Virtual Reality for Medial Epicondyle Apophysitis

NCT07713342 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006533
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Traction apophysitis of the medial epicondyle (MEC) is a common elbow injury in adolescent baseball players. The underlying pathology of the lesions associated with apophysitis seems to be due to repetitive traction stress via the medial ulnar collateral ligament (MUCL) to the skeletally immature MEC, as seen in young baseball players. Various types of morphological changes are observed at the MEC in baseball players, and fragmentation and hypertrophy have been commonly reported.

Conditions

Adolescent Athelets; Medial Epicondyle Apophysitis

Keywords

Medial Epicondyle Apophysitis; Virtual Reality,; strengthing exercise

Outcome Measures

Primary Outcomes (2)

• Visual Analogue Scale

  pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)

  at day 0

• Visual Analogue Scale

  pain assessment scale, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)

  at day 90

Secondary Outcomes (4)

• Range of Motion

  at day 0

• Range of Motion

  at day 90

• Range of Motion

  at day 0

• Range of Motion

  at day 90

Study Arms (2)

Experimental: The Control Group

EXPERIMENTAL

Group (A)

Other: The Control Group

The Study Group

EXPERIMENTAL

Group (B)

Other: The Study Group

Interventions

The Control Group OTHER

All adolescents will receive 60 min. of the selected physical therapy program including strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators

Also known as: Group (A)

Experimental: The Control Group

The Study Group OTHER

all adolescents will receive selected physical therapy program for 30 min. containing strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators plus 30 of virtual reality training

Also known as: Group (B)

The Study Group

Eligibility Criteria

• Age: 12 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Cases diagnosed with medial epicondyle apophysitis.
• Cases participated in this study will from both sexes.
• Cases receiving standard treatment protocol.
• Cases with a disease duration of more than four months.

You may not qualify if:

• Cases with resent fractures in affected upper limb.
• Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
• Uncooperative cases.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

Nehad A Abo-zaid

Asyut, Egypt

Location

Related Publications (7)

• Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014 Mar 28;9(3):e93318. doi: 10.1371/journal.pone.0093318. eCollection 2014.

  PMID: 24681826 BACKGROUND

• Thomas S, Fazakarley L, Thomas PW, Collyer S, Brenton S, Perring S, Scott R, Thomas F, Thomas C, Jones K, Hickson J, Hillier C. Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii) to increase activity levels, vitality and well-being in people with multiple sclerosis. BMJ Open. 2017 Sep 27;7(9):e016966. doi: 10.1136/bmjopen-2017-016966.

  PMID: 28954791 BACKGROUND

• McPhail SM, O'Hara M, Gane E, Tonks P, Bullock-Saxton J, Kuys SS. Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations. Physiotherapy. 2016 Jun;102(2):217-20. doi: 10.1016/j.physio.2015.04.006. Epub 2015 Jun 17.

  PMID: 26209909 BACKGROUND

• Shousha TM, Abo-Zaid NA, Hamada HA, Abdelsamee MYA, Behiry MA. Virtual reality versus Biodex training in adolescents with chronic ankle instability: a randomized controlled trial. Arch Med Sci. 2021 Mar 18;19(4):1059-1068. doi: 10.5114/aoms/134635. eCollection 2023.

  PMID: 37560731 BACKGROUND

• Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018 Nov 8;7(11):422. doi: 10.3390/jcm7110422.

  PMID: 30413016 RESULT

• Mouhamed HA, Abo-Zaid NA, Khalifa HA, Ali ME, Elserty NS, Behiry MA, Heneidy WE. Efficacy of virtual reality on balance impairment in ataxic cerebral palsy children: randomized controlled trial. Eur J Phys Rehabil Med. 2024 Dec;60(6):949-955. doi: 10.23736/S1973-9087.24.08617-9. Epub 2024 Oct 23.

  PMID: 39441113 RESULT

• Abo-Zaid, N.A., Helmy, N.A., Elsayed, N.I., & Mohammed, A.H. (2021). Wii Sport versus task-oriented training on gait in unilateral cerebral palsy: A randomized controlled trial. Journal of Human Sport and Exercise, 16(2proc), S522-S531. doi:https://doi.org/10.14198/jhse.2021.16.Proc2.36

  RESULT

MeSH Terms

Interventions

Population Groups

Intervention Hierarchy (Ancestors)

Demography; Population Characteristics

Study Officials

• Nehad A Abo-zaid, Assistant Professor

  South Valley University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nehad A Abo-zaid, Assistant Professor

CONTACT

01008980727; dr.nehadahmed@svu.edu.eg

Ola A KamalLecturer, Lecturer

CONTACT

01118458838

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Duple blinded (Outcomes Assessor, patients) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group),
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Physical Therapy

Model Details: G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. all groups treated for 3 successive months.

Study Record Dates

• First Submitted: July 2, 2026
• First Posted: July 20, 2026
• Study Start: July 20, 2026
• Primary Completion: August 1, 2026
• Study Completion (Estimated): October 20, 2026
• Last Updated: July 20, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)