Myofascial Release Technique with Virtual Reality Biofeedback in Lateral Epicondylitis – A Case Report

Abstract

Background & Aim: Lateral Epicondylitis (LE) also known as Tennis Elbow is a lesion due to chronic

overuse injury of wrist extensors which causes damage to the wrist extensor tendons at their origin i.e. lateral

epicondyle of the humerus. Thus, the aim of this case report is to report about the efficacy of virtual reality

through EMG biofeedback and myofascial release technique in the case of lateral epicondylitis.

Methodology: This study reports the efficacy virtual reality through EMG biofeedback and myofascial

release technique along with pulsed ultrasound therapy in 37 year old male non-diabetic patient diagnosed

with chronic lateral epicondylitis. The main intervention in this case involved virtual reality through EMG

biofeedback and myofascial release technique (MFR) along with pulsed ultrasound therapy for 4 weeks.

The treatment goal was to reduce inflammation, pain and restore wrist extensor muscle strength to avoid

recurrence. The treatment outcome for pain was measured by 11 point Numerical Pain Rating scale, hand

grip strength by hand dynamometer & functional score by Patient Rated Tennis Elbow Evaluation. All the

outcome measures were taken and analysed at baseline and after end of treatment.

Conclusion: Combination of virtual reality through EMG biofeedback and myofascial release technique

along with pulsed ultrasound therapy had promising result in rehabilitation of lateral epicondylitis and thus

allowing return to work and play as quickly as possible.