- •Wrist Joint manipulation improves pain in patients with lateral epicondylitis.
- •These effects were seen only in short term follow up.
- •There was no effect seen on wrist ROM.
- •The effect on functional outcomes and grip strength was varied.
- •High quality RCTs are recommended with long term follow up.
Several treatment methods treat lateral epicondylitis, but there is no consensus regarding the most effective method. Research has suggested that joint mobilizations may help recover patients with lateral epicondylitis.
Purpose of the Study
To determine if wrist joint manipulations effectively improve pain, grip strength, ROM, and functional outcome in adults with lateral epicondylitis.
Searches were performed in 6 databases to identify relevant clinical trials. Three reviewers independently extracted data and assessed the methodological quality using the PEDro scale. Standard data were extracted and summarized.
A total of 4 studies met the inclusion criteria. A best-evidence synthesis was used to summarize the results. The included studies found effectiveness in favor of wrist manipulations given for at least 3 weeks to reduce pain in lateral epicondylitis against comparison groups comprising ultrasound, laser, friction massage, and exercises. Functional outcomes varied considerably among studies. Grip strength showed varied results, and no effect was seen on wrist ROM.
The evidence is convincing that wrist joint manipulations positively affect pain in the short term, compared to comparison groups in the management of lateral epicondylitis. Future high-quality studies are recommended.
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Published online: March 12, 2023
Accepted: October 9, 2022
Received in revised form: October 5, 2022
Received: October 30, 2021
Publication stageIn Press Corrected Proof
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