Adolescent AtheletsNCT07713342
Virtual Reality for Medial Epicondyle Apophysitis
A study testing The Study Group in people with Adolescent Athelets and Medial Epicondyle Apophysitis, run by South Valley University at 1 site in Egypt.
Trial 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… Read more about this study
- Who is it for?
- Ages 12 to 16 years
- Conditions the study is for
- Adolescent Athelets, Medial Epicondyle Apophysitis
- What is being tested?
- The Study Group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 20 Jul 2026to 20 Oct 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 to 16 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- 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.
Who cannot join
- Cases with resent fractures in affected upper limb.
- Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
- Uncooperative cases.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Ola A KamalLecturer, Lecturer contact
About this study
Official title: The Efficacy of Virtual Reality Training on Medial Epicondyle Apophysitis in Adolescent Athletes
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.
- Conditions
- Adolescent Athelets, Medial Epicondyle Apophysitis
- Being tested
- The Control Group, The Study Group
- Keywords
- Medial Epicondyle Apophysitis, Virtual Reality,, strengthing exercise
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The Control GroupOther
Also called Group (A)
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
The Study GroupOther
Also called Group (B)
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
| Study group | Role | What they receive |
|---|---|---|
| Experimental: The Control Group | Experimental | Group (A) Receives: Other: The Control Group |
| The Study Group | Experimental | Group (B) Receives: Other: The Study Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Visual Analogue Scale
pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
Measured: at day 0
Visual Analogue Scale
pain assessment scale, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
Measured: at day 90
Secondary outcomes (4)
Range of Motion
Elbow Flexion angle degree
Measured: at day 0
Range of Motion
Elbow Flexion angle degree
Measured: at day 90
Range of Motion
Elbow Extension angle degree
Measured: at day 0
Range of Motion
Elbow Extension angle degree
Measured: at day 90
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jul 2026
- Study start20 Jul 2026 (estimated)
- Primary completion1 Aug 2026 (estimated)
- Study completion20 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Adolescent AtheletsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. all groups treated for 3 successive months.
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- South Valley University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nehad Ahmed Youness Abo-zaid, South Valley University
- Investigators
- Nehad A Abo-zaid, Assistant Professor, Principal investigator, South Valley University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07713342
- Sponsor's protocol ID
- P.T.REC/012/006533
- Status last verified
- Jul 2026
- First submitted
- 2 Jul 2026
- Last updated
- 20 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
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 24681826Thomas 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 28954791McPhail 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 26209909Shousha 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 37560731Benzing 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 30413016Mouhamed 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 39441113Abo-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
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Efficacy of Virtual Reality Training on Medial Epicondyle Apophysitis in Adolescent Athletes
- ClinicalTrials.gov ID
- NCT07713342
- Acronym / sponsor ID
- P.T.REC/012/006533
- Conditions
- Adolescent Athelets, Medial Epicondyle Apophysitis
- Keywords
- Medial Epicondyle Apophysitis, Virtual Reality,, strengthing exercise
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- South Valley UniversityUniversity, hospital or other
- Study start
- 20 Jul 2026 (estimated)
- Primary completion
- 1 Aug 2026 (estimated)
- Study completion
- 20 Oct 2026 (estimated)
- First posted
- 20 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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. 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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
- Model description
- G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. all groups treated for 3 successive months.
| Arm | Type | Receives |
|---|---|---|
| Experimental: The Control Group | Experimental | Other: The Control GroupGroup (A) |
| The Study Group | Experimental | Other: The Study GroupGroup (B) |
Who may qualify
- Ages
- 12 to 16 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (4 listed)
- 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.
Key exclusion criteria (3 listed)
- Cases with resent fractures in affected upper limb.
- Cases diagnosis of any neurological disease or musculoskeletal disease affecting upper extremity functional ability.
- Uncooperative cases.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The Control GroupAlso: Group (A)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 | Experimental: The Control Group |
| The Study GroupAlso: Group (B)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 | Other | The Study Group |
Primary outcome
Visual Analogue Scale
Time frame: at day 0
pain assessment tool, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
Visual Analogue Scale
Time frame: at day 90
pain assessment scale, the scale ranged from 0-10 (at which 0 indicate no pain and 10 indicate sever pain)
4 secondary outcomes
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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2026.
- Background: PubMed 24681826Lohse 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.
- Background: PubMed 28954791Thomas 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.
- Background: PubMed 26209909McPhail 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.
- Background: PubMed 37560731Shousha 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.
- Results publication: PubMed 30413016Benzing 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.
- Results publication: PubMed 39441113Mouhamed 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.
- Results publicationAbo-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 dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Ola A KamalLecturer, Lecturer contact
Nehad A Abo-zaid, Assistant Professor principal investigator
South Valley University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The Study Group in people with Adolescent Athelets and Medial Epicondyle Apophysitis, run by South Valley University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Nehad A Abo-zaid, Assistant Professor (01008980727, dr.nehadahmed@svu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Visual Analogue Scale (time frame: at day 0). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07713342, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2026.