Influence of Patient Expectations With Lateral Epicondylalgia in Applying Mobilization With Movement

Not Applicable

Completed

• Conditions: Tennis Elbow
• Interventions: Behavioral: Positive Expectations; Procedure: Mobilization with movement

• Registration Number: NCT02396550
• Lead Sponsor: University of Alcala

Brief Summary

Lateral epicondylalgia affects people of both gender between 1 and 3% of the world population, with up to 15% in the working population reaching an average of 12 weeks off work for this reason. One of the conservative treatments that have shown effective is the mobilization with movement, whose mechanisms of action are not known. According Bialosky et al., possible effects of manual therapy are based on the neurophysiological mechanisms at peripheral, spinal and supraspinal level. Among the mechanisms to supraspinal level is the placebo effect, which is influenced by psychological factors such as conditioning and expectations.

Changing expectations to determine the influence on the treatment has been studied in healthy subjects, showing improvement with positive expectations and worsening to negative and neutral expectations.

However the result of modifying the previous expectations for treatment in patients with pain has not been studied.

The aim of our study is to test the influence that positive expectations have on the effectiveness of treatment with mobilization with movement in patients with lateral epicondylalgia.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-01
• Study First Submitted: 2015-03-11
• Study First Submitted QC: 2015-03-17
• Study First Posted: 2015-03-24
• Primary Completion: 2016-01
• Study Completion: 2016-09
• Status Verified: 2016-10
• Last Update Submitted: 2016-10-17
• Last Update Posted: 2016-10-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• Lateral Epicondylalgia Diagnosis

Exclusion Criteria

• Previous Treatment with Manual Therapy
• Previous Treatment with injection 6 months before
• Radiculopathy
• Bilateral Symptoms
• Fracture

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Positive Expectations	Positive Expectations	Procedure/Surgery: Mobilization with movement in patients with lateral epicondylalgia with modification of its expectations into positive
Positive Expectations	Mobilization with movement	Procedure/Surgery: Mobilization with movement in patients with lateral epicondylalgia with modification of its expectations into positive
Neutral Expectations	Mobilization with movement	Procedure/Surgery: Mobilization with movement in patients with lateral epicondylalgia with modification of its expectations into neutral

Primary Outcome Measures

Name	Time	Method
Pain Intensity	0 - 10 days	measured with the Visual Analogue Scale (VAS)

Secondary Outcome Measures

Name	Time	Method
Threshold Pressure Pain	0 - 10 days	measured with algometry
Perceived Disability	0-10 days	with the DISABILITIES OF THE ARM, SHOULDER AND HAND (DASH) Questionnaire
Kinesiophobia	0 - 10 days	with the Tampa Scale of Kinesiophobia

Trial Locations

Locations (1)

Raúl Ferrer Peña; 🇪🇸 Arganda del Rey, Madrid, Spain