Health TrialsbyHealthPanel

Role of Cervical Spine Mobilization on Lateral Epicondylitis

ConditionLateral Epicondylitis
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-50
SponsorCairo University

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

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)

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • SNAGs - eccentric exercise

    Other intervention

    intervention done 2 times per week, 45 minutes each session for 4 weeks

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: lateral epicondilitis with SNAG'sExperimental treatment 1 intervention
Group B: lateral epicondylitisActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Baseline
2

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.

Time frame
Baseline

Secondary outcomes

1

The Numeric Rating Scale (NRS)

The Numeric Rating Scale (NRS) is a reliable and valid instrument for assessing pain intensity in chronic cases, as evidenced by its effective adaptation into an Arabic version: Arabic Numeric Pain Rating Scale (ANPRS). Reliability of the ANPRS (ICC 0.89) considered good to excellent. Arabic version of NRS considered reliable and valid tool to measure pain levels.

Time frame
baseline

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Cairo University

Lead sponsor

Source ClinicalTrials.gov
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