照组。对照组接受了为期 4 周的家庭锻炼计划。除了 MWM 组的家庭锻炼计划外，MET 组还进行了 12 次 MWM 和 12 次 MET。在研究前后评估参与者的疼痛、握力和功能。结果：治疗期结束后，MWM和MET组的疼痛、握力、手指力量和功能性改善明显优于对照组（p<0.05），但MWM和MET组之间差异无统计学意义(p > 0.05)。结论：本研究表明，除了家庭锻炼外，MWM 和 MET 还可用于缓解疼痛并增加握力、手指力量和功能。