Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis in the treatment of lateral epicondylalgia : A single-blind randomized controlled trial

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of hand therapy : official journal of the American Society of Hand Therapists - (2024) vom: 06. März

Sprache:

Englisch

Beteiligte Personen:

Rodríguez-Huguet, Manuel [VerfasserIn]
Rodríguez-Almagro, Daniel [VerfasserIn]
Rosety-Rodríguez, Miguel Angel [VerfasserIn]
Vinolo-Gil, Maria Jesus [VerfasserIn]
Molina-Jiménez, Javier [VerfasserIn]
Góngora-Rodríguez, Jorge [VerfasserIn]

Links:

Volltext

Themen:

Elbow tendinopathy
Journal Article
Lateral epicondylalgia
Negative pressure
Percutaneous electrolysis
Vacuum therapy

Anmerkungen:

Date Revised 07.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.jht.2024.02.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369433173