A new ultrasound-guided percutaneous electrolysis and exercise treatment in patellar tendinopathy: three case reports

Autor: Alberto Carlos Muñoz Fernández, Carlos Barragán Carballar, Jorge Hugo Villafañe, Sebastián Martín Pérez, José Luis Alonso Pérez, Raquel Díaz-Meco, David García Jiménez, Eleuterio A. Sánchez Romero
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Bioscience-Landmark, Vol 26, Iss 11, Pp 1166-1175 (2021)
Druh dokumentu: article
ISSN: 2768-6701
DOI: 10.52586/5017
Popis: Purpose: To present preliminary clinical results of the effects of a new treatment with percutaneous electrolysis directed to peripheral tendon and therapeutic resistance exercise, with or without the presence of degenerative zone. Methods: 3 patients with patellar tendinopathy aged 37–45 years with diagnostic of patellar tendinopathy with pain since 5–8 weeks were treated with a novel, less invasive electrolysis technique. Pain severity was measured by Numerical Pain Rating Scale (NPRS). Lower limb functionality was measured by a Victorian Institute of Sport Assessment questionnaire (VISA-P). A clinical interview and ultrasonography assesment were performed before study protocol were carried out. Each participants received 4 to 7 sessions of percutaneous electrolysis (350 μA, 80 s) leaving at least one week between sessions during a total of 8 weeks. During this time, subjects also were undergone a therapeutic exercise protocol of lower limbs resistance training. Results: Pain severity decreased after 3 weeks treatment (p = 0.01) and was practically abolished after 4–7 sessions at 8 weeks (p = 0.2). The lower limb functionality (VISA-P) increased after 3 weeks treatment and the major difference was found at 8 weeks post-intervention (p = 0.001). Thickness of the patellar tendon decreased after 8 weeks treatment (p = 0.01). Conclusions: The present work provides the first evidence that percutaneous electrolysis with a least invasive physiotherapy treatment targeted to peripheral tendon in combination with therapeutic resistance exercise diminished pain, improved funcitonality and showed a tendency to decreased thickness in subjects with patelallar tendinopathy.
Databáze: Directory of Open Access Journals