Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals

Arch Phys Med Rehabil. 2012 Apr;93(4):604-9. doi: 10.1016/j.apmr.2011.10.012. Epub 2012 Jan 10.


Objective: To investigate whether myofascial release (MFR) reduces the pain and functional disability of lateral epicondylitis (LE) in comparison with a control group receiving sham ultrasound therapy in computer professionals.

Design: Randomized, controlled, single blinded trial.

Setting: Nonprofit research foundation clinic in Kerala, India.

Participants: Computer professionals (N=68) with LE.

Interventions: MFR group or control group. The techniques were administered by certified MFR practitioners and consisted of 12 sessions per client over 4 weeks.

Main outcome measure: The Patient-Rated Tennis Elbow Evaluation (PRTEE) scale was used to assess pain severity and functional disability. The primary outcome measure was the difference in PRTEE scale scores between week 1 (pretest score), week 4 (posttest score), and follow-up at week 12 after randomization.

Results: The simple main effects analysis showed that the MFR group performed better than the control group in weeks 4 and 12 (P<.005). Patients in the MFR and control groups reported a 78.7% and 6.8% reduction, respectively, in their pain and functional disability in week 4 compared with that in week 1, which persisted as 63.1% in the follow-up at week 12 in the MFR group.

Conclusions: This study provides evidence that MFR is more effective than a control intervention for LE in computer professionals.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Computers*
  • Disability Evaluation
  • Female
  • Humans
  • Male
  • Manipulation, Orthopedic / methods*
  • Occupational Diseases / physiopathology
  • Occupational Diseases / rehabilitation*
  • Single-Blind Method
  • Tennis Elbow / physiopathology
  • Tennis Elbow / rehabilitation*
  • Treatment Outcome