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The study was halted due to time constraints
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This study aims to investigate the effects of neural mobilization exercises on central sensitization and pain characteristics in individuals with lateral epicondylitis. Enrolled participants will be randomly assigned to two groups. One group will receive routine exercises and ESWT treatment, while the other group will receive neural mobilization exercises in addition to routine exercises and ESWT treatment.
This study aims to investigate the effects of neural mobilization exercises on central sensitization and pain characteristics in individuals with lateral epicondylitis. Enrolled participants will be randomly assigned to two groups. One group will receive routine exercises and ESWT treatment, while the other group will receive neural mobilization exercises in addition to routine exercises and ESWT treatment.
Median nerve mobilizations will be implemented as the neural mobilization exercises. All groups will receive two sessions per week and complete the process in four weeks; therefore, they will have received a total of eight sessions by the end of the study. Routine exercises and median nerve mobilizations will be implemented in every session (twice a week), while ESWT will be implemented once a week.
Median nerve mobilizations will be administered in 5 sets, each consisting of 10 repetitions per session.
Before and after the sessions, subjective factors related to pain will be assessed using the Central Sensitization Scale and the Pain Catastrophizing Scale, as well as pressure pain threshold measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mobilization | Experimental | participants will receive additional median nerve mobilizations |
|
| control | Active Comparator | participants will receive routine exercises |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| median nerve mobilization | Behavioral | An exercise to increase median nerve mobility by flexing and extending fingers, wrist, elbow, shoulder, and neck |
|
| Measure | Description | Time Frame |
|---|---|---|
| Central Sensitization | pressure pain threshold | baseline and after the 8 sessions (4th week) |
| Measure | Description | Time Frame |
|---|---|---|
| Central Sensitization | Central Sensitization scale | baseline and after the 8 sessions (4th week) |
| Pain Catastrophizing | Pain Catastrophizing scale |
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Inclusion Criteria:
Exclusion Criteria:
Any other pathology, disease, condition, pain, surgery on the elbow, wrist, fingers, shoulder, or neck in the last year
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| Name | Affiliation | Role |
|---|---|---|
| kevser sevik kacmaz, pt, phd | Izmir Katip Celebi University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Izmir Katip Celebi University | Izmir | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26381484 | Background | Coombes BK, Bisset L, Vicenzino B. Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All. J Orthop Sports Phys Ther. 2015 Nov;45(11):938-49. doi: 10.2519/jospt.2015.5841. Epub 2015 Sep 17. |
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| ID | Term |
|---|---|
| D013716 | Tennis Elbow |
| ID | Term |
|---|---|
| D000070639 | Elbow Tendinopathy |
| D052256 | Tendinopathy |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| routine exercises for lateral epicondylisits | Behavioral | eccentric strengthening exercises |
|
| baseline and after the 8 sessions (4th week) |
| D000092464 |
| Elbow Injuries |
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D013708 | Tendon Injuries |