Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy. A Single-blinded Randomized Clinical Trial

Jorge Góngora-Rodríguez
ORCID logo ,
Miguel Ángel Rosety-Rodríguez
* ORCID logo ,
Daniel Rodríguez-Almagro
ORCID logo ,
Rocío Martín-Valero
ORCID logo ,
Pablo Góngora-Rodríguez
ORCID logo ,
Manuel Rodríguez-Huguet
ORCID logo
Version 1 : Received: 6 March 2024 / Approved: 7 March 2024 / Online: 7 March 2024 (07:34:56 CET)

A peer-reviewed article of this Preprint also exists.

Góngora-Rodríguez, J.; Rosety-Rodríguez, M.Á.; Rodríguez-Almagro, D.; Martín-Valero, R.; Góngora-Rodríguez, P.; Rodríguez-Huguet, M. Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial. Biomedicines 2024, 12, 771. Góngora-Rodríguez, J.; Rosety-Rodríguez, M.Á.; Rodríguez-Almagro, D.; Martín-Valero, R.; Góngora-Rodríguez, P.; Rodríguez-Huguet, M. Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial. Biomedicines 2024, 12, 771.

Abstract

Shoulder tendinopathies produce pain and reduce functionality. The aim of this randomized clinical trial was to analyze the effects of Percutaneous electrolysis (PE), Percutaneous peripheral Nerve Stimulation (PNS) and eccentric exercise (EE), on pain (NPRS), strength, electromyographic activity, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and functionality (DASH and SPADI) on individuals with supraspinatus tendinopathy. Participants (n=50) were divided into two groups, they received 4 treatment sessions, one per week, of PE and PNS (n=25) or 10 treatment sessions of TENS and US (n=25). Both groups performed EE program consisted of 3 sets of 10 repetitions of each of the 3 exercises, twice a day, during the 4 weeks. Follow-up was carried out at 4, 12 and 24 weeks after the start of the intervention. There are statistically significant differences in the analysis between groups (p<0.001) in the post-treatment and follow-up measurements favorable to the PE+PNS+EE treatment on pain (NPRS), strength, supraspinatus electromyographic amplitude, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and DASH and SPADI questionnaires. The combined treatment PE, PNS and EE is an effective option in the clinical management of tendinopathies, with positive results in the short and long term on the variables studied.

Keywords

percutaneous electrolysis; peripheral nerve stimulation; physical therapy; shoulder pain; supraspinatus tendinopathy; ultrasonography.

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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