Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia

Universitat Internacional de Catalunya

Status: Not yet enrolling

Conditions: Tennis Elbow; Physical Therapy Modalities

Treatments: Other: Radial Nerve Neurodynamic Mobilization; Other: Pressure release for forearm trigger points; Other: Forearm massage; Other: Diacutaneous Fibrolysis (Sham); Other: Diacutaneous fibrolysis (Real); Other: Mulligan mobilization with movement technique

Study type: Interventional

Funder types: Other

Identifiers

NCT07146620

CER: FIS-2021-11

Details and patient eligibility

About

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.

Enrollment: 46 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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.

Exclusion criteria

• 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Intervention Group

Experimental group

Description:

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.

Treatment:

Other: Diacutaneous fibrolysis (Real)

Other: Mulligan mobilization with movement technique

Other: Forearm massage

Other: Pressure release for forearm trigger points

Control Group

Sham Comparator group

Description:

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.

Treatment:

Other: Mulligan mobilization with movement technique

Other: Diacutaneous Fibrolysis (Sham)

Other: Forearm massage

Other: Radial Nerve Neurodynamic Mobilization

Other: Pressure release for forearm trigger points