EFFICACY OF DRY NEEDLING FOR THE MANAGEMENT OF LATERAL EPICONDYLITIS ELBOW: A COMPARATIVE STUDY

Jonathan J1
1Christudas Orthopaedic Multi Speciality Hospital, Department of Physiotherapy, Chennai, India

Background: Lateral Epicondylitis is a common musculotendinous disorder of the extensor origin of the elbow which affects about 3% of the population. It is more prominent in non sports personnel than in sports personnel with peak incidence in the later life.

Purpose: Dry needling is a new dimensional skilled intervention in treating musculotendinous dysfunctions. The aim of this clinical study was to assess the efficacy of Dry Needling in treating the lateral epicondylitis of elbow

Methods:

Sample size & Population: Forty individuals between the age group of 40-65 with lateral epicondylitis of elbow from COSH Multispecialty Hospital, Chennai.
Sampling Method:
Simple random sampling technique.
Exclusion criteria: Intra- articular steroid or surgical intervention, recent fractures of upperlimb, soft tissue injuries and bleeding disorders.
Procedure: Study Group was treated with Dry Needling and cryotherapy; Control Group was treated with cryotherapy and ultrasound therapy followed by home exercises for both the groups.
Outcome Measure: The intensity of pain was assessed by Visual Analogue Scale and functional activities by The Patient-Rated Tennis Elbow Evaluation(PRTEE) score during initial 1st and the 4th week.
Analysis: The primary data collection was done by observation and questionnaire method, Statistical analysis by Independent t-test.

Results: The study group showed significant decrease in severity of pain(p 0.05) than the control group.
The functional activities score of PRTEE also showed highly significant improvement in study group at p 0.05 level.

Conclusion(s): Dry Needling significantly reduces pain and improves functional activities in Lateral Epicondylitis of Elbow.

Implications: Rate of recovery of musculoskeletal conditions treated with Myofascial and Trigger release using Dry Needling is faster. Hence the technique can be used as an adjunct to other physiotherapy techniques.

Keywords: Pain, Lateral Epicondylitis, Dry Needling

Funding acknowledgements: Non funded Work

Topic: Musculoskeletal; Musculoskeletal: upper limb

Ethics approval required: Yes
Institution: CHRISTUDAS ORTHOPEDIC MULTI SPECIALITY HOSPITAL
Ethics committee: COSH Ethics Committee
Ethics number: EC/PT/012/2018


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