ClinicalTrials.gg
Not yet recruitingNCT07713342Updated Jul 20, 2026

Virtual Reality for Medial Epicondyle Apophysitis

An interventional study of The Control Group and The Study Group in Adolescent Athelets and Medial Epicondyle Apophysitis, sponsored by South Valley University. Not yet recruiting at 1 site in Egypt. Open to participants aged 12 Years to 16 Years. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by South Valley University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
12 Years to 16 Years
Sex
All
01

Study summary

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.

Read the 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. Virtual reality (VR) is a simulated experience that can be similar to or completely different from the real world. Applications of virtual reality can include entertainment (i.e. video games) and educational purposes (i.e. medical or military training). Other, distinct types of VR style technology include augmented reality and mixed reality.

02

Conditions studied

  • Adolescent Athelets
  • Medial Epicondyle Apophysitis

Keywords

  • Medial Epicondyle Apophysitis
  • Virtual Reality,
  • strengthing exercise
03

In context

Lead sponsor

South Valley University is the lead sponsor of 153 studies on the registry; 46 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 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

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.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Experimental: The Control Group

    Group (A)

    Other: The Control Group

  • Experimental
    The Study Group

    Group (B)

    Other: The Study Group

Interventions

  • OtherThe 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

    Also known as: Group (A)

  • OtherThe Study 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 virtual reality training

    Also known as: Group (B)

06

What researchers measure

Primary outcomes

  1. Visual Analogue Scale

    pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)

    Time frame: at day 0

  2. Visual Analogue Scale

    pain assessment scale, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)

    Time frame: at day 90

Secondary outcomes

  1. Range of Motion

    Elbow Flexion angle degree

    Time frame: at day 0

  2. Range of Motion

    Elbow Flexion angle degree

    Time frame: at day 90

  3. Range of Motion

    Elbow Extension angle degree

    Time frame: at day 0

  4. Range of Motion

    Elbow Extension angle degree

    Time frame: at day 90

07

Study locations

1 site
08

References and documents

Publications

  • Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014 Mar 28;9(3):e93318. doi: 10.1371/journal.pone.0093318. eCollection 2014. PubMed 24681826 ↗
  • Thomas S, Fazakarley L, Thomas PW, Collyer S, Brenton S, Perring S, Scott R, Thomas F, Thomas C, Jones K, Hickson J, Hillier C. Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii) to increase activity levels, vitality and well-being in people with multiple sclerosis. BMJ Open. 2017 Sep 27;7(9):e016966. doi: 10.1136/bmjopen-2017-016966. PubMed 28954791 ↗
  • McPhail SM, O'Hara M, Gane E, Tonks P, Bullock-Saxton J, Kuys SS. Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations. Physiotherapy. 2016 Jun;102(2):217-20. doi: 10.1016/j.physio.2015.04.006. Epub 2015 Jun 17. PubMed 26209909 ↗
  • Shousha TM, Abo-Zaid NA, Hamada HA, Abdelsamee MYA, Behiry MA. Virtual reality versus Biodex training in adolescents with chronic ankle instability: a randomized controlled trial. Arch Med Sci. 2021 Mar 18;19(4):1059-1068. doi: 10.5114/aoms/134635. eCollection 2023. PubMed 37560731 ↗
  • Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018 Nov 8;7(11):422. doi: 10.3390/jcm7110422. PubMed 30413016 ↗
  • Mouhamed HA, Abo-Zaid NA, Khalifa HA, Ali ME, Elserty NS, Behiry MA, Heneidy WE. Efficacy of virtual reality on balance impairment in ataxic cerebral palsy children: randomized controlled trial. Eur J Phys Rehabil Med. 2024 Dec;60(6):949-955. doi: 10.23736/S1973-9087.24.08617-9. Epub 2024 Oct 23. PubMed 39441113 ↗
  • Abo-Zaid, N.A., Helmy, N.A., Elsayed, N.I., & Mohammed, A.H. (2021). Wii Sport versus task-oriented training on gait in unilateral cerebral palsy: A randomized controlled trial. Journal of Human Sport and Exercise, 16(2proc), S522-S531. doi:https://doi.org/10.14198/jhse.2021.16.Proc2.36

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07713342
Responsible party
Nehad Ahmed Youness Abo-zaid (Assistant Professor of Physical Therapy, South Valley University) — Principal investigator
First posted
Jul 20, 2026
Start date
Jul 20, 2026 (estimated)
Primary completion
Aug 1, 2026 (estimated)
Completion
Oct 20, 2026 (estimated)
Last update
Jul 20, 2026

Study contacts

Nehad A Abo-zaid, Assistant Professor
Contact
dr.nehadahmed@svu.edu.eg
01008980727
Ola A KamalLecturer, Lecturer
Contact
01118458838
Nehad A Abo-zaid, Assistant Professor
principal investigator · South Valley University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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