Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia
- Conditions
- Tennis ElbowPhysical Therapy Modalities
- Registration Number
- NCT07146620
- Lead Sponsor
- Universitat Internacional de Catalunya
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 46
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Pain Intensity 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.
- Secondary Outcome Measures
Name Time Method Pain and Functional Disability From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks. Patient-Rated Tennis Elbow Evaluation. Score from 0 to 100. Higher score indicates more pain and functional disability and zero indicates no pain and disability.
Handgrip From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks. Grip strength is assessed in kilograms. The value used is the average of three repetitions.
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 at the elbow. The lowest intensity of pressure that the subject perceives as pain when applied to the lateral epicondyle is recorded. The value used will be in kilograms per square centimeter.
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. Pressure pain threshold at the Short radial extensor.The lowest intensity of pressure that the subject perceives as pain when applied to the short radial extensor is used. The value used will be in kilograms per square centimeter.
Central sensitization syndrome From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks. Central Sensitization Inventory. The questionnaire is scored on a scale from 0 to 100. A score above 40 is considered to indicate central sensitization.
Pressure pain threshold - Radial nerve From enrollment to the end of treatment (4 weeks), and to the end of the study at 16 weeks. Pressure pain threshold at the radial nerve. It is used to record the lowest intensity of pressure that the subject perceives as pain when applied to the radial nerve tunnel. The value used will be in kilograms per square centimeter.
Subjective perception of clinical evolution From the 4 week to the end of study at 16 weeks Global Rating of Change scale. The scale consists of 15 points, ranging from -7 ("Much worse") to +7 ("Much better"). For clinical interpretation, values below "Somewhat better" or "Somewhat worse" are considered clinically unchanged. Values greater than or equal to "Somewhat better" are considered clinically improved, and values greater than "Somewhat worse" are considered clinically worsened.