dc.creator | Cruz Torres, Blanca de la | es |
dc.creator | Abuín Porras, Vanesa | es |
dc.creator | Navarro Flores, Emmanuel | es |
dc.creator | Calvo Lobo, César | es |
dc.creator | Romero Morales, Carlos | es |
dc.date.accessioned | 2021-07-13T10:24:52Z | |
dc.date.available | 2021-07-13T10:24:52Z | |
dc.date.issued | 2021-05-03 | |
dc.identifier.citation | Cruz Torres, B.d.l., Abuín Porras, V., Navarro Flores, E., Calvo Lobo, C. y Romero Morales, C. (2021). Ultrasound-guided percutaneous neuromodulation in patients with chronic lateral epicondylalgia: a pilot randomized clinical trial. International journal of environmental research and public health, 18 (9) | |
dc.identifier.issn | 1661-7827 | es |
dc.identifier.issn | 1660-4601(electrónico) | es |
dc.identifier.uri | https://hdl.handle.net/11441/116054 | |
dc.description.abstract | Objective: The aim was to analyze effects of a percutaneous neuromodulation (PNM)
treatment on the radial nerve, regarding pain, functionality, electrophysiologic excitability, and
morphology, in patients with chronic lateral epicondylalgia (LE). Methods: Twenty-four patients
with chronic unilateral elbow pain were recruited for this preliminary study and were divided into
two groups: control (n = 12) and PNM group (n = 12). The subjects in the PNM group received
percutaneous peripheral neurostimulation with an acupuncture needle that was located next to
the nerve with ultrasound guidance. Pain using a numerical rating scale (NRS), functional ability
using patient-rated tennis elbow evaluation (PRTEE), radial nerve cross-sectional area measured
by ultrasound, and chronaxie and accommodation index (AI) measured by the strength–duration
curve were evaluated. Results: Both groups showed no differences in the baseline measurements (all
p = 0.001). However, at the end of the treatment, there were significant differences between groups
since only the PNM group significantly improved their values compared to their baseline values:
level of pain and cross-sectional area (CSA) values showed a significant decrease while the PRTEE
scores showed a significant improvement. Then, regarding AI, the PNM group showed significant
improvement for the electrophysiologic nerve excitability pattern, reporting normal function in all
radial nerves after treatment (p = 0.001). However, chronaxie values always reported similar values
with no differences between groups (p >0.05); Conclusion: Ultrasound-PNM technique may be an
interesting therapeutic tool for the treatment of chronic LE due to the improvement in the level of
pain, functionality, nerve morphology, and excitability in this population. | es |
dc.format | application/pdf | es |
dc.format.extent | 10 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | International journal of environmental research and public health, 18 (9) | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Lateral epicondylalgia | es |
dc.subject | Radial nerve | es |
dc.subject | Ultrasound | es |
dc.subject | Chronic pain | es |
dc.subject | Neuromodulation | es |
dc.subject | Percutaneous nerve stimulation | es |
dc.subject | Rehabilitation | es |
dc.title | Ultrasound-guided percutaneous neuromodulation in patients with chronic lateral epicondylalgia: a pilot randomized clinical trial | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.relation.publisherversion | https://www.mdpi.com/journal/ijerph | es |
dc.identifier.doi | 10.3390/ijerph18094877 | es |
dc.journaltitle | International journal of environmental research and public health | es |
dc.publication.volumen | 18 | es |
dc.publication.issue | 9 | es |