Effectiveness of Radial Nerve Mobilization Techniques and Their Interfaces for Treating Chronic Epicondylalgia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Pain Intensity
研究概览
简要总结
Effectiveness of radial nerve mobilization techniques and their interfaces for treating chronic epicondylalgia
Intervention: This is a randomized controlled clinical trial that will evaluate the effectiveness of adding radial nerve and its interface mobilization techniques to conventional musculoskeletal treatment.
Participants: Patients over 18 years of age with a diagnosis of chronic epicondylalgia and a positive radial nerve neurodynamic test. Those with previous infiltrations, concomitant pathologies, or contraindications will be excluded.
Study Groups:
- Control Group (n=23): Will receive conventional musculoskeletal treatment.
- Intervention Group (n=23): Will receive the same conventional treatment plus mobilization of the radial nerve and its interfaces.
Primary Outcomes:
- Pain (NPRS).
- Pain and functionality (PRTEE).
- Pressure pain threshold (Algometry).
- Pain-free grip strength (Dynamometry).
- Central sensitization (CSI). Assessments will be conducted at baseline, one week after the last treatment, and 3 months after the last treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: Over 18 years old.
- •Clinical diagnosis of lateral epicondylalgia.
- •Chronic epicondylalgia symptoms for at least 3 months.
- •Positive radial nerve neurodynamic test
- •Signed informed consent form.
排除标准
- •Infiltrations for CE within at least 3 months prior to the study.
- •Concomitant problems or mobility issues of the upper limb or cervical spine.
- •Contraindications specific to Diacutaneous Fibrolysis or neural mobilization.
- •Difficulty understanding and signing the informed consent form.
研究组 & 干预措施
Intervention Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), neurodynamic mobilization, and a real Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Forearm massage (Other)
Intervention Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), neurodynamic mobilization, and a real Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Pressure release for forearm trigger points (Other)
Control Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), and a Sham Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Pressure release for forearm trigger points (Other)
Intervention Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), neurodynamic mobilization, and a real Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Mulligan mobilization with movement technique (Other)
Intervention Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), neurodynamic mobilization, and a real Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Diacutaneous fibrolysis (Real) (Other)
Control Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), and a Sham Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Forearm massage (Other)
Control Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), and a Sham Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Mulligan mobilization with movement technique (Other)
Control Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), and a Sham Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Radial Nerve Neurodynamic Mobilization (Other)
Control Group
The subjects in this group will receive a physical therapy protocol based on massage therapy, pressure release of myofascial trigger points, manual mobilization technique (Mulligan), and a Sham Diacutaneous Fibrolysis (instrument-assisted soft tissue mobilization). The intervention will be administered once per week for four weeks.
干预措施: Diacutaneous Fibrolysis (Sham) (Other)
结局指标
主要结局
Pain Intensity
时间窗: From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.
Numeric Pain Rating Scale. Score from 0 to 10. Zero is equivalent to no pain and 10 indicates the worst possible pain.
Pain Intensity
时间窗: From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.
Numeric Pain Rating Scale. Score from 0 to 10. Zero is equivalent to no pain and 10 indicates the worst possible pain.
次要结局
- Handgrip(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - Elbow(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - Radial nerve(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Central sensitization syndrome(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Subjective perception of clinical evolution(From the 4 week to the end of study at 16 weeks)
- Pain and Functional Disability(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - short radial extensor(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pain and Functional Disability(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Handgrip(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - Elbow(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - short radial extensor(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Central sensitization syndrome(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Pressure pain threshold - Radial nerve(From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks.)
- Subjective perception of clinical evolution(From the 4 week to the end of study at 16 weeks)
研究者
Carlos López de Celis
Lecturer Professor
Universitat Internacional de Catalunya