NCT07146620

Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia

Effectiveness of Radial Nerve Mobilization Techniques and Their Interfaces for Treating Chronic Epicondylalgia

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 46 (estimated)
• Sponsor: Universitat Internacional de Catalunya · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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

Type	Name	Description
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.
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.

Timeline

• Start date: 2025-09-01
• Primary completion: 2026-09-01
• Completion: 2026-12-30
• First posted: 2025-08-28
• Last updated: 2025-09-04