The effect on handgrip strength of low‐frequency percutaneous electric stimulation applied to the median and cubital nerves: A randomized, double‐blind controlled trial

Álvarez, David Martín-Caro; Serrano-Muñóz, Diego; Fernández-Pérez, Juan José; Moreno, Jaime Salom; Gómez-Soriano, Julio; Avendaño‐Coy, Juan

doi:10.1002/ar.24887

Cited by 4 publications

(2 citation statements)

References 30 publications

(46 reference statements)

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“…The needles were connected to the electro-stimulator mimicking the experimental group, but in a different channel, so the light of the device was brightening, and the patient could hear the final whistle. This placebo method has been used in other studies with sham percutaneous stimulation [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial

Valenzuela-Rios,

Arias-Buría,

Rodríguez-Jiménez

et al. 2024

JCM

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Objective: Percutaneous electrical nerve stimulation (PENS) appears to be effective for the treatment of musculoskeletal pain. The aim of this trial was to investigate the effects on disability and pain, as well as on the psychological aspects of adding PENS into an exercise program in patients with subacromial pain syndrome. Methods: A randomized, parallel-group clinical trial was conducted. Sixty patients with subacromial pain were allocated into exercise alone (n = 20), exercise plus PENS (n = 20), or exercise plus placebo PENS (n = 20) groups. Patients in all groups performed an exercise program twice daily for 3 weeks. Patients allocated to the PENS group also received four sessions of ultrasound-guided PENS targeting the axillar and suprascapular nerves. Patients allocated to the exercise plus placebo PENS received a sham PENS application. The primary outcome was related disability (Disabilities of the Arm, Shoulder, and Hand, DASH). Secondary outcomes included mean pain, anxiety levels, depressive symptoms, and sleep quality. They were assessed at baseline, one week after, and one and three months after. An analysis was performed using intention-to-treat with mixed-models ANCOVAs. Results: The results revealed no between-group differences for most outcomes (related disability: F = 0.292, p = 0.748, n2p = 0.011; anxiety: F = 0.780, p = 0.463, n2p = 0.027; depressive symptoms: F = 0.559, p = 0.575, n2p = 0.02; or sleep quality: F = 0.294, p = 0.747, n2p = 0.01); both groups experienced similar changes throughout the course of this study. Patients receiving exercise plus PENS exhibited greater improvement in shoulder pain at one month than those in the exercise (Δ −1.2, 95%CI −2.3 to −0.1) or the placebo (Δ −1.3, 95%CI −2.5 to −0.1) groups. Conclusions: The inclusion of four sessions of ultrasound-guided PENS targeting the axillar and suprascapular nerves into an exercise program did not result in better outcomes in our sample of patients with subacromial pain syndrome at one and three months after treatment.

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Section: Methodsmentioning

confidence: 99%

Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial

Valenzuela-Rios,

Arias-Buría,

Rodríguez-Jiménez

et al. 2024

JCM

View full text Add to dashboard Cite

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“…The effect on handgrip strength of low‐frequency percutaneous electrical nerve stimulation (PENS) applied to the median and cubital nerves has been analyzed (Álvarez et al, 2023, this volume). PENS has shown an analgesic effect in several clinical applications and it is deemed as a safe technique.…”

Section: Introductionmentioning

confidence: 99%

Neurorobotics and neuroprostheses: Towards a new anatomy

Barroso

Torricelli

Moreno

2023

The Anatomical Record

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The idea of this Special Issue arose from the technological advances in bionic, robotic, and neural rehabilitation systems and the common need to comprehend in detail how human anatomical structures can be replicated or controlled. Motor control theories, among others, include the generalized control program theory, the equilibrium point hypothesis, or the optimal control approach in which neural commands to the muscles are a result of the central nervous system solving an optimization problem for a specific cost function. No matter the alternative interpretation selected to replicate biological control of human movements, artificial “anatomies” should consider not only motor capabilities from the central nervous system but integrate bioinspired mechanical features (such as compliance) in artificial limbs. The development of wearable robotics and neuroprosthetic systems for human movement compensation and control is naturally inspired by human anatomy and biology. Cutting‐edge technological advances in the field of biomedical and neural engineering are bringing us more and more close to a new artificial anatomy with which humans could augment their motor capabilities or replace them after they are compromised. Either augmentative/assistive or rehabilitation technologies in the near future will require engineering solutions based on novel approaches to create usable neurorobotic and neuroprosthetic systems for the most relevant societal needs.

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Artificial anatomy

Trejo

2022

The Anatomical Record

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The effect on handgrip strength of low‐frequency percutaneous electric stimulation applied to the median and cubital nerves: A randomized, double‐blind controlled trial

Cited by 4 publications

References 30 publications

Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial

Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial

Neurorobotics and neuroprostheses: Towards a new anatomy

Artificial anatomy

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