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Efficacy and Safety of Selected Traditional Chinese Medicine Elbow Manipulation Versus Mill's Manipulation as Control for Lateral Epicondylitis
Sponsor: Hong Kong Baptist University
Summary
Background: Lateral epicondylitis (LE), also referred to as lateral elbow tendinopathy and tennis elbow, is commonly seen clinically as an orthopedic disease. Joint manipulations is a common LE treatment, which mainly decrease pain and increases range of motion (ROM). This greatly improve the quality of life of LE patients. The selected Traditional Chinese Medicine (TCM) manipulation is created by Prof. Ng Zhong Neng and clinically used in treating LE for more than 20 years. To date, there is no statistical demonstration regarding the safety and effectiveness of this technique. Consequently, this clinical trial is designed to provide the first systematic evaluation of the technique's efficacy and safety. Objective: To evaluate the efficacy and safety of selected TCM elbow manipulation in treating LE. Methods: A clinical trial will enroll 40 eligible patients diagnosed with LE who meet the inclusion criteria. They will be randomized into two groups, having 20 participants in each group. Group A will receive an exercise program and a manipulation treatment of Mill's manipulation. Meanwhile, Group B will receive the same exercise program and the selected TCM manipulation. Patient Related Tennis Elbow Evaluation (PRTEE), ROM of wrist and forearm, and pain free grip strength (PFGS) of the affected elbow will be evaluated at the beginning and after the last of intervention in this clinical trial. Treatment effect and sequence effect will be analyze with a linear-mixed effect model by Jamovi (2.7.17).
Official title: Efficacy and Safety of Selected Traditional Chinese Medicine Elbow Manipulation Versus Mill's Manipulation as Control for Lateral Epicondylitis: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2026-09-15
Completion Date
2026-12-31
Last Updated
2026-09-28
Healthy Volunteers
Yes
Conditions
Interventions
Selected Traditional Chinese Medicine manipulation
Selected TCM manipulation for LE will be perform with internal rotation of the humerus, shoulder abduction, full elbow extension, and neutral position forearm and wrist. The practitioner will stabilized the wrist of the patient with one hand and the humerus with another hand. An medial inversion with a high velocity and low amplitude thrust will be done towards the downward position of the patient. The above manipulation will be done for group B patients for 4 times, once a week, at Lui Seng Chun by Dr. Chow Chi Ho. We have obtained a professional consultation from Mr. Chiu Wai Shun, a senior physiotherapist with 20 years of clinical practice. Mr. Chiu evaluated and approved Dr. Chow's method of performing the Mills manipulation for this trial.
Mill's Manipulation
Mill's manipulation will be performed with a sitting position of the patient. The affected extremity positioned 90∘ abduction with internal rotation of the humerus, forearm pronation and wrist flexion, which will be stabilized by the practitioner. The olecranon should face upward in this position. The practitioner should stabilize the patients shoulder and holding the olecranon with the another hand. A high velocity, low-amplitude thrust will be applied at the end of full extension of the elbow. The above manipulation will be done for group A patients for 4 times, once a week, at Lui Seng Chun by Dr. Chow Chi Ho.
Locations (1)
Lui Seng Chun,119 Lai Chi Kok Road, Mong Kok, Hong Kong
Hong Kong, Hong Kong