Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients
Aim and Background: Lateral epicondylitis (LE), or tennis elbow, is a common musculoskeletal disorder causing pain, reduced grip strength, and limited wrist range of motion (ROM). This study aimed to compare the effects of NSAIDs combined with exercise therapy versus exercise therapy alone on wrist...
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2025-06-01
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| Series: | Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación |
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| Online Access: | http://207.180.252.49/index.php/retos/article/view/113131 |
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| author | Junaid Ahmad Parrey Mohd Arshad Bari Abdul Qayyum Khan Arish Ajhar Shivani Singh |
| author_facet | Junaid Ahmad Parrey Mohd Arshad Bari Abdul Qayyum Khan Arish Ajhar Shivani Singh |
| author_sort | Junaid Ahmad Parrey |
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Aim and Background: Lateral epicondylitis (LE), or tennis elbow, is a common musculoskeletal disorder causing pain, reduced grip strength, and limited wrist range of motion (ROM). This study aimed to compare the effects of NSAIDs combined with exercise therapy versus exercise therapy alone on wrist ROM, pain, grip strength, and electromyographic (EMG) activity of the extensor digitorum communis (EDC) muscle in LE patients. Material and Method: Eighty participants were randomized into two groups: the standard care group (n=40) and the intervention group (n=40). Both groups followed a 12-week program, with the intervention group performing additional eccentric and concentric exercises. Results: The intervention group showed greater improvements than the standard care group. Pain, measured by the Visual Analogue Scale (VAS), decreased from 7.30 ± 0.68 to 2.12 ± 0.56 in the intervention group, compared to a decrease from 7.02 ± 0.69 to 3.32 ± 0.65 in the standard care group. Grip strength increased by 13.37 kg in the intervention group (from 25.25 ± 2.39 to 38.62 ± 3.42 kg), while the standard care group saw an increase of 2.63 kg (from 24.79 ± 2.80 to 27.42 ± 3.13 kg). ROM in wrist flexion improved from 34.69 ± 2.43 to 59.47 ± 4.31 degrees in the intervention group, and from 32.93 ± 1.90 to 49.54 ± 3.50 degrees in the standard care group. Wrist extension ROM increased from 32.95 ± 1.94 to 53.19 ± 2.49 degrees in the intervention group, versus 30.66 ± 2.72 to 47.23 ± 3.52 degrees in the standard care group. EMG analysis revealed a significant reduction in EDC RMS amplitude in the intervention group from 575.53 ± 18.93 µV to 474.73 ± 22.70 µV.
Conclusion: Combining NSAIDs with exercise therapy resulted in more significant improvements in pain, grip strength, and ROM than NSAIDs alone, highlighting the added benefits of structured exercise therapy for Lateral epicondylitis.
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| format | Article |
| id | doaj-art-5d9b2d6ae9eb4f8087f83bca1d5bc738 |
| institution | Kabale University |
| issn | 1579-1726 1988-2041 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | FEADEF |
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| series | Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación |
| spelling | doaj-art-5d9b2d6ae9eb4f8087f83bca1d5bc7382025-08-20T03:58:14ZengFEADEFRetos: Nuevas Tendencias en Educación Física, Deportes y Recreación1579-17261988-20412025-06-016910.47197/retos.v69.113131Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patientsJunaid Ahmad Parrey0https://orcid.org/0000-0002-0762-3038Mohd Arshad Bari1Abdul Qayyum Khan2Arish Ajhar3Shivani Singh4Dept of Physical Education, Aligarh Muslim University, Aligarh IndiaDept of Physical Education, Aligarh Muslim University, Aligarh IndiaDept of orthopedic surgery, Aligarh Muslim University, Aligarh IndiaDept of Physical Education, Aligarh Muslim university, Aigarh IndiaDept of Physical Education, Aligarh Muslim University, Aligarh India Aim and Background: Lateral epicondylitis (LE), or tennis elbow, is a common musculoskeletal disorder causing pain, reduced grip strength, and limited wrist range of motion (ROM). This study aimed to compare the effects of NSAIDs combined with exercise therapy versus exercise therapy alone on wrist ROM, pain, grip strength, and electromyographic (EMG) activity of the extensor digitorum communis (EDC) muscle in LE patients. Material and Method: Eighty participants were randomized into two groups: the standard care group (n=40) and the intervention group (n=40). Both groups followed a 12-week program, with the intervention group performing additional eccentric and concentric exercises. Results: The intervention group showed greater improvements than the standard care group. Pain, measured by the Visual Analogue Scale (VAS), decreased from 7.30 ± 0.68 to 2.12 ± 0.56 in the intervention group, compared to a decrease from 7.02 ± 0.69 to 3.32 ± 0.65 in the standard care group. Grip strength increased by 13.37 kg in the intervention group (from 25.25 ± 2.39 to 38.62 ± 3.42 kg), while the standard care group saw an increase of 2.63 kg (from 24.79 ± 2.80 to 27.42 ± 3.13 kg). ROM in wrist flexion improved from 34.69 ± 2.43 to 59.47 ± 4.31 degrees in the intervention group, and from 32.93 ± 1.90 to 49.54 ± 3.50 degrees in the standard care group. Wrist extension ROM increased from 32.95 ± 1.94 to 53.19 ± 2.49 degrees in the intervention group, versus 30.66 ± 2.72 to 47.23 ± 3.52 degrees in the standard care group. EMG analysis revealed a significant reduction in EDC RMS amplitude in the intervention group from 575.53 ± 18.93 µV to 474.73 ± 22.70 µV. Conclusion: Combining NSAIDs with exercise therapy resulted in more significant improvements in pain, grip strength, and ROM than NSAIDs alone, highlighting the added benefits of structured exercise therapy for Lateral epicondylitis. http://207.180.252.49/index.php/retos/article/view/113131Electromyographyexercise therapyforearm extensor muscleshand grip strength NSAIDs lateral epicondylitis |
| spellingShingle | Junaid Ahmad Parrey Mohd Arshad Bari Abdul Qayyum Khan Arish Ajhar Shivani Singh Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación Electromyography exercise therapy forearm extensor muscles hand grip strength NSAIDs lateral epicondylitis |
| title | Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients |
| title_full | Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients |
| title_fullStr | Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients |
| title_full_unstemmed | Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients |
| title_short | Evaluating the impact of NSAIDs and exercise therapy versus sole exercise therapy on joint mobility, pain levels, grip strength, and muscle activity in lateral epicondylitis patients |
| title_sort | evaluating the impact of nsaids and exercise therapy versus sole exercise therapy on joint mobility pain levels grip strength and muscle activity in lateral epicondylitis patients |
| topic | Electromyography exercise therapy forearm extensor muscles hand grip strength NSAIDs lateral epicondylitis |
| url | http://207.180.252.49/index.php/retos/article/view/113131 |
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