Neuromuscular re-education versus friction massage for lateral epicondylitis

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

This trial will try neuromuscular re-education or friction massage to see which reduces pain and improves function in people aged 25–50 with lateral epicondylitis.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 42 (estimated)
• Ages: 25 Years to 50 Years
• Sex: All
• Sponsor: Foundation University Islamabad (Academic / other)
• Locations: 1 site (Islamabad)
• Trial ID: NCT07004894 on ClinicalTrials.gov

What this trial studies

Participants with diagnosed lateral epicondylitis and at least two positive clinical tests (Cozen's, Maudsley's, or Mill's) will be randomly assigned by coin toss to receive either neuromuscular re-education or a standard friction massage protocol. Outcomes will be measured using the specified clinical tests and standard clinical follow-up to document changes in pain and function. The interventions are delivered in person at a single site by physical therapy staff. The study targets adults aged 25–50 and excludes those with recent elbow fractures, joint instability, active joint disease, or open wounds around the elbow.

Who should consider this trial

Good fit: Ideal candidates are men and women aged 25–50 with a clinical diagnosis of lateral epicondylitis and at least two positive tests among Cozen's, Maudsley's, or Mill's, who do not have recent fractures, joint instability, active joint disease, or open wounds at the elbow.

Not a fit: Patients with recent elbow fractures or dislocations, elbow joint instability, active systemic joint disease, open wounds around the elbow, or those outside the 25–50 age range are unlikely to benefit from the study interventions.

Why it matters

Potential benefit: If successful, the preferred technique could offer a simple, non-surgical way to reduce pain and improve elbow function for people with lateral epicondylitis.

How similar studies have performed: Prior physiotherapy research shows mixed evidence for friction massage and limited but promising data for neuromuscular re-education, so this direct comparison addresses a relatively under-studied question.

Eligibility criteria

Inclusion Criteria:

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

Exclusion Criteria:

1. Recent elbow fractures or dislocations
2. Elbow joint instability
3. Active joint disease
4. Open wounds around elbow joints

Where this trial is running

Islamabad

• Foundation University College of Physical Therapy — Islamabad, Pakistan (Recruiting)

Study contacts

• Study coordinator: Basma Areej Sarfraz, Doctor of Physical Therapy

Conditions Lateral Epicondylitis