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Muscle pain is frequently attributed to myofascial pain syndrome (MPS) in which myofascial trigger points (MTrP) are a characteristic feature. Dry needling is a frequent clinical practice to manage MPS but few evidence is published about percutaneous electrolysis effects for the treatment of MPS.
This is a randomized clinical trial with 3 parallel groups: 1) High intensity-short time percutaneous electrolysis; 2) Low intensity-long time percutaneous electrolysis; 3) dry needling control group.
The current study aimed to evaluate changes in rectus femurs active trigger points and patellar tendon pain pressure thresholds and subjective anterior knee pain perception after application of two percutaneous electrolysis methods using a same charge (high intensity and low intensity) compared to a dry needling group in patients with patellofemoral pain syndrome (PFPS)
Fifteen patients diagnosed with unilateral PFPS were divided in two experimental groups (high intensity percutaneous electrolysis and low intensity percutaneous electrolysis) and one active control group (dry needling. The duration of the study was 7 days with only one intervention. Pain pressure thresholds were assessed using an algometer before the intervention, immediately after the intervention and after 7 days and a Visual Analogue Scale was used before the treatment and after 7 days to rate the subjective anterior knee pain perception. Also a VAS was used to rate the pain perception during the intervention
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-Intensity short time percutaneous electrolysis | Experimental | Application of a 0,66uA galvanic current in the active TrP through a needle during 10 seconds. During the 20 seconds left necessary to blind the patient and the examiner, the needle was inside but with no electrical current |
|
| Low-Intensity long time percutaneous electrolysis | Experimental | Application of a 0,22uA galvanic current in the active TrP through a needle during 30 seconds |
|
| Dry needling | Active Comparator | One acupuncture needle was placed in the active TrP to produce a local twitch response during 30 seconds |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Percutaneous Electrolysis | Procedure | Needle emplacement with a galvanic electrical current |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pressure Pain Threshold (Trigger Point) | Algometry (Wagner analogical algometer) | 7 days |
| Pressure Pain Threshold (Patellar Tendon) | Algometry (Wagner analogical algometer) | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective pain perception | Visual Analogue Scale | 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Juan Antonio Valera-Calero, PT, Msc | Camilo Jose Cela University | Principal Investigator |
| Alberto Sanchez-Mayoral-MartÃn, PT | Free professional practice | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Camilo Jose Cela University | Villanueva de la Cañada | Madrid | 28692 | Spain |
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| ID | Term |
|---|---|
| D063806 | Myalgia |
| D046788 | Patellofemoral Pain Syndrome |
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000079245 | Dry Needling |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
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Randomized Clinical trial with 3 parallel groups; 2 experimental groups and 1 control group
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| Dry needling | Procedure | Needle emplacement without electrical current nor substance |
|
| D059352 | Musculoskeletal Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007592 | Joint Diseases |