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The Effects of the Mulligan Concept on Adults With Lateral Epicondylalgia Compared With Traditional Physiotherapy: A Critically Appraised Topic

Shayane Santiago, Moni Syeda, Jason Bartholomew, and Russell T. Baker

Focused Clinical Question: What are the effects of the Mulligan Concept combined with traditional physiotherapy on lateral elbow pain and grip strength in adults with lateral epicondylalgia (LE) compared with traditional physiotherapy? Clinical Bottom Line: Grade B evidence supports positive effects of the Mulligan Concept combined with traditional physiotherapy on LE compared with traditional physiotherapy alone. However, the effects of the Mulligan Concept as a standalone intervention in the treatment of LE are not well known. Therefore, additional research is warranted to determine the individual effects of the Mulligan Concept compared with its use in a comprehensive rehabilitation protocol to treat LE in adults.

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The Immediate Effects of Instrumented-Assisted Soft Tissue Mobilization on Range of Motion, Strength, and Power in the Lower Extremity: A Critically Appraised Topic

Moni Syeda, Jason Bartholomew, Shayane Santiago, Jeff Peterson, Russell T. Baker, and Scott W. Cheatham

Focused Clinical Question : What are the immediate effects of instrumented-assisted soft tissue mobilization (IASTM) application on measures of lower extremity range of motion, muscular power, and strength in physically active adults not currently suffering from a musculoskeletal injury? Clinical Bottom Line : Grade 1 evidence supports immediate improvements in lower extremity range of motion in physically active adults after IASTM application. However, the evidence is lacking to support IASTM to improve muscular power and strength. Therefore, additional research is warranted to determine the acute effects of IASTM use on muscular power and strength in healthy, physically active adults.