Influence of Patient Expectations With Lateral Epicondylalgia in Applying Mobilization With Movement

Influence of Patient Expectations With Lateral Epicondylalgia in Applying Mobilization With Movement. Clinical Trial

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02396550

Enrollment

Registered

2015-03-24

Start date

2015-01-31

Completion date

2016-09-30

Last updated

2016-10-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tennis Elbow

Keywords

Expectations

Brief summary

Lateral epicondylalgia affects people of both gender between 1 and 3% of the world population, with up to 15% in the working population reaching an average of 12 weeks off work for this reason. One of the conservative treatments that have shown effective is the mobilization with movement, whose mechanisms of action are not known. According Bialosky et al., possible effects of manual therapy are based on the neurophysiological mechanisms at peripheral, spinal and supraspinal level. Among the mechanisms to supraspinal level is the placebo effect, which is influenced by psychological factors such as conditioning and expectations. Changing expectations to determine the influence on the treatment has been studied in healthy subjects, showing improvement with positive expectations and worsening to negative and neutral expectations. However the result of modifying the previous expectations for treatment in patients with pain has not been studied. The aim of our study is to test the influence that positive expectations have on the effectiveness of treatment with mobilization with movement in patients with lateral epicondylalgia.

Interventions

BEHAVIORALPositive Expectations

Give positive expectation of the treatment efficacy to patients

PROCEDUREMobilization with movement

Give neutral expectation of the treatment efficacy to patients

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

Inclusion criteria

* Lateral Epicondylalgia Diagnosis

Exclusion criteria

* Previous Treatment with Manual Therapy * Previous Treatment with injection 6 months before * Radiculopathy * Bilateral Symptoms * Fracture

Design outcomes

Primary

Measure	Time frame	Description
Pain Intensity	0 - 10 days	measured with the Visual Analogue Scale (VAS)

Secondary

Measure	Time frame	Description
Threshold Pressure Pain	0 - 10 days	measured with algometry
Perceived Disability	0-10 days	with the DISABILITIES OF THE ARM, SHOULDER AND HAND (DASH) Questionnaire
Kinesiophobia	0 - 10 days	with the Tampa Scale of Kinesiophobia

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026