Background: Individuals who tend to work in occupations that frequently require forearm rotation and extensor muscle contraction suffer from lateral epicondylitis. Aim: The major objective of the current academic work is to elaborate on the results of Mulligan Mobilization with Movement (MMWM); a contemporary manual technique, with deep Transverse friction massage (DTFM), the most traditional approach, in terms of lessening pain, enhancing grip strength, and increasing functional performance in lateral epicondylitis cases. Subjects and methods: In this work, two equal study categories of forty tennis elbow cases were randomly assigned. Group (A) received a treatment plan in the form of MMWM and had a mean age of 35.1. The proximal attachment of the wrist extensor muscles underwent DTFM for Group (B), which had a mean age of 37.5. For four weeks, each group obtained three sessions of ultrasonic therapy with active wrist and elbow range of motion exercise. The visual analog scale, a squeeze dynamometer, and a patient-rated tennis elbow evaluation questionnaire were used as outcome measures.
Results: According to the study outcomes, both groups remarkably improved in terms of handgrip strength, specialized and routine functional tasks, and pain reduction. In comparison to the first group, the second group had a much larger improvement in hand grip strength and functional performance. Conclusion: It is determined that MMWM is less effective than deep friction massage in the treatment of people with lateral epicondylitis in improving function and hand grip.