Effects of the Tyler Twist Versus Eccentric Exercises

Effects of the Tyler Twist Versus Eccentric Exercises in Patients With Lateral Epicondylagia

This study aims to compare the effects of the Tyler Twist exercise versus traditional eccentric exercises on pain, grip strength, and functional outcomes in patients diagnosed with lateral epicondylalgia. The primary objective is to determine which intervention offers greater improvement in clinical symptoms and overall function over a defined treatment period.

Conservative management is typically the first line of treatment, with eccentric exercises widely recognized for their effectiveness in promoting tendon healing and reducing pain. The "Tyler Twist," exercise is a variation using the TheraBand FlexBar, that has emerged as a superior potential alternative, that combines both eccentric and concentric loading in a functional and controlled way. However, direct comparative evidence between the Tyler Twist and conventional eccentric exercises has remained limited.

Inclusion Criteria:

• ● Males and female patients suffering from lateral epicondylagia in subacute and chronic phase.

  • Age between 20yrs-40yrs.
  • Patients screened with positive Cozen's test, positive Mill's test, positive Maudsley's test [14].
  • NPRS pain score ≥ 4 on activity.
  • Tenderness on palpation over the lateral epicondyle of humerus,
  • Pain with gripping, Pain with resisted wrist extension.

Exclusion Criteria:

• History of recent trauma or surgery of elbow.
• Acute stage of lateral epicondylagia.
• Corticosteroid injection within the last 3 months.
• Neurological defeciency of the affected limb [16].
• Systemic inflammatory diseases, such as rheumatoid arthritis, lupus, or fibromyalgia.
• Diabetes mellitus (uncontrolled) due to its influence on tendinopathy.