Effectiveness of the Inclusion of US-guided Percutaneous Electrolysis (EPE®) in Subacromial Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Changes in disability before and after the intervention
研究概览
简要总结
Scientific evidence of conservative management of subacromial pain syndrome is conflicting. There is evidence that eccentric exercise programs are effective at medium term for this pain condition. The inclusion of other therapeutic modalities is still controversial. A recent study suggests that the inclusion of US-guided percutaneous electrolysis combined with eccentric exercises can be effective at short-term for this condition. The objective of this randomized clinical trial is to determine the effectiveness at short- and long-term of the inclusion of US-guided percutaneous electrolysis (EPE®) into a eccentric exercise protocol for the management of patients with subacromial pain syndrome for pain, function, disability and pressure pain sensitivity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •unilateral shoulder complaints with duration of at least 3 months;
- •an intensity of at least 4 on an 11-point numerical pain rating scale (NPRS) during arm elevation;
- •a positive painful arc test during abduction
- •at least one positive of the following tests: Hawkins-Kennedy test, Neer's sig, empty can test, drop arm or lift-off test
排除标准
- •bilateral shoulder symptoms
- •younger than 18 or older than 65 years
- •history of shoulder fractures or dislocation
- •cervical radiculopathy
- •previous interventions with steroid injections
- •fibromyalgia syndrome
- •previous history of shoulder or neck surgery
- •any type of intervention for the neck-shoulder area during the previous year
研究组 & 干预措施
US-guided percutaneous electrolysis
Patients will receive one weekly session for 5 weeks including best-evidence manual therapy and an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles. The exercise program will be asked to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks. In addition, they will receive one session of US-guided percutaneous electrolysis. This intervention consists of the application of a galvanic electrical current with an acupuncture needle in the soft tissue, in this case the supraspinatus tendon.
干预措施: US-guided percutaneous electrolysis (Other)
Eccentric exercise
Patients will receive one weekly session for 5 weeks including best-evidence manual therapy and an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles. The exercise program will be asked to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 5 weeks.
干预措施: Eccentric exercise (Other)
结局指标
主要结局
Changes in disability before and after the intervention
时间窗: Baseline, one week after the last session, 3 months and 6 months after the last session
The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain
次要结局
- Changes in functionality before and after the intervention(Baseline, one week after the last session, 3 months and 6 months after the last session)
- Self-perceived improvement(Baseline, one week after the last session, 3 months and 6 months after the last session)
- Changes in pain intensity before and after the intervention(Baseline, one week after the last session, 3 months and 6 months after the last session)
- Changes in pressure pain sensitivity before and after the intervention(Baseline, one week after the last session, 3 months and 6 months after the last session)
研究者
César Fernández-de-las-Peñas
Head Division
Universidad Rey Juan Carlos