Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature

Objective To review the current scientific evidence for the clinical use of percutaneous needle electrolysis (PNE) in musculoskeletal conditions. Methods A systematic electronic search was performed in biomedical databases. Only clinical studies on human subjects using PNE on musculoskeletal patholo...

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Autores: Martínez Silván, Daniel, Santomé Martinez, Francisco, Champón-Chekroun, Angélica María, Velázquez Saornil, Jorge, Gómez-Merino, Sergio, Cos-Morera, Miquel Angel, Morral, Antoni, Mascaró-Vilella, Alfons, Ricis-Guerra, Manuel, García-Bol, Fernando, Posada-Franco, Víctor, Sebastiá, Vicente, Cano-Herrera, Carlos, Ramírez-Parenteau, Christophe
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Ramon Llull (URL)
Repositorio:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dau.url.edu:20.500.14342/3975
Acceso en línea:http://hdl.handle.net/20.500.14342/3975
https://doi.org/10.1016/j.apunsm.2022.100396
Access Level:acceso abierto
Palabra clave:Electròlisi percutània
Aparell locomotor -- Ferides i lesions
Ressenyes sistemàtiques (Investigació mèdica)
615
616.7
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spelling Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literatureMartínez Silván, DanielSantomé Martinez, FranciscoChampón-Chekroun, Angélica MaríaVelázquez Saornil, JorgeGómez-Merino, SergioCos-Morera, Miquel AngelMorral, AntoniMascaró-Vilella, AlfonsRicis-Guerra, ManuelGarcía-Bol, FernandoPosada-Franco, VíctorSebastiá, VicenteCano-Herrera, CarlosRamírez-Parenteau, ChristopheElectròlisi percutàniaAparell locomotor -- Ferides i lesionsRessenyes sistemàtiques (Investigació mèdica)615616.7Objective To review the current scientific evidence for the clinical use of percutaneous needle electrolysis (PNE) in musculoskeletal conditions. Methods A systematic electronic search was performed in biomedical databases. Only clinical studies on human subjects using PNE on musculoskeletal pathologies were included. Methodological quality and risk of bias were assessed using the methodological index for non-randomized studies (MINORS). Treatment protocols were described, and primary outcomes (pain, injury-related function, and tissue structure) were compared against other treatment modalities or control groups in short (<1 month), mid (1-3 months) and long term (>3 months). Results Twenty-one studies met eligibility criteria (14 comparative studies and 7 case series). Sixty-two percent were at moderate to high risk of bias. PNE was applied in a wide range of injury types (mostly tendon-related), and application protocols were heterogeneous in terms of dosage (intensity: 0.35-6mA; time: 9-90sec), frequency (from twice a week to once every 2 weeks) and treatment duration (1-10 weeks). PNE showed moderate effects on pain at short and mid-term compared to active exercise interventions alone and sham needling. There is limited evidence that PNE improves injury-related function compared to other treatment modalities and no evidence of tissue structure improvement after PNE application. Conclusion There is paucity of high-quality clinical studies about PNE in musculoskeletal conditions and lack of consensus about treatment indications and application protocols. Although a moderate effect on pain at short and mid-term has been documented, further research is needed.info:eu-repo/semantics/publishedVersionElsevierUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2024202420222022info:eu-repo/semantics/article15 p.application/pdfhttp://hdl.handle.net/20.500.14342/3975https://doi.org/10.1016/j.apunsm.2022.100396reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésApunts: medicina de l'esport, 2022, 57(216): 100396© Consell Català de l'Esport i Futbol Club BarcelonaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dau.url.edu:20.500.14342/39752026-06-21T06:40:37Z
dc.title.none.fl_str_mv Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
title Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
spellingShingle Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
Martínez Silván, Daniel
Electròlisi percutània
