[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"lateral-epicondylalgia\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:lateral-epicondylalgia":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,46],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100638321","effects-of-the-tyler-twist-versus-eccentric-exercises-100638321",false,"NCT07626632","Effects of the Tyler Twist Versus Eccentric Exercises","Effects of the Tyler Twist Versus Eccentric Exercises in Patients With Lateral Epicondylagia","Inclusion Criteria:\n\n* ● Males and female patients suffering from lateral epicondylagia in subacute and chronic phase.\n\n  * Age between 20yrs-40yrs.\n  * Patients screened with positive Cozen's test, positive Mill's test, positive Maudsley's test \\[14\\].\n  * NPRS pain score ≥ 4 on activity.\n  * Tenderness on palpation over the lateral epicondyle of humerus,\n  * Pain with gripping, Pain with resisted wrist extension.\n\nExclusion Criteria:\n\n* History of recent trauma or surgery of elbow.\n* Acute stage of lateral epicondylagia.\n* Corticosteroid injection within the last 3 months.\n* Neurological defeciency of the affected limb \\[16\\].\n* Systemic inflammatory diseases, such as rheumatoid arthritis, lupus, or fibromyalgia.\n* Diabetes mellitus (uncontrolled) due to its influence on tendinopathy.","ALL","20 Years","40 Years",{"count":20,"type":21},38,"ESTIMATED","INTERVENTIONAL",[24],"NA","This study aims to compare the effects of the Tyler Twist exercise versus traditional eccentric exercises on pain, grip strength, and functional outcomes in patients diagnosed with lateral epicondylalgia. The primary objective is to determine which intervention offers greater improvement in clinical symptoms and overall function over a defined treatment period.",[27],"Lateral Epicondylalgia",[29,30,31,32],"Hand Strength","Eccentric exercise","Resistance Training","Tyler Twist","NOT_YET_RECRUITING","2026-06-01",{"date":36,"type":37},"2026-06-04","ACTUAL",{"date":39,"type":21},"2026-06-15",{"date":41,"type":21},"2026-11-13",{"name":43,"class":44},"Riphah International University","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":52,"eligibilityCriteria":53,"healthyVolunteers":11,"sex":16,"minAge":54,"maxAge":4,"enrollmentInfo":55,"targetDuration":4,"studyType":22,"phases":57,"briefSummary":58,"conditions":59,"keywords":62,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":72,"completionDateStruct":74,"leadSponsor":76,"locationsCount":45},"100631021","effectiveness-of-combined-super-inductive-system-sis-therapy-with-therapeutic-exercise-and-health-education-in-lateral-elbow-tendinopathy-100631021","NCT07495254","Effectiveness of Combined Super Inductive System (SIS) Therapy With Therapeutic Exercise and Health Education in Lateral Elbow Tendinopathy","Effectiveness of Combined Super Inductive System (SIS) Therapy With Therapeutic Physical Therapy Exercise and Health Education in Lateral Elbow Tendinopathy","SIS","Inclusion Criteria:\n\n* Adults aged 18 years or older.\n* Clinical diagnosis of lateral elbow tendinopathy confirmed by a Family Care Physician, Rehabilitation Physiatrist, Orthopedic Surgeon, or Rheumatologist.\n* Referral to one of the three participating Rehabilitation and Physical Therapy Services (Mataró, Sant Andreu, or Drassanes).\n* Presence of at least one positive provocative test (Cozen's test or Mill's test).\n* Ability and willingness to participate in the study after reading the patient information sheet and signing the informed consent, including consent for image use.\n\nExclusion Criteria:\n\n* Medial elbow tendinopathy.\n* Recent traumatic injury to the affected upper limb within the past 6 months.\n* Passive elbow joint range of motion limited by more than 20°.\n* Injection in the affected elbow within 6 weeks prior to baseline assessment.\n* Systemic inflammatory, autoimmune, infectious, or neoplastic disease.\n* Pregnancy.\n* Metal implants in the affected elbow region.\n* Pacemaker or implantable defibrillator.\n* Radial tunnel syndrome \u002F Frohse arcade syndrome.\n* Coagulation disorders.\n* Cognitive or sensory impairment that precludes participation in the study procedures.