Immediate effects of percutaneous electrical nerve stimulation in patients with lateral elbow pain.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2024-12-01 Epub Date: 2023-12-26 DOI:10.1080/09593985.2023.2296063

Daniel Albert-Lucena, Marcos José Navarro-Santana, Ibai López-de-Uralde-Villanueva, María José Díaz-Arribas, Juan Antonio Valera-Calero, César Fernández-de-Las-Peñas, Gustavo Plaza-Manzano

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Abstract

Introduction: Ultrasound guided-percutaneous electrical nerve stimulation appears to be effective in the treatment of chronic musculoskeletal pain.

Objective: To investigate the immediate effects of one session of percutaneous electrical nerve stimulation on the radial nerve in patients with lateral elbow pain.

Methods: A randomized clinical trial was conducted. Sixty patients with chronic lateral elbow pain were allocated into real-percutaneous electrical nerve stimulation (n = 30) or sham-percutaneous electrical nerve stimulation (n = 30) where the patients received one-single session of the real or sham percutaneous stimulation on the radial nerve, respectively. Pressure pain thresholds, pain intensity, pain-free grip strength, and the self-perceived improvement were evaluated after the intervention.

Results: Significant differences between groups for pain intensity (-11.55, 95% CI -21.79 to -1.30, p < .028), but not for pressure pain threshold or pain-free grip strength, were found. Patients receiving real-percutaneous stimulation had significant improvement in pain-free grip strength on the treated side. The proportion of individuals reporting moderate to large self-perceived improvement (≥4) was significantly higher (p = .026) after real-percutaneous stimulation than after sham-percutaneous stimulation.

Conclusion: A single session of real-percutaneous electrical nerve stimulation targeting the radial nerve in subjects with lateral elbow pain decreased pain intensity between groups and increased pain-free grip strength on the treated side but not between groups.

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经皮神经电刺激对肘关节外侧疼痛患者的立竿见影效果。

简介：超声引导下的经皮神经电刺激治疗慢性肌肉骨骼疼痛似乎很有效：超声引导下的经皮神经电刺激治疗慢性肌肉骨骼疼痛似乎很有效：研究肘外侧疼痛患者接受一次经皮神经电刺激后对桡神经的直接影响：方法：进行随机临床试验。60 名慢性肘外侧疼痛患者被分配到真性经皮神经电刺激（30 人）或假性经皮神经电刺激（30 人），患者分别接受一次真性或假性桡神经经皮刺激。干预后对患者的压痛阈值、疼痛强度、无痛握力和自我感觉改善情况进行评估：结果：真经皮刺激后的疼痛强度（-11.55，95% CI -21.79至-1.30，p p = .026）与假经皮刺激后的疼痛强度相比，组间差异显著：结论：对患有肘外侧疼痛的受试者进行针对桡神经的单次真皮经皮神经电刺激可降低组间疼痛强度，增加治疗侧的无痛握力，但组间差异不大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.