Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial

Objective. To compare effects of ultrasound- (US-) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome. Methods. Thirty-six patients were randomized and assigned into US-guided percutaneous electrolysis ( n = 17 ) grou...

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Published in:Evidence-based complementary and alternative medicine 2015-01, Vol.2015 (2015), p.1-9
Main Authors: Atín-Arratibel, María A., Salom-Moreno, Jaime, Valero-Alcaide, Raquel, Truyols-Domínguez, Sebastián, Arias-Buría, José L., Fernández-de-las-Peñas, César
Format: Article
Language:English
Subjects:
Acupuncture
Clinical trials
Electrolysis
Exercise
Intervention
Manipulative therapy
NMR
Nuclear magnetic resonance
Pain management
Pathology
Placebo effect
Shoulder
Studies
Ultrasonic imaging
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cited_by cdi_FETCH-LOGICAL-c528t-5ef916649316187f89327370caca0758ae2796b2a7960d41d36d8e5406f363d43
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container_issue 2015
container_start_page 1
container_title Evidence-based complementary and alternative medicine
container_volume 2015
creator Atín-Arratibel, María A.
Salom-Moreno, Jaime
Valero-Alcaide, Raquel
Truyols-Domínguez, Sebastián
Arias-Buría, José L.
Fernández-de-las-Peñas, César
description Objective. To compare effects of ultrasound- (US-) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome. Methods. Thirty-six patients were randomized and assigned into US-guided percutaneous electrolysis ( n = 17 ) group or exercise ( n = 19 ) group. Patients were asked to perform an eccentric exercise program of the rotator cuff muscles twice every day for 4 weeks. Participants assigned to US-guided percutaneous electrolysis group also received the application of galvanic current through acupuncture needle on each session once a week (total 4 sessions). Shoulder pain (NPRS) and disability (DASH) were assessed at baseline, after 2 sessions, and 1 week after the last session. Results. The ANOVA revealed significant Group ∗ Time interactions for shoulder pain and disability (all, P < 0.01 ): individuals receiving US-guided percutaneous electrolysis combined with the eccentric exercises experienced greater improvement than those receiving eccentric exercise alone. Conclusions. US-guided percutaneous electrolysis combined with eccentric exercises resulted in small better outcomes at short term compared to when only eccentric exercises were applied in subacromial pain syndrome. The effect was statistically and clinically significant for shoulder pain but below minimal clinical difference for function. Future studies should investigate the long-term effects and potential placebo effect of this intervention.
doi_str_mv 10.1155/2015/315219
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To compare effects of ultrasound- (US-) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome. Methods. Thirty-six patients were randomized and assigned into US-guided percutaneous electrolysis ( n = 17 ) group or exercise ( n = 19 ) group. Patients were asked to perform an eccentric exercise program of the rotator cuff muscles twice every day for 4 weeks. Participants assigned to US-guided percutaneous electrolysis group also received the application of galvanic current through acupuncture needle on each session once a week (total 4 sessions). Shoulder pain (NPRS) and disability (DASH) were assessed at baseline, after 2 sessions, and 1 week after the last session. Results. The ANOVA revealed significant Group ∗ Time interactions for shoulder pain and disability (all, P &lt; 0.01 ): individuals receiving US-guided percutaneous electrolysis combined with the eccentric exercises experienced greater improvement than those receiving eccentric exercise alone. Conclusions. US-guided percutaneous electrolysis combined with eccentric exercises resulted in small better outcomes at short term compared to when only eccentric exercises were applied in subacromial pain syndrome. The effect was statistically and clinically significant for shoulder pain but below minimal clinical difference for function. Future studies should investigate the long-term effects and potential placebo effect of this intervention.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2015/315219</identifier><identifier>PMID: 26649058</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acupuncture ; Clinical trials ; Electrolysis ; Exercise ; Intervention ; Manipulative therapy ; NMR ; Nuclear magnetic resonance ; Pain management ; Pathology ; Placebo effect ; Shoulder ; Studies ; Ultrasonic imaging</subject><ispartof>Evidence-based complementary and alternative medicine, 2015-01, Vol.2015 (2015), p.1-9</ispartof><rights>Copyright © 2015 José L. Arias-Buría et al.</rights><rights>COPYRIGHT 2015 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2015 Jose L. Arias-Buria et al. 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.</rights><rights>Copyright © 2015 José L. Arias-Buría et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-5ef916649316187f89327370caca0758ae2796b2a7960d41d36d8e5406f363d43</citedby><cites>FETCH-LOGICAL-c528t-5ef916649316187f89327370caca0758ae2796b2a7960d41d36d8e5406f363d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1737445050/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1737445050?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,25753,27924,27925,37012,37013,44590,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26649058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Offenbaecher, Martin</contributor><creatorcontrib>Atín-Arratibel, María A.</creatorcontrib><creatorcontrib>Salom-Moreno, Jaime</creatorcontrib><creatorcontrib>Valero-Alcaide, Raquel</creatorcontrib><creatorcontrib>Truyols-Domínguez, Sebastián</creatorcontrib><creatorcontrib>Arias-Buría, José L.</creatorcontrib><creatorcontrib>Fernández-de-las-Peñas, César</creatorcontrib><title>Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Objective. To compare effects of ultrasound- (US-) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome. Methods. Thirty-six patients were randomized and assigned into US-guided percutaneous electrolysis ( n = 17 ) group or exercise ( n = 19 ) group. Patients were asked to perform an eccentric exercise program of the rotator cuff muscles twice every day for 4 weeks. Participants assigned to US-guided percutaneous electrolysis group also received the application of galvanic current through acupuncture needle on each session once a week (total 4 sessions). Shoulder pain (NPRS) and disability (DASH) were assessed at baseline, after 2 sessions, and 1 week after the last session. Results. 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The ANOVA revealed significant Group ∗ Time interactions for shoulder pain and disability (all, P &lt; 0.01 ): individuals receiving US-guided percutaneous electrolysis combined with the eccentric exercises experienced greater improvement than those receiving eccentric exercise alone. Conclusions. US-guided percutaneous electrolysis combined with eccentric exercises resulted in small better outcomes at short term compared to when only eccentric exercises were applied in subacromial pain syndrome. The effect was statistically and clinically significant for shoulder pain but below minimal clinical difference for function. Future studies should investigate the long-term effects and potential placebo effect of this intervention.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26649058</pmid><doi>10.1155/2015/315219</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Acupuncture
Clinical trials
Electrolysis
Exercise
Intervention
Manipulative therapy
NMR
Nuclear magnetic resonance
Pain management
Pathology
Placebo effect
Shoulder
Studies
Ultrasonic imaging
title Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial
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