Cargando…

Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial

Supraspinatus tendinopathy is one of the most common causes of shoulder pain. Many studies support conservative treatments such as exercise, trigger point dry needling or corticosteroid injections. Otherwise, a minimally invasive approach with percutaneous electrolysis (PE) has also been used succes...

Descripción completa

Detalles Bibliográficos
Autores principales: Rodríguez-Huguet, Manuel, Góngora-Rodríguez, Jorge, Rodríguez-Huguet, Pablo, Ibañez-Vera, Alfonso Javier, Rodríguez-Almagro, Daniel, Martín-Valero, Rocío, Díaz-Fernández, Ángeles, Lomas-Vega, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356532/
https://www.ncbi.nlm.nih.gov/pubmed/32545583
http://dx.doi.org/10.3390/jcm9061837
_version_ 1783558511366504448
author Rodríguez-Huguet, Manuel
Góngora-Rodríguez, Jorge
Rodríguez-Huguet, Pablo
Ibañez-Vera, Alfonso Javier
Rodríguez-Almagro, Daniel
Martín-Valero, Rocío
Díaz-Fernández, Ángeles
Lomas-Vega, Rafael
author_facet Rodríguez-Huguet, Manuel
Góngora-Rodríguez, Jorge
Rodríguez-Huguet, Pablo
Ibañez-Vera, Alfonso Javier
Rodríguez-Almagro, Daniel
Martín-Valero, Rocío
Díaz-Fernández, Ángeles
Lomas-Vega, Rafael
author_sort Rodríguez-Huguet, Manuel
collection PubMed
description Supraspinatus tendinopathy is one of the most common causes of shoulder pain. Many studies support conservative treatments such as exercise, trigger point dry needling or corticosteroid injections. Otherwise, a minimally invasive approach with percutaneous electrolysis (PE) has also been used successfully in shoulder pain, although evidence about its long-term effects is scarce. The aim of this trial was to determine the effects of PE on supraspinatus tendinopathy compared with trigger point dry needling (TDN). Thirty-six patients with supraspinatus tendinopathy were randomly assigned to either a PE group (n = 18) or a TDN group (n = 18). Both groups also performed eccentric exercises. The main outcome to be measured was the Numerical Pain Rating Scale (NPRS), but the shoulder range of motion (ROM) and trigger point pressure pain threshold (PPT) were also considered. A one-year follow-up was conducted. Significant differences favoring the PE group were found regarding pain at one-year follow-up (p = 0.002). The improvement achieved in the PE group was greater in the NPRS (p < 0.001), proximal PPT, middle PPT, distal PPT (all p < 0.001) and ranges of movement. PE seems to be more effective than TDN in relieving pain and improving ROM and PPT supraspinatus values in patients with supraspinatus tendinopathy, both right after treatment and at one-year follow-up.
format Online
Article
Text
id pubmed-7356532
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-73565322020-07-30 Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial Rodríguez-Huguet, Manuel Góngora-Rodríguez, Jorge Rodríguez-Huguet, Pablo Ibañez-Vera, Alfonso Javier Rodríguez-Almagro, Daniel Martín-Valero, Rocío Díaz-Fernández, Ángeles Lomas-Vega, Rafael J Clin Med Article Supraspinatus tendinopathy is one of the most common causes of shoulder pain. Many studies support conservative treatments such as exercise, trigger point dry needling or corticosteroid injections. Otherwise, a minimally invasive approach with percutaneous electrolysis (PE) has also been used successfully in shoulder pain, although evidence about its long-term effects is scarce. The aim of this trial was to determine the effects of PE on supraspinatus tendinopathy compared with trigger point dry needling (TDN). Thirty-six patients with supraspinatus tendinopathy were randomly assigned to either a PE group (n = 18) or a TDN group (n = 18). Both groups also performed eccentric exercises. The main outcome to be measured was the Numerical Pain Rating Scale (NPRS), but the shoulder range of motion (ROM) and trigger point pressure pain threshold (PPT) were also considered. A one-year follow-up was conducted. Significant differences favoring the PE group were found regarding pain at one-year follow-up (p = 0.002). The improvement achieved in the PE group was greater in the NPRS (p < 0.001), proximal PPT, middle PPT, distal PPT (all p < 0.001) and ranges of movement. PE seems to be more effective than TDN in relieving pain and improving ROM and PPT supraspinatus values in patients with supraspinatus tendinopathy, both right after treatment and at one-year follow-up. MDPI 2020-06-12 /pmc/articles/PMC7356532/ /pubmed/32545583 http://dx.doi.org/10.3390/jcm9061837 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rodríguez-Huguet, Manuel
Góngora-Rodríguez, Jorge
Rodríguez-Huguet, Pablo
Ibañez-Vera, Alfonso Javier
Rodríguez-Almagro, Daniel
Martín-Valero, Rocío
Díaz-Fernández, Ángeles
Lomas-Vega, Rafael
Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title_full Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title_fullStr Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title_full_unstemmed Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title_short Effectiveness of Percutaneous Electrolysis in Supraspinatus Tendinopathy: A Single-Blinded Randomized Controlled Trial
title_sort effectiveness of percutaneous electrolysis in supraspinatus tendinopathy: a single-blinded randomized controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356532/
https://www.ncbi.nlm.nih.gov/pubmed/32545583
http://dx.doi.org/10.3390/jcm9061837
work_keys_str_mv AT rodriguezhuguetmanuel effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT gongorarodriguezjorge effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT rodriguezhuguetpablo effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT ibanezveraalfonsojavier effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT rodriguezalmagrodaniel effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT martinvalerorocio effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT diazfernandezangeles effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial
AT lomasvegarafael effectivenessofpercutaneouselectrolysisinsupraspinatustendinopathyasingleblindedrandomizedcontrolledtrial