Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis in the treatment of lateral epicondylalgia: A single-blind randomized controlled trial.
Manuel Rodríguez-Huguet, Daniel Rodríguez-Almagro, Miguel Angel Rosety-Rodríguez, Maria Jesus Vinolo-Gil, Javier Molina-Jiménez, Jorge Góngora-Rodríguez
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引用次数: 0
Abstract
Background: Lateral Epicondylalgia (LE) represents one of the most common injuries of the upper limb. It is necessary to find effective treatments that reduce pain and increase functionality.
Purpose: To determine the effects of an integrated intervention of Pulsed Negative Pressure Myofascial Vacuum Therapy (VT), Percutaneous Electrolysis (PE) and eccentric exercise (EE) in the treatment of LE compared versus Manual Therapy soft tissue mobilization (MT) and Ultrasound therapy (US) and EE.
Study design: Single-blind randomized controlled trial.
Methods: Forty participants, with unilateral LE, were randomly divided into two groups: VT + PE + EE group (n = 20) and MT + US + EE group (n = 20). The VT + PE + EE group received one weekly session for four weeks and a regimen of EE daily at-home, and the MT + US + EE group received 10 sessions over a period of two weeks and a regimen of EE daily at-home. Numerical pain rating scale (NPRS), range of motion (ROM) pressure pain threshold (PPT) and function (PRTEE questionnaire) were measured before treatment, at the end of treatment, and at one- and three-month follow-ups.
Results: The statistically significant improvements were found post-treatment, favoring the VT + PE group in pain intensity (p < 0.001; ES = 0.408), PRTEE-S Pain (p = 0.001; ES = 0.377), PRTEE-S Specific function (p = 0.004; ES = 0.306) and PRTEE-S Total (p = 0.001; ES = 0.355). The VT + PE + EE treatment showed greater effectiveness than the MT + US + EE treatment at immediate post-treatment, as well as at the one-month and three-months follow-up.
Conclusions: VT and PE added to an EE program could be an effective treatment for pain, ROM, PPT, and function in patients with LE.
背景：外侧上髁痛（LE）是上肢最常见的损伤之一。目的：确定脉冲负压肌筋膜真空疗法（VT）、经皮电解法（PE）和偏心运动（EE）综合干预与手法治疗软组织动员（MT）、超声波疗法（US）和偏心运动（EE）治疗外侧髁痛的效果：研究设计：单盲随机对照试验：研究设计：单盲随机对照试验：VT + PE + EE组（n = 20）和MT + US + EE组（n = 20）。VT+PE+EE组每周接受一次治疗，为期四周，每天在家进行EE治疗；MT+US+EE组每周接受10次治疗，为期两周，每天在家进行EE治疗。分别在治疗前、治疗结束时、治疗后一个月和三个月的随访中测量了数字疼痛评分量表（NPRS）、活动范围（ROM）、压力痛阈值（PPT）和功能（PRTEE问卷）：结果：治疗后，VT + PE 组的疼痛强度有明显改善（P＜0.05）：在 EE 计划中加入 VT 和 PE 可有效治疗 LE 患者的疼痛、活动度、PPT 和功能。
期刊介绍：
The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.
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