Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia

Summary

Effectiveness of radial nerve mobilization techniques and their interfaces for treating chronic epicondylalgia

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.

Conditions

• Tennis Elbow
• Physical Therapy Modalities

Interventions

OTHER

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.

OTHER

Diacutaneous fibrolysis (Real)

A real technique of Diacutaneous fibrolysis will be applied to the forearm region for 5 minutes.

OTHER

Diacutaneous Fibrolysis (Sham)

A sham Diacutaneous Fibrolysis technique (skin pinch) will be applied to the forearm region for 5 minutes.

OTHER

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.

OTHER

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.

OTHER

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.

Sponsors & Collaborators

• Universitat Internacional de Catalunya

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-09-01

Primary Completion

2026-04-26

Completion

2026-04-27

Countries

• Spain

Study Locations