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NCT Number: NCT07004894

Effects of Neuromuscular Reeducation Versus Friction Massage in Lateral Epicondylitis

This study is a randomised control trial and the purpose of this study is to determine the effects of neuromuscular reeducation versus friction massage in lateral epicondylitis.

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Key information

Conditions

Lateral Epicondylitis Arm Injuries Elbow Injuries Elbow Tendinopathy Muscular Diseases Musculoskeletal Diseases Tendinopathy Tendon Injuries Tennis Elbow Wounds and Injuries

Age range

25 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

Location status: Recruiting

Location contact

Ruqia Begum, MS-OMPT

CONTACT

[email protected]

+92311-5532544

About this study

Participants will be recruited into their respective groups using a coin toss method. Lateral epicondylitis will be assessed using the following tests:

Cozen's test Maudsley's test Mills test

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed cases of lateral epicondylitis
  • Age 25-50 years
  • Both genders
  • Postive tests; cozens, maudsley's, mills (at least any of 2)

Exclusion criteria

  • Recent elbow fractures or dislocations
  • Elbow joint instability
  • Active joint disease
  • Open wounds around elbow joints

Treatment and study plan

Neuromuscular re-education(experimental)

Procedure

All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by neuromuscular reeducation technique (5-10 minutes duration) which includes for the 1st two weeks; cross friction massage with active movement and for the last two weeks longitudinal friction massage with active movement will be performed and strengthening protocol will be given.

The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.

Friction massage(standard protocol)

Procedure

All participants will receive 4weeks of intervention with a frequency of 2-3 days/week with a period of rest in between. 5 minutes of ultrasound will be given followed by friction massage technique(5-10 minutes duration) which includes for the 1st two weeks; cross friction massage alone and for the last two weeks longitudinal friction massage alone will be performed and strengthening protocol will be given.

The exercise protocol will be taught to the patient by an experienced physiotherapist and supervised on the subsequent sessions. The protocol will be gradually progressed as per the patient's tolerance.

Primary outcomes

  1. Lateral Epicondylitis Pain

    Time frame: Variable will be assessed at pre and post treatment for the total interval of 4 weeks.

    It will be measured using numeric pain rating scale (NPRS) in which the subjects select a number ranging from 0-10 according to their intensity of pain. '0' score indicates no pain while '10' indicates worst pain experienced.

  2. Range of Motion

    Time frame: Variable will be assessed at pre and post treatment for the total interval of 4 weeks.

    Range of motion will be measured using goniometer. An instrument with movable and stationary arm used to measure range of motion at joint. It will be used to measure range of motion of flexion and extension at elbow joint, forearm pronation and supination, and flexion, extension, radial deviation, ulnar deviation at wrist joint.

Study contacts

Contact information is provided by the study sponsor or research team.

Basma Areej Sarfraz, Doctor of Physical Therapy

CONTACT

[email protected]

+923364800106

Sponsors and collaborators

Lead sponsor

Furqan Ahmed Siddiqi

Other

Registry information

Official study title

Effects of Neuromuscular Reeducation Versus Friction Massage in Lateral Epicondylitis: A Randomized Control Trial

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jun 4, 2025
Registry last updated
Jun 16, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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