\n* Central sensitization syndromes (e.g., fibromyalgia, chronic fatigue syndrome).","18 Years",{"count":56,"type":21},224,[24],"Background Lateral epicondylalgia is the most common cause of lateral elbow pain and affects approximately 1% to 3% of the population. It reduces strength, functionality, and quality of life, leading to limitations in work and daily activities and representing a relevant public health concern.\n\nCurrent scientific evidence suggests conservative physical therapy as the first-line treatment; however, heterogeneity exists among approaches, and clinical guidelines remain unclear. Rest and pharmacological treatment may provide short-term relief but do not resolve the underlying condition and may lead to recurrences.\n\nTherapeutic exercise has been shown to improve pain, strength, and function and is recommended as a first-line conservative intervention due to its favorable cost-benefit ratio. Thermotherapy and electrotherapy may also reduce pain and improve function compared with placebo.\n\nThis study aims to evaluate the efficacy of the Super Inductive System (SIS) combined with a conventional physical therapy program.\n\nHypothesis SIS therapy, combined with an upper extremity therapeutic exercise program and health education, will reduce pain, improve mobility and limb function, increase grip strength, facilitate return to activities of daily living (ADLs), and enhance perceived quality of life in individuals with lateral elbow tendinopathy.\n\nObjective To assess the effectiveness of SIS combined with therapeutic exercise and health education in adults aged 18 years and older with lateral elbow tendinopathy, compared with the application of SIS at a non therapeutic dose combined with conventional therapeutic exercise and health education.\n\nMethodology A prospective, experimental, randomized clinical trial will be conducted using a triple blind design (principal investigator, assessor, and participant). The study will include an intervention group (IG) (SIS at a therapeutic dose plus therapeutic exercise and health education) and a control group (CG) (SIS at a non therapeutic dose plus therapeutic exercise and health education).\n\nThis multicenter study will take place at three Rehabilitation and Physical Therapy Services (Mataró, Sant Andreu-Barcelona, and Drassanes-Barcelona), all part of the Primary Care network of the Catalan Health Institute (ICS).\n\nData collection will occur at baseline, post treatment, and at 3 and 6 month follow ups.\n\nOutcome measures will assess pain using the Visual Analog Scale (VAS) and algometry, mobility through goniometric evaluation, upper limb function using the Quick Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH), grip strength with dynamometry, health related quality of life with the EQ 5D 5L, and elbow specific pain and functional status using the Patient-Rated Tennis Elbow Evaluation (PRTEE).\n\nInferential analyses will be performed for within group and between group comparisons. Data will be processed in accordance with current legislation.\n\nData management will be performed using REDCap (Research Electronic Data Capture).\n\nExpected Outcomes A statistically significant improvement is expected in the intervention group compared with the control group. The use of SIS may contribute to reduced recovery time, fewer and shorter temporary work disabilities, and lower pharmaceutical costs among individuals with lateral epicondylalgia.\n\nApplicability and Relevance SIS is an innovative non invasive therapeutic technology that reduces acute and chronic pain, improves joint mobility, and promotes muscle strengthening in tendinopathies. Demonstrating its effectiveness and cost efficiency may support its incorporation into routine clinical practice, potentially reducing treatment duration, recovery time, and reliance on pharmacological therapy.\n\nThis study will provide evidence to inform the implementation of SIS as an additional therapeutic tool in primary care physical therapy and rehabilitation settings.",[60,27,61],"Lateral Epicondylitis (Tennis Elbow)","Lateral Elbow Tendinopathy",[63,64,65,66,67,68],"Lateral Epicondylitis","Super Inductive System","high-intensity electromagnetic stimulation","exercises","pain","functionality","2026-03-22",{"date":71,"type":37},"2026-03-27",{"date":73,"type":21},"2026-03-30",{"date":75,"type":21},"2028-09-01",{"name":77,"class":44},"University of Vic - Central University of Catalonia"]