Comparative Effect of Tyler Twist Technique and Muscle Energy Technique on Lateral Epicondylitis.

This thesis, titled "Comparative Effects of Muscle Energy Technique and Tyler Twist Technique on Grip Strength, Pain, and Function in Patients with Lateral Epicondylitis," investigates the efficacy of two widely used physical therapy methods for treating lateral epicondylitis (tennis elbow). Lateral epicondylitis is a common musculoskeletal illness characterised by pain across the lateral side of the elbow, reduced grip strength, restricted upper-limb function, and difficulty performing daily and professional responsibilities. If treatment is not received, the illness, which frequently affects people who do repeated wrist and forearm motions, can significantly lower quality of life. In this randomised clinical investigation, 34 people between the ages of 20 and 40 were split into two therapy groups. One group received the Muscle Energy Technique (MET), a manual therapy approach that improves neuromuscular function, joint mobility, and muscle flexibility by using controlled isometric contractions followed by stretching. The second group performed the Tyler Twist Technique, an eccentric strengthening exercise that targets the wrist extensor muscles and has gained popularity as a tennis elbow treatment, using a flex bar. The baseline examination, which revealed that both groups were similar in terms of demographic characteristics including age and gender as well as initial pain levels, demonstrated that the groups were well matched prior to the intervention. The results of the study demonstrated significant clinical improvements in both groups following treatment. Both the Tyler Twist and MET groups had a significant decrease in pain intensity from baseline on the Numerical Pain Rating Scale (NPRS), suggesting that both therapies were effective in lowering pain associated with lateral epicondylitis. Although each group saw a considerable reduction in pain, there was no statistically significant difference between the groups, suggesting that both approaches provide comp