Powerball for Medial Epicondyle Apophysitis

July 19, 2026 updated by: Nehad Ahmed Youness Abo-zaid

The Efficacy of Powerball Training on Medial Epicondyle Apophysitis in Adolescent Athletes

Traction apophysitis of the medial epicondyle (MEC) is a common elbow injury in adolescent baseball players. The underlying pathology of the lesions associated with apophysitis seems to be due to repetitive traction stress via the medial ulnar collateral ligament (MUCL) to the skeletally immature MEC, as seen in young baseball players. Various types of morphological changes are observed at the MEC in baseball players, and fragmentation and hypertrophy have been commonly reported

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Phases of rehabilitation for Medial Epicondyle Apophysitis Phase I treatment involves resting and protecting the elbow to permit healing, to prevent further injury, and to control pain and swelling. Phase II treatment begins once pain and swelling have subsided to the point where the athlete can comfortably bear weight and walk from place to place. According to recent studies, vibrating devices like the PowerBall gadget have a greater effect on people with tennis elbow injuries than dumbbell exercise does on muscular strength, discomfort, range of motion, and health quality. Exercises using the "PowerBall device" are thought to be effective resistance training during the chronic period because the muscles of the wrist, elbow, and shoulder, apply both internal and external pressure. Muscle strength may have grown over this period because of neurovascularization, the creation of new blood vessels during the eccentric phase of training that enhances blood flow and speeds up tissue repair.

Study Type

Interventional

Enrollment (Estimated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

  • Name: Ola A A Kamal, Lecturer, Lecturer
  • Phone Number: 01118458838

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Their age will be ranging from 12 to 18 years.
  2. Cases diagnosed with medial epicondyle apophysitis.
  3. Cases participated in this study will from both sexes.
  4. Cases receiving standard treatment protocol.
  5. Cases with a disease duration of more than four months

Exclusion Criteria:

  • Cases with resent fractures in affected upper limb.
  • Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
  • Uncooperative cases.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: The Control Group Group (A)
Other: the control group
All adolescents will receive 60 min. of the selected physical therapy program including strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators
Other Names:
  • Group (A)
Experimental: The Study Group Group (B)
Other: BowerBall Group
all adolescents will receive selected physical therapy program for 30 min. containing strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators plus 30 of BowerBalltraining

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analogue Scale
Time Frame: at day 0
pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
at day 0
Visual Analogue Scale
Time Frame: at day 90
pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
at day 90

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Range of Motion
Time Frame: at day 0
Elbow Flexion angle degree
at day 0
Range of Motion
Time Frame: at day 90
Elbow Flexion angle degree
at day 90
Range of Motion
Time Frame: at day 0
Elbow Extension angle degree
at day 0
Range of Motion
Time Frame: at day 90
Elbow Extension angle degree
at day 90

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Nehad Ahmed Youness Abo-zaid

Investigators

  • Principal Investigator: Nehad A Abo-zaid, South Valley University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 2, 2026

Primary Completion (Estimated)

October 8, 2026

Study Completion (Estimated)

November 20, 2026

Study Registration Dates

First Submitted

July 19, 2026

First Submitted That Met QC Criteria

July 19, 2026

First Posted (Actual)

July 23, 2026

Study Record Updates

Last Update Posted (Actual)

July 23, 2026

Last Update Submitted That Met QC Criteria

July 19, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC/012/006567

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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