Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia
NCT ID: NCT07146620
Last Updated: 2025-09-04
Study Results
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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NOT_YET_RECRUITING
NA
46 participants
INTERVENTIONAL
2025-09-01
2026-12-30
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Intervention Group
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.
Forearm massage
A general massage of the forearm will be performed. The physical therapist perform deep, longitudinal strokes. Pressure will be maintained at a level the patient finds comfortable for 3 minutes.
Pressure release for forearm trigger points
Pressure will be applied to trigger points in the forearm. This will be done in three sets of 30-second applications, with 30 seconds of rest between each.
Mulligan mobilization with movement technique
A lateromedial glide will be performed. The technique will be applied for three sets of 10 repetitions, with 30 seconds of rest between each set.
Diacutaneous fibrolysis (Real)
A real technique of Diacutaneous fibrolysis will be applied to the forearm region for 5 minutes.
Control Group
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.
Forearm massage
A general massage of the forearm will be performed. The physical therapist perform deep, longitudinal strokes. Pressure will be maintained at a level the patient finds comfortable for 3 minutes.
Pressure release for forearm trigger points
Pressure will be applied to trigger points in the forearm. This will be done in three sets of 30-second applications, with 30 seconds of rest between each.
Mulligan mobilization with movement technique
A lateromedial glide will be performed. The technique will be applied for three sets of 10 repetitions, with 30 seconds of rest between each set.
Radial Nerve Neurodynamic Mobilization
Three sets of 30 nerve glides will be performed at a rhythm of one second of tension followed by one second of rest. There will be 30 seconds of rest between sets.
Diacutaneous Fibrolysis (Sham)
A sham Diacutaneous Fibrolysis technique (skin pinch) will be applied to the forearm region for 5 minutes.
Interventions
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Forearm massage
A general massage of the forearm will be performed. The physical therapist perform deep, longitudinal strokes. Pressure will be maintained at a level the patient finds comfortable for 3 minutes.
Pressure release for forearm trigger points
Pressure will be applied to trigger points in the forearm. This will be done in three sets of 30-second applications, with 30 seconds of rest between each.
Mulligan mobilization with movement technique
A lateromedial glide will be performed. The technique will be applied for three sets of 10 repetitions, with 30 seconds of rest between each set.
Radial Nerve Neurodynamic Mobilization
Three sets of 30 nerve glides will be performed at a rhythm of one second of tension followed by one second of rest. There will be 30 seconds of rest between sets.
Diacutaneous fibrolysis (Real)
A real technique of Diacutaneous fibrolysis will be applied to the forearm region for 5 minutes.
Diacutaneous Fibrolysis (Sham)
A sham Diacutaneous Fibrolysis technique (skin pinch) will be applied to the forearm region for 5 minutes.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Clinical diagnosis of lateral epicondylalgia.
* Chronic epicondylalgia symptoms for at least 3 months.
* Positive radial nerve neurodynamic test
* Signed informed consent form.
Exclusion Criteria
* 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.
18 Years
ALL
No
Sponsors
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Universitat Internacional de Catalunya
OTHER
Responsible Party
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Carlos López de Celis
Lecturer Professor
Other Identifiers
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CER: FIS-2021-11
Identifier Type: -
Identifier Source: org_study_id
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