Effectiveness of Neurodinamic Techniques on Radial Nerve for the Treatment of Lateral Epicondylalgia

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-24

Study Completion Date

2026-04-15

Brief Summary

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Lateral elbow pain is a prevalent musculoskeletal disorder in the working population due to overuse of the upper limb. This pathology has serious consequences for health, work performance and overall health burden.

In this injury, as in any musculoskeletal disorder, the peripheral nervous system is involved. Because of its course and corresponding motor and sensory innervation in the area, the radial nerve should be taken into consideration as a structure involved in elbow pain.

The aim of the present study is to demonstrate which of the neurodynamic techniques is more effective in lateral epicondylalgia, neural tension techniques or neural mobilization techniques.

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Detailed Description

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The aim of the present study is to demonstrate which is more effective among the neurodynamic techniques for lateral epicondylalgia, neural tension techniques or neural mobilization techniques.

A total of 60 subjects will be recruited and divided into 2 groups. 30 in Group 1 where they will receive a neural mobilization technique on the radial nerve and 30 in Group 2 where they will be subjected to a neural tension technique on the radial nerve.

The data to be collected will be grip strength, pain on pressure, pain and quality of life dash questionnaire, these data will be measured pre, post treatment and a re-evaluation at 4 weeks and 24 weeks after the intervention.

The duration of the treatment is 6 weeks, performing two sessions per week with 72 hours of rest between sessions. A total of 12 sessions will be carried out.

Conditions

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Lateral Epicondylitis \(Tennis Elbow\)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GRUPO 1

a Neural tension technique on the radial nerve will be performed.

Group Type EXPERIMENTAL

neural tensioning technique on radial nerve

Intervention Type OTHER

the neural group tensioning technique: The test should be performed in approximately 10° of shoulder abduction. The examiner extends the elbow 2 seconds just to the range where the patient notices tension but no pain and then the elbow is flexed. Three sets of 6-8 swings are performed with 1 minute rest in between.

GRUPO 2

A neural gliding technique will be performed on the radial nerve.

Group Type EXPERIMENTAL

Sliding technique on radial nerve

Intervention Type OTHER

The mobilization maneuver begins by identifying the first resistance and the range of extension associated with pain. Maintaining elbow extension within the elastic region of resistance free of pain and/or paresthesia the examiner increases elbow extension and simultaneously allows the wrist to extend as necessary for the radial nerve branches in the forearm to glide proximally. The physical therapist then flexes the wrist while allowing the elbow to flex to cause the radial nerve excursion distally in the forearm.

Interventions

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neural tensioning technique on radial nerve

the neural group tensioning technique: The test should be performed in approximately 10° of shoulder abduction. The examiner extends the elbow 2 seconds just to the range where the patient notices tension but no pain and then the elbow is flexed. Three sets of 6-8 swings are performed with 1 minute rest in between.

Intervention Type OTHER

Sliding technique on radial nerve

The mobilization maneuver begins by identifying the first resistance and the range of extension associated with pain. Maintaining elbow extension within the elastic region of resistance free of pain and/or paresthesia the examiner increases elbow extension and simultaneously allows the wrist to extend as necessary for the radial nerve branches in the forearm to glide proximally. The physical therapist then flexes the wrist while allowing the elbow to flex to cause the radial nerve excursion distally in the forearm.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient diagnosed with lateral epicondylalgia.
* Experiencing elbow pain of 2 to 6 months duration.
* Age between 30 and 60 years old.
* Radial humeral joint tenderness to palpation.
* Positive Cozen\'s test

Exclusion Criteria

* \- Bilateral symptoms.
* Rheumatologic disease involving the elbow and wrist
* Musculoskeletal disorder due to connective tissue pathology
* Cervical radiculopathy
* Nerve compression including the upper extremity
* Operation on the affected arm
* Having received treatment for epicondylalgia in the last 6 months
* Radiating pain from the cervical spine
* Instability of the external ligamentous complex of the elbow(3).
* Not having received any physiotherapy session in the month prior to the start of the study.
* Neural clinical manifestations (electric shock-like pain, tingling, tingling, numbness and/or burning).

Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No