- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07643740
COMPARATIVE EFFECTS OF DRY NEEDLING AND NEURAL MOBILIZATION ON PAIN, STRENGTH AND RANGE OF MOTION IN PATIENTS WITH GOLFER'S ELBOW (DN-NM-GE)
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Golfer's Elbow (Medial Epicondylitis) is a common musculoskeletal disorder characterized by pain and tenderness over the medial epicondyle of the elbow, often associated with repetitive wrist flexion and forearm pronation activities. The condition can lead to decreased grip strength, restricted range of motion, and impaired functional performance, affecting daily activities and quality of life.
Various physiotherapy interventions have been used for the management of Golfer's Elbow, including Dry Needling and Neural Mobilization. Dry Needling is a technique that targets myofascial trigger points to reduce pain, improve blood flow, and restore muscle function. Neural Mobilization aims to restore the normal mobility and physiological function of peripheral nerves by reducing neural tension and improving neural mechanics.
The purpose of this randomized clinical trial is to compare the effectiveness of Dry Needling and Neural Mobilization in reducing pain, improving grip strength, and increasing range of motion in patients with Golfer's Elbow. Eligible participants will be randomly assigned to one of two intervention groups. Baseline assessments will be conducted before treatment, followed by post-intervention assessments after completion of the treatment protocol.
Primary outcome measures will include pain intensity, assessed using a validated pain scale, while secondary outcomes will include grip strength and elbow/wrist range of motion. Data collected will be analyzed to determine whether one intervention demonstrates superior clinical outcomes compared to the other.
The findings of this study are expected to provide evidence regarding the comparative effectiveness of these commonly used physiotherapy interventions and may assist clinicians in selecting appropriate treatment strategies for patients with Golfer's Elbow.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
Punjab Province
-
Lahore, Punjab Province, Pakistán, 54000
- Green International University
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
• Both male and female patients were included.
- Diagnosis of Medial Epicondylitis by spiral test clinically confirmed by orthopaedic.
pain is limited on medial epicondyle
- Pain reproduced with resisted wrist flexion and/or forearm pronation.
- Aged between 18-40 years
- Acute to Subacute stage (≥ 6 weeks and ≤ 12 months
- NPRS score ≥ 4/10 at baseline
Exclusion Criteria:
• History of Other elbow pathologies e.g (Lateral epicondylitis , Olecranon bursitis ,Ligament injuries)
- Radial or ulnar neuropathies not associated with medial epicondylitis.
- Systemic or inflammatory conditions affecting tendons, such as rheumatoid arthritis
- Diabetes with neuropathy (unless controlled and neuropathy absent)
- Previous surgical procedures around the elbow or wrist within the past 6 months
- Corticosteroid injection, PRP or shockwave therapy within the last 3 months
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Dry needling
Participants will receive dry needling combined with conventional physiotherapy twice weekly for 6 weeks
|
Participants will receive dry needling to the affected forearm muscles along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion
Participants will receive neural mobilization techniques along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion.
|
|
Experimental: Neural mobilization
Participants will receive neural mobilization combined with conventional physiotherapy twice weekly for 6 weeks
|
Participants will receive dry needling to the affected forearm muscles along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion
Participants will receive neural mobilization techniques along with conventional physiotherapy.
Treatment will be administered twice weekly for 6 weeks, totaling 12 sessions.
Outcomes will include pain, grip strength, and range of motion.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Pain intensity
Periodo de tiempo: Baseline and at 6 weeks post-intervention
|
Pain intensity will be assessed using the Numeric Pain Rating Scale (NPRS).
The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores represent greater pain intensity.
|
Baseline and at 6 weeks post-intervention
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Grip strength
Periodo de tiempo: Baseline and at 6 weeks post-intervention
|
Grip strength will be measured using a hand dynamometer.
Higher values indicate greater muscle strength.
|
Baseline and at 6 weeks post-intervention
|
|
Range of motion
Periodo de tiempo: Baseline and at 6 weeks post-intervention
|
Elbow and wrist range of motion will be measured using a standard goniometer.
Higher values indicate improved joint mobility.
|
Baseline and at 6 weeks post-intervention
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Prof Dr Fahad Tanveer, Green international University lahore
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Lesiones de codo
- Manifestaciones neurológicas
- Enfermedades musculoesqueléticas
- Enfermedades Musculares
- Heridas y Lesiones
- Lesiones de tendones
- Lesiones en el brazo
- Tendinopatía
- Condiciones Patológicas, Signos y Síntomas
- Signos y síntomas
- Tendinopatía de codo
- Dolor
- Terapéutica
- Terapias complementarias
- Modalidades de fisioterapia
- Aguja seca
Otros números de identificación del estudio
- GIU/REC/26-41
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Epicondilitis medial
-
Balgrist University HospitalTerminadoDesviación medial congénitaSuiza
-
Cairo UniversityTerminado
-
Medical University of GrazAún no reclutando
-
Michael LiebensteinerDesconocido
-
Assiut UniversityAún no reclutandoÁngulo Tibial Proximal Medial
-
University Hospital, Strasbourg, FranceReclutamientoFracturas del Epicóndilo Medial del CodoFrancia
-
University of UtahTerminadoSaludable | Reconstrucción del ligamento femororrotuliano medialEstados Unidos
-
Wake Forest University Health SciencesTerminadoAnalgesia Postoperatoria | Artroplastia de rodilla unicompartimental medialEstados Unidos
-
Mesoblast International SàrlUniversity of Southern California; OrthoIndy; TRIA Orthopaedic Center; Midwest Orthopedics... y otros colaboradoresTerminadoRecuperación después de una meniscectomía medial parcialEstados Unidos
-
Aarhus University HospitalActivo, no reclutandoLuxación patelofemoral medial | Reconstrucción del ligamento femororrotuliano medialDinamarca
Ensayos clínicos sobre Dry needling
-
Université de SherbrookeCHU de Quebec-Universite Laval; Centre de recherche du Centre hospitalier universitaire... y otros colaboradoresReclutamientoVestibulodinia provocadaCanadá
-
The Mentholatum CompanyTerminadoOjo seco | Síndromes del ojo secoEstados Unidos
-
Baylor College of MedicineRetiradoDisplasia del desarrollo de la caderaEstados Unidos
-
University of IowaTerminadoMandíbula edéntula | Boca edéntulaEstados Unidos
-
Avizor SAReclutamiento
-
Fredrik IredahlPrimary Health Care Center, Department of Health Medicine and Caring Sciences...TerminadoHerida | Úlcera, Pierna | Heridas exudativasSuecia
-
McMaster UniversityTerminadoNeoplasias Pulmonares | Derrame pleuralCanadá
-
Washington University School of MedicineTerminadoNeoplasias pancreáticasEstados Unidos
-
Nova Scotia Health AuthorityTerminadoNeumotórax | AtelectasiaCanadá
-
Boehringer IngelheimTerminadoDermatitis Atópica