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

Abstract: 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 u...

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Detalles Bibliográficos
Autores: Rodríguez-Huguet, Manuel, Góngora-Rodríguez, Jorge, Rodríguez-Huguet, Pablo, Ibañez-Vera, Alfonso Javier, Rodríguez-Almagro, Daniel, Martín-Valero, Rocío, Díaz-Fernández, Angeles, Lomas-Vega, Rafael
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Ajuntament de Barcelona
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:dnet:ruja________::0196caeb5f393eef030f2cb345422ee8
Acceso en línea:https://doi.org/10.3390/jcm9061837
https://www.mdpi.com/2077-0383/9/6/1837
https://hdl.handle.net/10953/7700
Access Level:acceso abierto
Palabra clave:supraspinatus tendinopathy
percutaneous electrolysis
trigger point dry needling
shoulder pain
615.8
Descripción
Sumario:Abstract: 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.