Effects of Percutaneous Electrical Nerve Stimulation and Exercise for Patients With Subacromial Pain Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 59
- 试验地点
- 1
- 主要终点
- Changes in disability between baseline and follow-up periods
研究概览
简要总结
Based on the available literature, application of percutaneous electrical nerve stimulation interventions targeting peripheral nerves (also called percutaneous neuromodulation) has shown positive effects for improving pain-related and functional outcomes in musculoskeletal chronic pain. Studies investigating the use of this intervention for the shoulder are lacking.
详细描述
Based on the available literature, application of percutaneous electrical nerve stimulation interventions targeting peripheral nerves (also called percutaneous neuromodulation) has shown positive effects for improving pain-related and functional outcomes in musculoskeletal chronic pain. Studies investigating the use of this intervention for the shoulder are lacking.
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 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral non-traumatic shoulder pain (positive painful arc during shoulder abduction and a positive Hawkins test on clinical examination)
- •Shoulder pain from at least 3 months
- •Shoulder pain of more than 3/10 points on a NPRS
排除标准
- •Bilateral shoulder symptoms
- •Younger than 18 or older than 65 years
- •History of shoulder traumatisms, fractures or dislocation
- •Diagnosis of cervical radiculopathy or myelopathy
- •Previous interventions with steroid injections in the shoulder area
- •Comorbid medical conditions, e.g., fibromyalgia syndrome
- •Previous history of shoulder or neck surgery
- •Any type of intervention for the neck-shoulder area during the previous year
- •Fear to needles
研究组 & 干预措施
Percutaneous Electrical Nerve Stimulation
Participants assigned to this group will received four sessions (once per week) of ultrasound guided percutaneous electrical nerve stimulation targeting the axillar and suprascapular nerves for 30 minutes. We will apply a biphasic compensated electrical current at a frequency of 2 Hz, a pulse width of 250 μs and intensity allowed over a pain-free motor threshold (muscle contraction). In addition, they will receive a program of exercises for the shoulder musculature for 3 weeks.
干预措施: Percutaneous Electrical Nerve Stimulation (Other)
Percutaneous Electrical Nerve Stimulation
Participants assigned to this group will received four sessions (once per week) of ultrasound guided percutaneous electrical nerve stimulation targeting the axillar and suprascapular nerves for 30 minutes. We will apply a biphasic compensated electrical current at a frequency of 2 Hz, a pulse width of 250 μs and intensity allowed over a pain-free motor threshold (muscle contraction). In addition, they will receive a program of exercises for the shoulder musculature for 3 weeks.
干预措施: Exercise (Other)
Placebo Percutaneous Nerve Stimulation
Participants assigned to this group will received four sessions (once per week) of placebo ultrasound guided percutaneous electrical nerve stimulation targeting the axillar and suprascapular nerve. The electrical current will be off and no electrical current will be provided to the patient. In addition, they will receive the same program of exercises for the shoulder than the experimental group for three weeks.
干预措施: Placebo Percutaneous Electrical Nerve Stimulation (Other)
Placebo Percutaneous Nerve Stimulation
Participants assigned to this group will received four sessions (once per week) of placebo ultrasound guided percutaneous electrical nerve stimulation targeting the axillar and suprascapular nerve. The electrical current will be off and no electrical current will be provided to the patient. In addition, they will receive the same program of exercises for the shoulder than the experimental group for three weeks.
干预措施: Exercise (Other)
Exercise
Participants assigned to this group will receive the same program of exercises for the shoulder than the remaining groups for three weeks.
干预措施: Exercise (Other)
结局指标
主要结局
Changes in disability between baseline and follow-up periods
时间窗: Baseline, one week after the last intervention and 1 and 3 months after the intervention
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 shoulder pain between baseline and follow-up periods(Baseline, one week after the last intervention and 1 and 3 months after the intervention)
- Changes in sleep quality between baseline and follow-up periods(Baseline, one week after the last intervention and 1 and 3 months after the intervention)
- Changes in anxiety/depressive symptoms between baseline and follow-up periods(Baseline, one week after the last intervention and 1 and 3 months after the intervention)
研究者
César Fernández-de-las-Peñas
Clinical Professor
Universidad Rey Juan Carlos