[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100638073":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":30,"centralContacts":39,"locations":48,"responsibleParty":67,"collaborators":70,"id":73,"slug":74,"hasResults":75,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":30,"eligibilityCriteria":79,"healthyVolunteers":75,"sex":80,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":30,"studyType":86,"phases":87,"briefSummary":89,"conditions":90,"keywords":92,"overallStatus":97,"whyStopped":30,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":102,"completionDateStruct":103,"leadSponsor":105,"locationsCount":106},{"fullName":5,"class":6},"Istanbul Kent University","OTHER",[8,15,21],{"label":9,"type":10,"description":11,"interventionNames":12},"MWM + Exercise Group","EXPERIMENTAL","Participants will receive Mulligan Mobilization with Movement combined with a structured exercise program targeting the extensor muscles.",[13,14],"Other: Mobilization with Movement (MWM)","Other: Exercise",{"label":16,"type":17,"description":18,"interventionNames":19},"Sham MWM + Exercise Group","SHAM_COMPARATOR","Participants will receive sham Mulligan Mobilization combined with the same structured exercise program targeting the extensor muscles.",[20,14],"Other: Sham Mobilization with Movement (Sham MWM)",{"label":22,"type":10,"description":23,"interventionNames":24},"Exercise Group","Participants will receive only a structured exercise program targeting the extensor muscles without any manual therapy intervention.",[14],[26,31,35],{"type":6,"name":27,"description":28,"armGroupLabels":29,"otherNames":30},"Mobilization with Movement (MWM)","MWM is a manual therapy technique in which a therapist applies a sustained lateral glide to the radial head using a belt while the patient performs active gripping movements. The intervention is designed to restore pain-free movement by combining joint mobilization with functional activity.",[9],null,{"type":6,"name":32,"description":33,"armGroupLabels":34,"otherNames":30},"Sham Mobilization with Movement (Sham MWM)","Sham MWM involves positioning the Mulligan belt in the same manner as the active intervention; however, no therapeutic joint mobilization force is applied. Participants perform active gripping movements while receiving a non-therapeutic simulation of mobilization.",[16],{"type":6,"name":36,"description":37,"armGroupLabels":38,"otherNames":30},"Exercise","The exercise program targets the extensor carpi radialis brevis muscle and includes isometric, concentric, and eccentric strengthening exercises. Exercises are performed in a structured manner and progressed according to a pain-monitoring model allowing mild tolerable pain.",[22,9,16],[40,45],{"name":41,"role":42,"phone":43,"phoneExt":30,"email":44},"Kubra Bali, Master Science","CONTACT","90+5449765584","kubra.tufekci@hotmail.com",{"name":46,"role":42,"phone":30,"phoneExt":30,"email":47},"Ipek Yeldan, Professor","ipek.yeldan@iuc.edu.tr",[49],{"facility":50,"status":30,"city":51,"state":30,"zip":30,"country":52,"countryCode":30,"cosmosGeoPoint":53,"geoPoint":58,"contacts":59},"Istanbul Unıversity Cerrahpasa, Faculty of Health Sciences","Istanbul","Turkey (Türkiye)",{"type":54,"coordinates":55},"Point",[56,57],28.94966,41.01384,{"lat":57,"lon":56},[60,62,65],{"name":61,"role":42,"phone":43,"phoneExt":30,"email":44},"Kubra Bali, Master Science Physiotherapist",{"name":63,"role":64,"phone":30,"phoneExt":30,"email":30},"Kubra Balı, Master Science","PRINCIPAL_INVESTIGATOR",{"name":46,"role":66,"phone":30,"phoneExt":30,"email":30},"SUB_INVESTIGATOR",{"type":64,"investigatorFullName":68,"investigatorTitle":69,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"KubraBali","Lecturer",[71],{"name":72,"class":6},"Istanbul University - Cerrahpasa","100638073","mulligan-mobilization-in-lateral-elbow-tendinopathy-100638073",false,"NCT07589725","Mulligan Mobilization in Lateral Elbow Tendinopathy","Effects of Mulligan Mobilization With Movement Technique on Pain, Muscle Stiffness, Grip Strength, and Function in Patients With Lateral Elbow Tendinopathy","Inclusion Criteria:\n\n* Inclusion Criteria\n* Age between 18 and 60 years\n* Presence of unilateral lateral elbow pain and tenderness for at least 3 months\n* Diagnosis of lateral elbow tendinopathy confirmed by the following four criteria:\n* Local tenderness over the lateral epicondyle\n* Positive Cozen's test\n* Positive Maudsley's test\n* Positive Mill's stretch test\n\nExclusion Criteria:\n\n* History of surgery around the elbow\n* History of elbow dislocation, fracture, or extensor tendon rupture\n* History of fracture of the humerus, ulna, or radius within the past year\n* Receipt of any treatment for LET within the past 6 months (e.g., physiotherapy, exercise, manual therapy, dry needling, orthosis)\n* Presence of cervical referred pain and\u002For radiculopathy (positive Spurling test)\n* Signs of peripheral nerve involvement\n* Corticosteroid injection within the past 6 months\n* History of rheumatologic disease\n* Presence of cancer or tumor","ALL","18 Years","60 Years",{"count":84,"type":85},45,"ESTIMATED","INTERVENTIONAL",[88],"NA","The aim of this study is to investigate the short-, medium-, and long-term effects of Mulligan Mobilization with Movement (MWM) added to an exercise program on pain, functionality, and biomechanical parameters in individuals with lateral elbow tendinopathy, compared to sham mobilization and exercise-only interventions.\n\nThe primary hypothesis is that the addition of true MWM to exercise will result in greater improvements in pain intensity, grip strength, pressure pain threshold, kinesiophobia, wrist joint position sense, and the mechanical properties of the extensor muscles compared to placebo (sham MWM) and exercise alone.\n\nThis study is designed as a three-arm randomized placebo-controlled trial. A total of 45 participants will be allocated to one of three groups: MWM plus exercise, sham MWM plus exercise, and exercise alone. Assessments will be conducted at baseline, immediately post-intervention, and at 3- and 6-month follow-ups.\n\nThe primary outcome measure is pain intensity. Secondary outcomes include functionality, grip strength, pressure pain threshold, kinesiophobia, wrist proprioception, and the mechanical properties of the extensor carpi radialis brevis muscle assessed using Myoton.\n\nThis study aims to determine the effects of manual therapy independent of placebo and to evaluate the sustainability of these effects over time. Additionally, by objectively assessing the mechanical and proprioceptive characteristics of the muscle-tendon unit alongside clinical outcomes, the study is expected to provide a novel contribution to the literature. The findings are anticipated to enhance the understanding of the mechanisms underlying conservative treatment approaches in lateral elbow tendinopathy and to support evidence-based clinical decision-making.",[91],"Lateral Elbow Tendinopathy (Tennis Elbow)",[93,94,95,96],"mulligan mobilization","lateral elbow tendinopathy","placebo","exercise","NOT_YET_RECRUITING","2026-05-11",{"date":100,"type":101},"2026-05-15","ACTUAL",{"date":100,"type":85},{"date":104,"type":85},"2027-10-01",{"name":5,"class":6},1]