Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial
Few studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach—trigger point dry needling (TDN)—in patients with LE. A randomized...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-07-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/9/7/2068 |
| _version_ | 1797563561153658880 |
|---|---|
| author | Manuel Rodríguez-Huguet Jorge Góngora-Rodríguez Rafael Lomas-Vega Rocío Martín-Valero Ángeles Díaz-Fernández Esteban Obrero-Gaitán Alfonso Javier Ibáñez-Vera Daniel Rodríguez-Almagro |
| author_facet | Manuel Rodríguez-Huguet Jorge Góngora-Rodríguez Rafael Lomas-Vega Rocío Martín-Valero Ángeles Díaz-Fernández Esteban Obrero-Gaitán Alfonso Javier Ibáñez-Vera Daniel Rodríguez-Almagro |
| author_sort | Manuel Rodríguez-Huguet |
| collection | DOAJ |
| description | Few studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach—trigger point dry needling (TDN)—in patients with LE. A randomized controlled trial was conducted in which 32 participants with LE were randomly assigned to two treatment groups, the PE group (<i>n</i> = 16) and the TDN group (<i>n</i> = 16). Both groups received four therapy sessions and an eccentric exercise program to be performed daily. The numerical pain rating scale (NPRS), pressure pain thresholds (PPT), quality of life, and range of motion were measured before treatment, at the end of treatment, and at one- and three-month follow-ups. Significant between-group mean differences were found after treatment for NPRS (<i>p</i> < 0.001) and flexion movement (<i>p</i> = 0.006). At one-month follow-up, significant mean differences between groups were found for NPRS (<i>p</i> < 0.001), PPT (<i>p</i> = 0.021), and flexion (<i>p</i> = 0.036). At three-months follow-up, significant mean differences between groups were found for NPRS (<i>p</i> < 0.001), PPT (<i>p</i> = 0.004), and flexion (<i>p</i> = 0.003). This study provides evidence that PE could be more effective than TDN for short- and medium-term improvement of pain and PPTs in LE when added to an eccentric exercise program. |
| first_indexed | 2024-03-10T18:45:20Z |
| format | Article |
| id | doaj.art-39a1dff36b534484897fcbd6cbbb374f |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T18:45:20Z |
| publishDate | 2020-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-39a1dff36b534484897fcbd6cbbb374f2023-11-20T05:33:27ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0197206810.3390/jcm9072068Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled TrialManuel Rodríguez-Huguet0Jorge Góngora-Rodríguez1Rafael Lomas-Vega2Rocío Martín-Valero3Ángeles Díaz-Fernández4Esteban Obrero-Gaitán5Alfonso Javier Ibáñez-Vera6Daniel Rodríguez-Almagro7Department of Nursery and Physiotherapy, University of Cádiz, 11009 Cádiz, SpainPoliclínica Santa María Clinic, 11008 Cádiz, SpainDepartment of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaén, SpainDepartment of Physiotherapy, Faculty of Health Sciences, University of Málaga, 29071 Málaga, SpainDepartment of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaén, SpainDepartment of Health Sciences, University of Jaén, Campus las Lagunillas, 23071 Jaén, SpainFew studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach—trigger point dry needling (TDN)—in patients with LE. A randomized controlled trial was conducted in which 32 participants with LE were randomly assigned to two treatment groups, the PE group (<i>n</i> = 16) and the TDN group (<i>n</i> = 16). Both groups received four therapy sessions and an eccentric exercise program to be performed daily. The numerical pain rating scale (NPRS), pressure pain thresholds (PPT), quality of life, and range of motion were measured before treatment, at the end of treatment, and at one- and three-month follow-ups. Significant between-group mean differences were found after treatment for NPRS (<i>p</i> < 0.001) and flexion movement (<i>p</i> = 0.006). At one-month follow-up, significant mean differences between groups were found for NPRS (<i>p</i> < 0.001), PPT (<i>p</i> = 0.021), and flexion (<i>p</i> = 0.036). At three-months follow-up, significant mean differences between groups were found for NPRS (<i>p</i> < 0.001), PPT (<i>p</i> = 0.004), and flexion (<i>p</i> = 0.003). This study provides evidence that PE could be more effective than TDN for short- and medium-term improvement of pain and PPTs in LE when added to an eccentric exercise program.https://www.mdpi.com/2077-0383/9/7/2068electrolysiselbow tendinopathytennis elbowlateral epicondylitislateral epicondylalgiaphysical therapy |
| spellingShingle | Manuel Rodríguez-Huguet Jorge Góngora-Rodríguez Rafael Lomas-Vega Rocío Martín-Valero Ángeles Díaz-Fernández Esteban Obrero-Gaitán Alfonso Javier Ibáñez-Vera Daniel Rodríguez-Almagro Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial Journal of Clinical Medicine electrolysis elbow tendinopathy tennis elbow lateral epicondylitis lateral epicondylalgia physical therapy |
| title | Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial |
| title_full | Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial |
| title_fullStr | Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial |
| title_full_unstemmed | Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial |
| title_short | Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial |
| title_sort | percutaneous electrolysis in the treatment of lateral epicondylalgia a single blind randomized controlled trial |
| topic | electrolysis elbow tendinopathy tennis elbow lateral epicondylitis lateral epicondylalgia physical therapy |
| url | https://www.mdpi.com/2077-0383/9/7/2068 |
| work_keys_str_mv | AT manuelrodriguezhuguet percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT jorgegongorarodriguez percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT rafaellomasvega percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT rociomartinvalero percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT angelesdiazfernandez percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT estebanobrerogaitan percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT alfonsojavieribanezvera percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial AT danielrodriguezalmagro percutaneouselectrolysisinthetreatmentoflateralepicondylalgiaasingleblindrandomizedcontrolledtrial |