Powerball for Medial Epicondyle Apophysitis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: the control group, BowerBall Group.
- Who it may be relevant to
- Registry conditions: Medial Epicondyle Apophysitis. Basic parameters: 12 years — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The Efficacy of Powerball Training on Medial Epicondyle Apophysitis in Adolescent Athletes
Overview
Traction apophysitis of the medial epicondyle (MEC) is a common elbow injury in adolescent baseball players. The underlying pathology of the lesions associated with apophysitis seems to be due to repetitive traction stress via the medial ulnar collateral ligament (MUCL) to the skeletally immature MEC, as seen in young baseball players. Various types of morphological changes are observed at the MEC in baseball players, and fragmentation and hypertrophy have been commonly reported
Detailed description
Phases of rehabilitation for Medial Epicondyle Apophysitis Phase I treatment involves resting and protecting the elbow to permit healing, to prevent further injury, and to control pain and swelling. Phase II treatment begins once pain and swelling have subsided to the point where the athlete can comfortably bear weight and walk from place to place. According to recent studies, vibrating devices like the PowerBall gadget have a greater effect on people with tennis elbow injuries than dumbbell exercise does on muscular strength, discomfort, range of motion, and health quality. Exercises using the "PowerBall device" are thought to be effective resistance training during the chronic period because the muscles of the wrist, elbow, and shoulder, apply both internal and external pressure. Muscle strength may have grown over this period because of neurovascularization, the creation of new blood vessels during the eccentric phase of training that enhances blood flow and speeds up tissue repair.
Interventions
- Other the control group
All adolescents will receive 60 min. of the selected physical therapy program including strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators - Other BowerBall Group
all adolescents will receive selected physical therapy program for 30 min. containing strengthening the muscles of upper limb, stretching for elbow flexors and forearms pronators plus 30 of BowerBalltraining
Primary outcome measures
- Visual Analogue Scale [Time frame: at day 0]
- Visual Analogue Scale [Time frame: at day 90]
Secondary outcome measures (4)
- Range of Motion [Time frame: at day 0]
- Range of Motion [Time frame: at day 90]
- Range of Motion [Time frame: at day 0]
- Range of Motion [Time frame: at day 90]
Eligibility criteria
Inclusion criteria
- Their age will be ranging from 12 to 18 years.
- Cases diagnosed with medial epicondyle apophysitis.
- Cases participated in this study will from both sexes.
- Cases receiving standard treatment protocol.
- Cases with a disease duration of more than four months
Exclusion criteria
- Cases with resent fractures in affected upper limb.
- Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
- Uncooperative cases.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Nehad A Abo-zaid — Asyut
Publications
- T. Tsuruta, H. Mine The primary treatment for the inferior fragmentation of humeral medial epicondyle in young baseball players J Jpn Elbow Soc, 20 (2013), pp. 92-95
- Takagishi K, Matsuura T, Masatomi T, Chosa E, Tajika T, Watanabe M, Iwama T, Otani T, Inagaki K, Ikegami H, Aoki M, Kato K, Okuwaki T, Sairyo K, Kameyama Y, Maeda A, Beppu M. Shoulder and elbow pain in elementary school baseball players: The results from a nation-wide survey in Japan. J Orthop Sci. 2017 Jul;22(4):682-686. doi: 10.1016/j.jos.2017.03.016. Epub 2017 May 3. PMID 28478963
- Osbahr DC, Chalmers PN, Frank JS, Williams RJ 3rd, Widmann RF, Green DW. Acute, avulsion fractures of the medial epicondyle while throwing in youth baseball players: a variant of Little League elbow. J Shoulder Elbow Surg. 2010 Oct;19(7):951-7. doi: 10.1016/j.jse.2010.04.038. Epub 2010 Aug 5. PMID 20688542
- Harada M, Takahara M, Sasaki J, Mura N, Ito T, Ogino T. Using sonography for the early detection of elbow injuries among young baseball players. AJR Am J Roentgenol. 2006 Dec;187(6):1436-41. doi: 10.2214/AJR.05.1086. PMID 17114533
- Hodge C, Schroeder JD. Medial Epicondyle Apophysitis (Little League Elbow). 2023 Mar 27. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK570592/ PMID 34033354
- Otoshi K, Kikuchi S, Kato K, Kaneko Y, Mashiko R, Sato R, Igari T, Kaga T, Konno S. The influence of chronic medial epicondylar apophysitis on medial ulnar collateral ligament insufficiency-: a retrospective cohort study. JSES Int. 2022 Feb 1;6(3):539-544. doi: 10.1016/j.jseint.2021.12.014. eCollection 2022 May. PMID 35572434
Identifiers
NCT: NCT07723677 · P.T.REC/012/006567