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Ultrasound-Guided Percutaneous Neuromodulation in Patients with Chronic Lateral Epicondylalgia : A Pilot Randomized Clinical Trial

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Ultrasound-Guided Percutaneous Neuromodulation in Patients with Chronic Lateral Epicondylalgia : A Pilot Randomized Clinical Trial

dc.contributor.author	De la Cruz Torres, Blanca
dc.contributor.author	Abuín Porras, Vanesa
dc.contributor.author	Navarro Flores, Emmanuel
dc.contributor.author	Calvo Lobo, César
dc.contributor.author	Romero Morales, Carlos
dc.date.accessioned	2022-02-14T17:07:55Z
dc.date.available	2022-02-14T17:07:55Z
dc.date.issued	2021
dc.identifier.citation	De la Cruz Torres, Blanca Abuín Porras, Vanesa Navarro Flores, Emmanuel Calvo Lobo, César Romero Morales, Carlos 2021 Ultrasound-Guided Percutaneous Neuromodulation in Patients with Chronic Lateral Epicondylalgia : A Pilot Randomized Clinical Trial International Journal Of Environmental Research And Public Health, vol. 18, n. 9, pp. 1-10.
dc.identifier.uri	https://hdl.handle.net/10550/81606
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.
dc.language.iso	eng
dc.relation.ispartof	International Journal Of Environmental Research And Public Health, 2021
dc.subject	Rehabilitació
dc.subject	Sistema nerviós Malalties
dc.title	Ultrasound-Guided Percutaneous Neuromodulation in Patients with Chronic Lateral Epicondylalgia : A Pilot Randomized Clinical Trial
dc.type	journal article	es_ES
dc.date.updated	2022-02-14T17:07:55Z
dc.identifier.doi	10.3390/ijerph18094877
dc.identifier.idgrec	150281
dc.rights.accessRights	open access	es_ES