Role of Cervical Spine Mobilization on Lateral Epicondylitis
Effect of Cervical Spine Mobilization With Movement on Lateral Epicondylitis: A Randomized Controlled Trial.
1 other identifier
interventional
60
1 country
1
Brief Summary
The study's primary goal is to examine the effectiveness of Mulligan's technique in reducing hyperalgesia in lateral epicondylitis, focusing on cervical spine, while also investigating its influence on central sensitization in relation to lateral epicondylitis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Feb 2024
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 15, 2024
CompletedStudy Start
First participant enrolled
February 15, 2024
CompletedFirst Posted
Study publicly available on registry
February 22, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 15, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 15, 2024
CompletedAugust 21, 2024
August 1, 2024
7 months
February 15, 2024
August 19, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Leeds assessment of neuropathic symptoms and sign (LANSS) scale
is a questionnaire to screen neuropathic pain. It Contains five items concerning self-reported pain symptoms, and two items depending on simple clinical examination provided by healthcare professional that's targeting pin-prick threshold and allodynia. Scoring with LANSS: if the participant gains 12 or more out of 24, the pain will be considered of neuropathic origin. LANSS scale demonstrated a sensitivity (83%) and specificity of (87%), effectively identifying (85%) of neuropathic pain.
Baseline
Pain-free hand grip test
Pain-free grip test is a reliable and valid tool to use with lateral epicondylitis patients with using dynamometer to measure the grip force applied to the point of pain. Some studies recommended to perform the test with elbow relaxed extended, forearm pronated, and repeated 3 times with 1 minute interval, then comparing the average of 3 measurements between affected and non-affected.
Baseline
Secondary Outcomes (1)
The Numeric Rating Scale (NRS)
baseline
Study Arms (2)
lateral epicondilitis with SNAG's
EXPERIMENTALThe intervention group, will receive mulligan's technique on C4-C7 cervical region and eccentric exercises to the affected forearm interventions done 2 times per week, 45 minutes each session for 4 weeks
lateral epicondylitis
ACTIVE COMPARATORcontrol group will receives only localized treatment as eccentric exercise, stretching of forearm extensors, cross-friction massage and ultrasound with frequency 3 MHz and intensity 2 W/cm2, 100% duty cycle on the affected forearm. interventions done 2 times per week, 45 minutes each session for 4 weeks
Interventions
intervention done 2 times per week, 45 minutes each session for 4 weeks
Eligibility Criteria
You may qualify if:
- a positive Maudsley's test and Cozen's test,
- positive Spurling and axial distraction tests
- limited range of motion of the cervical spine
- a positive upper limb tension test (ULTT)
- middle-aged individuals (40-60 years old).
You may not qualify if:
- participants with any pathologies
- participants involved in other studies
- patients undergoing corticosteroids treatment
- physical therapy sessions, or surgical interventions for elbow or cervical spine issues within the past year
- individuals afflicted by inflammatory, infectious, or systematic diseases
- participants experiencing bilateral elbow pain or tumor diseases are excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Outpatient physical therapy, Faculty of physical therapy
Giza, 2334, Egypt
Related Publications (2)
Coombes BK, Bisset L, Vicenzino B. Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All. J Orthop Sports Phys Ther. 2015 Nov;45(11):938-49. doi: 10.2519/jospt.2015.5841. Epub 2015 Sep 17.
PMID: 26381484RESULTCleland JA, Whitman JM, Fritz JM. Effectiveness of manual physical therapy to the cervical spine in the management of lateral epicondylalgia: a retrospective analysis. J Orthop Sports Phys Ther. 2004 Nov;34(11):713-22; discussion 722-4. doi: 10.2519/jospt.2004.34.11.713.
PMID: 15609491RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assisatnt Professor of Phyiscal Therapy
Study Record Dates
First Submitted
February 15, 2024
First Posted
February 22, 2024
Study Start
February 15, 2024
Primary Completion
September 15, 2024
Study Completion
December 15, 2024
Last Updated
August 21, 2024
Record last verified: 2024-08