Percutaneous Electrolysis (EPI®), a Promising Technology in the Treatment of Insertional Patellar Tendinopathy in Soccer Players

Calderón-Díez, Laura; Sánchez-Sánchez, José; Sánchez-Ibáñez, Jose Manuel; Belón-Pérez, Pedro

doi:10.1007/978-3-031-22356-3_3

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…PE produces a localized inflammatory response on the injured tendon, thus initiating the repair mechanisms [57], thanks to the mechanical stimulus, the modification of the pH [58] and the activation of the NLRP3 inflammasome that promotes collagen synthesis [59,60] and matrix remodeling [61]. In addition, PNS causes stimulation of Aβ nerve fibers, which blocks nociceptive information from the Aδ and C fibers [14,62].…”

Section: Discussionmentioning

confidence: 99%

Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial

Góngora-Rodríguez,

Rosety-Rodríguez,

Rodríguez-Almagro

et al. 2024

Biomedicines

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Shoulder tendinopathies produce pain and reduce functionality. The aim of this randomized clinical trial was to analyze the effects of Percutaneous electrolysis (PE), Percutaneous peripheral Nerve Stimulation (PNS) and eccentric exercise (EE) on pain (NPRS), strength, electromyographic activity, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and functionality (DASH and SPADI) in individuals with supraspinatus tendinopathy. Participants (n = 50) were divided into two groups; they received 4 treatment sessions, 1 per week, of PE and PNS (n = 25) or 10 treatment sessions of TENS and US (n = 25). Both groups performed the EE program consisting of 3 sets of 10 repetitions of each of the 3 exercises, twice a day, during the 4 weeks. Follow-up was carried out at 4, 12 and 24 weeks after the start of the intervention. There are statistically significant differences in the analysis between groups (p < 0.001) in the post-treatment and follow-up measurements favorable to the PE+PNS+EE treatment on pain (NPRS), strength, supraspinatus electromyographic amplitude, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and DASH and SPADI questionnaires. The combined treatment with PE, PNS and EE is an effective option in the clinical management of tendinopathies, with positive results in the short and long term on the variables studied.

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