Pressure-pain sensitivity and natural pain-blocking after a cold hand immersion in people with and without tennis elbow
Official title: Measurement Properties and Temporal Stability of Conditioned Pain Modulation in Individuals With and Without Lateral Epicondylalgia
Run by The Hashemite University · NCT07178288 · Data updated 2026-11-12
This will test whether people with tennis elbow feel pressure pain differently and whether their body's natural pain‑blocking response changes before, during, and after a cold hand immersion compared with people without elbow pain.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 60 Years |
| Sex | All |
| Enrollment | 38 (estimated) |
| Sponsor | The Hashemite University Academic / other |
| Locations | 1 site (Zarqa, Zarqa Governorate) |
| Status | Recruiting |
| Started | September 10, 2025 |
| Main results expected | June 30, 2026 |
| Study ends | June 30, 2026 |
| Registry record updated | June 26, 2026 |
| Trial ID | NCT07178288 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with unilateral tennis elbow lasting more than six weeks confirmed by the investigator and able to tolerate cold‑pressor testing without contraindications are ideal candidates.
✕Probably not a fit
People with chronic widespread pain conditions, neurological or sensory dysfunction, diabetes or Raynaud's (contraindications to cold), or those on long‑term pain medications or antidepressants are excluded and unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Researchers will measure pressure pain thresholds (PPT) at standardized sites near the elbow and wrist using a digital algometer and will use a cold‑pressor task (hand in ice water) to trigger conditioned pain modulation (CPM). PPT will be recorded at set time points before, during, and after the cold stimulus to map how pain sensitivity changes and how long any pain‑inhibiting effect lasts. The study will also examine PPT measurement reliability using intraclass correlation coefficients (ICC), standard error of measurement (SEM), and smallest detectable change (SDC). Testing takes place in the university physiotherapy clinic with coded data stored on institutional systems and repeated measures following a predefined protocol.
Why it matters
Potential benefit: If successful, this could provide clearer, objective measures of pain sensitivity and the duration of natural pain inhibition, which may help clinicians tailor treatments for tennis elbow.
How similar studies have gone: PPT and CPM are established research measures and prior studies often report altered pain modulation in chronic musculoskeletal conditions, but the detailed time course of CPM after‑effects in tennis elbow is less well characterized.
Who can join: the full rules
Show full inclusion / exclusion criteria
TE Group Inclusion Criteria: Patients with Tennis Elbow confirmed at initial assessment by the Primary Investigator (PI) Unilateral elbow pain \> 6 weeks duration reproduced on at least two of the following tests: * Palpation of the lateral epicondyle * Isometric testing of the wrist extensors * Middle finger extension test * Passive stretch of wrist extensors * Resisted hand gripping using a dynamometer * Upper limb neurodynamic test-radial nerve bias (ULNDT-RN) Exclusion Criteria: * History of chronic pain conditions (e.g. fibromyalgia, irritable bowel * syndrome, temporomandibular dysfunction, migraines) * Neurological or sensory dysfunction (especially in the upper limbs) * History of chronic musculoskeletal pain (e.g. arthritis, chronic low back * pain) * Contraindications to cold application (i.e. Reynaud's disease, diabetes) * Current or long-term use of pain medication or anti-depressants Healthy Group The asymptomatic group included adults (18-65 years) without pain (acute or chronic) at least 3 months before the experimental sessions.
Where it's running
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The Hashemite University, Department of Physical Therapy; Community Rehabilitation Center Clinics
Zarqa, Zarqa Governorate, Jordan Recruiting
Study contacts
- Principal investigator: Ahmad Muhsen — The Hashemite University
- Study coordinator: Ahmad Muhsen, PhD
- Email: muhsen_a@hu.edu.jo
- Phone: +962788654656
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.