Current advances and novel research on minimal invasive techniques for musculoskeletal disorders

Romero‐Morales, Carlos; Bravo-Aguilar, María; Abuín-Porras, Vanesa; Almazán-Polo, Jaime; Calvo‐Lobo, César; Martínez‐Jiménez, Eva María; López‐López, Daniel; Navarro‐Flores, Emmanuel

doi:10.1016/j.disamonth.2021.101210

Cited by 17 publications

(16 citation statements)

References 235 publications

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“…Indeed, DN may be one of the most useful and often-studied invasive physical therapy applications in musculoskeletal disorders of different body regions (included shoulder arm) and multiple soreness location disorders [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Blanco‐Díaz

Ruiz-Redondo

Escobio-Prieto

et al. 2022

Biology

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Our aim was to evaluate the effectiveness of dry needling (DN) combined with conventional physiotherapy in the recovery of patients with subacromial syndrome (SAS). A search was made of the main open access health science databases. The publication date was not limited for systematic reviews but was for randomized clinical trials (RCTs), which were limited to the last five years (from 2016) in English or in Spanish. Ninety-four studies were selected. In order to assess the quality of the studies, the JADAD scale or Oxford quality scoring system was used. A total of 402 patients were analyzed in all the studies in which the application of conventional physiotherapy was compared to the DN, either in a combination or in isolation. Improvements were obtained in pain intensity (Visual Analogic Scale—VAS), Range of Movement (ROM), Pressure Pain Threshold (PPT), functionality with Disabilities of the Arm, Shoulder and Hand (DASH) and the Shoulder Pain and Disability Index (SPADI), and in the cost–benefit ratio. DN is effective and safe in reducing the pain and disability produced by SAS, with the best combination of treatment turning out to be conventional physiotherapy together with DN, obtaining more stable and longer-lasting benefits than merely applying the techniques in isolation.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

Blanco‐Díaz

Ruiz-Redondo

Escobio-Prieto

et al. 2022

Biology

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“…ESWT treatment is widely studied, but the biomechanical mechanisms of pain reduction are still uncertain. SW might stimulate tissue regeneration and neovascularization; they modulate pain transmission by acting on the levels of substance P, destruct unmyelinated nerve fibers and also have a role on destroying calcifications in tendons [18,41]. Therapy might need up to 16 weeks to actualize these biomechanical modifications [43][44][45].…”

Section: Effects On Painmentioning

confidence: 99%

“…We have two modalities of SW therapy: focused shockwave (FSW) and radial shockwave (RSW). FSW is documented as a possible alternative to the surgical approach: it focuses on a small area (2 to 8 mm) and penetrates at a selected depth, having effects that depend on the energy delivered to the focal area; that is why it is important to know the energy flux density (EFD), which is considered the "dose" of SW administered [17,18].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Instrumental Physical Therapy through Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis: An Umbrella Review

et al. 2022

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(1) Background: Plantar fasciitis (PF) is the most common cause of heel pain in adults. Extracorporeal shockwave therapy (ESWT) is a minimally invasive treatments commonly used for treating PF. Our aim is to provide a complete overview of which treatments have been compared to ESWT, with a focus on the modalities that have been used. (2) Methods: A thorough search of the literature was performed on Medline via Pubmed, Cochrane Database of Systematic Reviews (CDSR) of the Cochrane Library and Physiotherapy Evidence Databases (PEDro) up to 18 November 2021. In the study were included only systematic reviews and meta-analysis in English language, published from 2010 to date. (3) Results: A total of 14 systematic reviews and meta-analysis were included in the umbrella review. A total of eight studies compared the efficacy of ESWT treatment with placebo, three studies compared ESWT with another therapy (two studies compared ESWT and corticosteroids, one study ESWT and ultrasound therapy), and three studies had more than one comparison. (4) Conclusions: When compared to placebo, ESWT demonstrated to be effective. More randomized trials with specific comparisons between different types and intensity of SW are needed to obtain more precise information on SW effectiveness.

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“…In recent years, physical therapists and medical specialists have used Ultrasound-guided electrolysis (USGET). This technique produces a non-thermal electrolytic ablation that induces a controlled inflammatory response, allowing the activation of cellular mechanisms involved in phagocytosis and regeneration of damaged soft tissue [ 14 , 15 ]. USGET technique is a recovery method to improve performance.…”

Section: Introductionmentioning

confidence: 99%

Protective action of ultrasound-guided electrolysis technique on the muscle damage induced by notexin in rats

et al. 2022

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It is known that exercise can be one of the causes of muscular damage. In recent times, physiotherapists and medical professionals have been employing USGET techniques to stimulate muscle recovery to improve its performance after the injury. We pretend to analyse if the Ultrasound-guided electrolysis (USGET) technique could reduce muscle damage, inflammation, and pain in the present study. Female Wistar rats were assigned to one of three different groups: control (C), notexin (NOT) and notexin with USGET (electrolysis at 6mA) (NOT+USGET). We used the USGT technique, based on electrical stimulation with a continuous current of 4 pulses at an intensity of 6 mA for 5 seconds, conveyed to the muscle. The response was tested with motor function tests. In these tests, we could observe an increase in time and foot faults when crossing a beam in the NOT group compared to C group rats. On the other hand, a significant decrease in both variables was detected in the NOT+USGET compared to the NOT group. Muscle power was measured with a grip strength test, obtaining far better performances in NOT+USGET rats when compared to NOT rats. Moreover, the USGET technique prevented the increase of pro-inflammatory proteins IL-6 and chemokines CCL3 (Chemokine (C-C motif) ligand 3), CCL4 (Chemokine (C-C motif) ligand 4), and CCL5 (Chemokine (C-C motif) ligand 5) with their receptor CCR5 (C-C chemokine receptor type 5), induced by notexin in the quadriceps. At the same time, the study evidenced a decrease in both CCR8 (C-C chemokine receptor type 5,) and NF-ᴋB (nuclear factor- ᴋB) expressions after USGET treatment. On the other hand, we obtained evidence that demonstrated anti-inflammatory properties of the USGET technique, thus being the increase in IL-10 (Interleukin 10) and IL-13 (Interleukin 13) in the NOT+USGET group compared to the NOT group. Furthermore, when applying NSGET after damage, an increase in anti-inflammatory mediators and reduction of pro-inflammatory mediators, which, overall, promoted muscle regeneration, was observed. These results support the idea that the NSGET technique improves muscle recovery after toxic damages, which would justify its employment.

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Current advances and novel research on minimal invasive techniques for musculoskeletal disorders

Cited by 17 publications

References 235 publications

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

A Systematic Review of the Effectiveness of Dry Needling in Subacromial Syndrome

The Efficacy of Instrumental Physical Therapy through Extracorporeal Shock Wave Therapy in the Treatment of Plantar Fasciitis: An Umbrella Review

Protective action of ultrasound-guided electrolysis technique on the muscle damage induced by notexin in rats

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