الفهرس 
English CoverOnly 14 pages are availabe for public view
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Abstract
Background: Lateral epicondylitis is the most frequent type of myotendinosis and is defined as a painful debilitating musculoskeletal condition that impacts substantially on society and challenges the health care industry. It can also be responsible for substantial pain and loss of function of the affected limb. Purpose: The purpose of this study was to compare between the effect of low level laser intensity in combination with conventional physical therapy program and mobilization with movements in combination with conventional physical therapy program in treatment of lateral epicondyle tendinopathy. Materials and Methods: Forty-Five patients with lateral epicondyle tendinopathy with an age range of 35-45 years signed an informed consent to participate voluntarily in the study. They were randomly assigned into three equal groups. group (A) consisted of 15 patients received laser therapy in addition to conventional physical therapy program of lateral elbow tendinopthy in form of (Moist hot packs, ultrasound, stretching exercise for wrist extensors and supinators, and eccentric strengthening exercise for wrist extensors and supinators) in addition to laser therapy. group (B) consisted of 15 patients received Mulligan Mobilization with movement in addition to the same conventional physical therapy program of lateral elbow tendinopthy (Moist hot packs, ultrasound, stretching exercise for wrist extensors and supinators, and eccentric strengthening exercise for wrist extensors and supinators). group (C) consists of 15 patients received conventional physical therapy program as controlled group (Moist hot packs, ultrasound, stretching exercise for wrist extensors and supinators, and eccentric strengthening exercise for wrist extensors and supinators). All of three groups received treatment program three sessions per week for four weeks. Pain severity and handgrip strength were recorded before and after four weeks of intervention Results: 3x2 Mixed Design MANOVA revealed that there was a significant increase in handgrip strength in group (A) compared with group (B and C) (p0.05). Conclusion: Both low-level laser therapy and Mobilization with movement had a significant effect in decreasing pain severity. However low level laser therapy in addition to traditional physical therapy was the most effective in increasing the handgrip strength compared to mobilization with movement or traditional physical therapy.