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Effect of Eccentric Exercise Program on Pain and Grip Strength for Subjects with Medial Epicondylitis-A Pre to Post-Test Experiment

Muslim Khan, Heba Bahey, Mariam A. Ameer, Saeed Mufleh Alnasser, Khaled Sultan Alzahrani, Motahareh Hashem Boroojerdi, Waqar M. Naqvi

Background: Therapeutic eccentric exercise may offer significant functional & structural advantages during tendinopathy rehabilitation therapy. The purpose of this study is to determine whether eccentric exercise can reduce discomfort and enhance grip strength in study participants with medial epicondylitis.  

Methods: For the pre-to-post-test experimental design study being conducted at the lady Reading hospital (LRH) in Peshawar, 30 patients with medial epicondylitis complaints were randomly divided into two groups: Group A (CG); 15 and Group B (TG); 15. While the treatment group (TG) received 4 weeks of both conventional and eccentric exercise, the control group (CG) only received conventional physical therapy.

Result: When data from the two groups were gathered and compared using the T-independent test, it became clear that there was no statistically significant difference between them in terms of the gains made in terms of grip strength and VAS scores. However, when the averages of VAS score and grip strength were analyzed using the Willcoxon signed ranked test and paired-t-test within the group with a positive percentage of change, there was a significant change. 

Conclusion: After 4 weeks of the eccentric exercise programme intervention in addition to conventional physical therapy for the medial epicondylitis patients in the treatment group, results showed statistically significant effects on improving patients' grip strength & reducing pain intensity, but the improvement obtained has shown no difference when compared with the conventional treatment for patient with epicondylitis.

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