NCT07004894

Brief Summary

This study is a randomised control trial and the purpose of this study is to determine the effects of neuromuscular reeducation versus friction massage in lateral epicondylitis.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
42

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jul 2024

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Start

First participant enrolled

July 18, 2024

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

May 26, 2025

Completed
9 days until next milestone

First Posted

Study publicly available on registry

June 4, 2025

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 20, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 20, 2025

Completed
Last Updated

June 16, 2025

Status Verified

July 1, 2024

Enrollment Period

1 year

First QC Date

May 26, 2025

Last Update Submit

June 13, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Lateral Epicondylitis Pain

    It will be measured using numeric pain rating scale (NPRS) in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced.

    Variable will be assessed at pre and post treatment for the total interval of 4 weeks.

  • Range of Motion

    Range of motion will be measured using goniometer. An instrument with movable and stationary arm used to measure range of motion at joint. It will be used to measure range of motion of flexion and extension at elbow joint, forearm pronation and supination, and flexion, extension, radial deviation, ulnar deviation at wrist joint.

    Variable will be assessed at pre and post treatment for the total interval of 4 weeks.

Study Arms (2)

Neuromuscular reeducation

EXPERIMENTAL

Group A will recieve treatment of ultrasound followed by neuromuscular re-education+ strengthning exercises For the 1st two weeks; cross friction massage with active movement will be performed. For the next two weeks; longitudinal friction massage with active movement will be performed.

Procedure: Neuromuscular re-education(experimental)

Friction massage

ACTIVE COMPARATOR

Group B will receive standard treatment of ultrasound followed by friction massage+ strengthning exercises For the 1st two weeks; cross friction massage alone will be performed. For the last two weeks; longitudinal friction massage alone will be performed.

Procedure: Friction massage(standard protocol)

Interventions

All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by neuromuscular reeducation technique (5-10 minutes duration) which includes for the 1st two weeks; cross friction massage with active movement and for the last two weeks longitudinal friction massage with active movement will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.

Neuromuscular reeducation

All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by friction massage technique(5-10 minutes duration) which includes for the 1st two weeks; cross friction massage alone and for the last two weeks longitudinal friction massage alone will be performed and strengthening protocol will be given. The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.

Friction massage

Eligibility Criteria

Age25 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Diagnosed cases of lateral epicondylitis
  • Age 25-50 years
  • Both genders
  • Postive tests; cozens, maudsley's, mills (at least any of 2)

You may not qualify if:

  • Recent elbow fractures or dislocations
  • Elbow joint instability
  • Active joint disease
  • Open wounds around elbow joints

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

RECRUITING

MeSH Terms

Conditions

Tennis Elbow

Condition Hierarchy (Ancestors)

Elbow TendinopathyTendinopathyMuscular DiseasesMusculoskeletal DiseasesElbow InjuriesArm InjuriesWounds and InjuriesTendon Injuries

Central Study Contacts

Basma Areej Sarfraz, Doctor of Physical Therapy

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized Control Trial
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Foundation University Islamabad

Study Record Dates

First Submitted

May 26, 2025

First Posted

June 4, 2025

Study Start

July 18, 2024

Primary Completion

July 20, 2025

Study Completion

July 20, 2025

Last Updated

June 16, 2025

Record last verified: 2024-07

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