International Journal of Applied Research
Vol. 5, Issue 12, Part A (2019)
Effectiveness of myofascial release to biceps brachii, latissimus dorsi & pectoralis major in structural diagnosis and management protocol for patients with tennis elbow
KM Amran Hossain, Mohammad Shahadat Hossain, Sapia Akter, Dr. Nasirul Islam, Md. Shahoriar Ahmed and Zahid Hossain
Tennis Elbow (TE) is a common disorder affecting the tendinous origin of the wrist extensors and evidences suggest association of trigger points in Biceps brachii, Pectoralis major and Latissmus dorsi with TE. Structural diagnosis and management (SDM) is a comprehensive biomechanical assessment process to treat musculoskeletal dysfunctions conceptualized by Dr, M Shahadat Hossain over 15 years of clinical practice.
Objective: The objective of the study was to find out the effectiveness of myofascial release technique of Biceps brachii, Pectoralis major and Latissmus dorsi in SDM approach on pain and associated impairments in TE subjects.
Study design: This study was a pilot randomized controlled trial (RCT). The study was conducted in the Outdoor musculoskeletal physiotherapy department of Centre for the Rehabilitation of the Paralyzed (CRP) and Popular Medical College Hospital. 20 subjects with the LE were introduced in two groups equally. The MFR in SDM treatment protocol was provided for four weeks with 10 sessions. As Outcome measures Pain was measured by numerical pain rated scale (NPRS), ROM measured by using universal Goniometer, muscle powered measured by OXFORD grade scale and functional disability measured by patient rated tennis elbow disability questionnaires (PTEDQ). The outcome was assessed at baseline and after 4 weeks by independent assessor.
Result: The result shown a significant decrease in pain and improvement in functional performance (p<0.05) in SDM group compared to control groups. MFR in SDM protocol found to have a greater effect on all outcome measures in TE subjects. However no significant change has been noted in ROM in any group.
Conclusion: The result of this pilot study indicates that 4 weeks with 10 session of MFR in SDM Protocol was effective in improving pain and associated impairments in tennis elbow patients.
How to cite this article:
KM Amran Hossain, Mohammad Shahadat Hossain, Sapia Akter, Dr. Nasirul Islam, Md. Shahoriar Ahmed and Zahid Hossain. Effectiveness of myofascial release to biceps brachii, latissimus dorsi & pectoralis major in structural diagnosis and management protocol for patients with tennis elbow. International Journal of Applied Research. 2019; 5(12): 41-45.