Aparell locomotor -- Ferides i lesions
Ressenyes sistemàtiques (Investigació mèdica)
615
616.7
title_short Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
title_full Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
title_fullStr Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
title_full_unstemmed Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
title_sort Clinical use of percutaneous needle electrolysis in musculoskeletal injuries: a critical and systematic review of the literature
dc.creator.none.fl_str_mv Martínez Silván, Daniel
Santomé Martinez, Francisco
Champón-Chekroun, Angélica María
Velázquez Saornil, Jorge
Gómez-Merino, Sergio
Cos-Morera, Miquel Angel
Morral, Antoni
Mascaró-Vilella, Alfons
Ricis-Guerra, Manuel
García-Bol, Fernando
Posada-Franco, Víctor
Sebastiá, Vicente
Cano-Herrera, Carlos
Ramírez-Parenteau, Christophe
author Martínez Silván, Daniel
author_facet Martínez Silván, Daniel
Santomé Martinez, Francisco
Champón-Chekroun, Angélica María
Velázquez Saornil, Jorge
Gómez-Merino, Sergio
Cos-Morera, Miquel Angel
Morral, Antoni
Mascaró-Vilella, Alfons
Ricis-Guerra, Manuel
García-Bol, Fernando
Posada-Franco, Víctor
Sebastiá, Vicente
Cano-Herrera, Carlos
Ramírez-Parenteau, Christophe
author_role author
author2 Santomé Martinez, Francisco
Champón-Chekroun, Angélica María
Velázquez Saornil, Jorge
Gómez-Merino, Sergio
Cos-Morera, Miquel Angel
Morral, Antoni
Mascaró-Vilella, Alfons
Ricis-Guerra, Manuel
García-Bol, Fernando
Posada-Franco, Víctor
Sebastiá, Vicente
Cano-Herrera, Carlos
Ramírez-Parenteau, Christophe
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Electròlisi percutània
Aparell locomotor -- Ferides i lesions
Ressenyes sistemàtiques (Investigació mèdica)
615
616.7
topic Electròlisi percutània
Aparell locomotor -- Ferides i lesions
Ressenyes sistemàtiques (Investigació mèdica)
615
616.7
description Objective To review the current scientific evidence for the clinical use of percutaneous needle electrolysis (PNE) in musculoskeletal conditions. Methods A systematic electronic search was performed in biomedical databases. Only clinical studies on human subjects using PNE on musculoskeletal pathologies were included. Methodological quality and risk of bias were assessed using the methodological index for non-randomized studies (MINORS). Treatment protocols were described, and primary outcomes (pain, injury-related function, and tissue structure) were compared against other treatment modalities or control groups in short (<1 month), mid (1-3 months) and long term (>3 months). Results Twenty-one studies met eligibility criteria (14 comparative studies and 7 case series). Sixty-two percent were at moderate to high risk of bias. PNE was applied in a wide range of injury types (mostly tendon-related), and application protocols were heterogeneous in terms of dosage (intensity: 0.35-6mA; time: 9-90sec), frequency (from twice a week to once every 2 weeks) and treatment duration (1-10 weeks). PNE showed moderate effects on pain at short and mid-term compared to active exercise interventions alone and sham needling. There is limited evidence that PNE improves injury-related function compared to other treatment modalities and no evidence of tissue structure improvement after PNE application. Conclusion There is paucity of high-quality clinical studies about PNE in musculoskeletal conditions and lack of consensus about treatment indications and application protocols. Although a moderate effect on pain at short and mid-term has been documented, further research is needed.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/3975
https://doi.org/10.1016/j.apunsm.2022.100396
url http://hdl.handle.net/20.500.14342/3975
https://doi.org/10.1016/j.apunsm.2022.100396
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Apunts: medicina de l'esport, 2022, 57(216): 100396
dc.rights.none.fl_str_mv © Consell Català de l'Esport i Futbol Club Barcelona
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © Consell Català de l'Esport i Futbol Club Barcelona
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 15 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869424300767838208
score 15.300719

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