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2016, Number 1

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Revista Cubana de Ortopedia y Traumatología 2016; 30 (1)

Results of the electrolysis percutaneous intratissue in the shoulder pain: infraspinatus, a randomized controlled trial

R-Moreno MD

Language: English
References: 15
Page: 76-87
PDF size: 265.91 Kb.


ABSTRACT

Background: The Electrolysis Percutaneous Intratissue (EPI®) is a novel technique that provokes a local inflammatory process, allowing the phagocytises and affected tissue to repair.
Objectives: The work is aimed to: a) verify the effectiveness of the EPI® when there is shoulder pain, b) locate where the EPI® should be applied, c) and find the possible interaction between the trigger points and the tendon pain.
Design: Randomized controlled trial.
Setting: Institute of Physiotherapy and Sports.
Method: A double randomized experimental longitudinal study was conducted on four groups of 10 people aged 34-47 years with pain in the shoulder. In the first study there were three intervention groups and a control group. In the second study, the group with the best results in the first study served as a control group.
Measurements: The variables measured were the perceived pain and the restriction for abduction, internal and external rotation.
Results: Although the three intervention groups improved respect to the control group when the EPI® was applied, the results show that the EPI® is more effective when it is applied in all detected trigger points and to tendon pain.
Conclusions: The EPI® is more effective if applied in the infraspinatus muscle and the tendon than applied only to one of the two structures, when both structures have pain.
Limitations: The study could have tested the involvement of different structures and its related biomechanical implications. It could have also considered more variables.


REFERENCES

  1. Stoller DW. MRI, Arthroscopy, and Surgical Anatomy of the Joints. Philadelphia: Lippincott-Raven; 1999. ISBN-13: 978-0781715805.

  2. Cook JL, Purdam CR. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sport Med. 2009;43:409-16.

  3. Khan KM, Cook JL, Kannus P, Maffulli N, Bonar SF. Time to abandon the "tendinitis" myth. BMJ. 2002;324:626-7.

  4. Fu SC, Rolf C, Cheuk YC, Lui PP, Chan KM. Deciphering the pathogenesis of tendinopathy: a three-stages process. Sports Med Arthros Rehabil Ther Technol. 2010 Dec 13;2:30. doi: 10.1186/1758-2555-2-30.

  5. Shah JP, Phillips TM, Danoff JV, Gerber LH. An in vivo microanalytical technique for measuring the local biochemical milieu of human skeletal muscle. J Appl Physiol. 2005;99:1977-84.

  6. Valera-Garrido F, Minaya-Muñoz F, Sánchez-Ibáñez JM, García-Palencia P, Valderrama-Canales F, Medina-Mirapeix F, et al. Comparison of the acute inflammatory response and proliferation of dry needling and Electrolysis Percutaneous Intratissue (EPI) in healthy rat Achilles tendons. Br J Sports Med. 2013;47:32. doi: 10.1136/bjsports-2013-092459.56

  7. Valera-Garrido F, Minaya-Muñoz F, Sánchez-Ibáñez JM, Medina-Mirapeix F, Polidori F. Short- and long-term outcomes of electrolysis percutaneous intratissue (EPI) in chronic lateral elbow epicondylitis. Br J Sports Med. 2013;47:3. DOI:10.1136/bjsports-2013-092459.38

  8. Maffulli N, Longo UG. Conservative management for tendinopathy; is there enough scientific evidence? Rheumatology. 2008;47:390-1.

  9. Fredberg U, Bolvig L. Jumper´s knee. Review of the literature. Scand J Med Sci Sports. 1999;9:66-73.

  10. Peers KH1, Lysens RJ. Pattelar tendinopathy in athletes; current diagnostic and therapeutic recommendations. Sports Med. 2005;35:71-87.

  11. Huttenlocher A, Horwitz AR. Wound healing with healing with electrical potential. N Engl J Med. 2007;356:303-4.

  12. Jaffe LF, Vanable JW Jr. Electric fields and wound healing. Clin Dermatol. 1984;2:34-44.

  13. Cheng N, Van Hoof H, Bockx E, Hoogmartens MJ, Mulier JC, De Dijcker FJ, et al. The effects of electric currents on ATP generation, protein synthesis and membrane transport of rat skin. Clin Orthop Relat Res. 1982;(171):264-72.

  14. Bourguignon GJ, Jy W, Bourguignon LYW. Electric stimulation of human fibroblasts causes an increase in Ca2+ influx and the exposure of additional insulin in receptors. J Cell Physiol. 1989;379-85.

  15. Hancock M, Herbert RD, Maher CG. A guide to interpretation of studies investigating subgroups of responders to physical therapy interventions. Phys Ther. 2009;89(7):698-704. doi: 10.2522/ptj.20080351.




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