García Naranjo J, Barroso Rosa S, Loro Ferrer J F, Limiñana Cañal J M, Suarez Hernández E
Vecindario Rehabilitation centre, Santa Lucía, Gran Canaria Island, Spain; Rehabilitation department, CHUIMI, Las Palmas de Gran Canaria, Spain.
Orthopaedics department, CHUIMI, Orthopaedic research institute of Queensland (ORIQL), Las Palmas de Gran Canaria, Spain.
Orthop Traumatol Surg Res. 2017 Dec;103(8):1229-1234. doi: 10.1016/j.otsr.2017.09.012. Epub 2017 Oct 4.
Whiplash associated disorders are currently a common musculoskeletal problem. Besides the high incidence in western countries, the costs derived from prolonged treatment and medicolegal compensation, make this entity a challenging problem for clinicians and insurance companies. To date, no conservative treatment has shown clear superiority in the management of acute cases.
Percutaneous needle electrolysis (PNE) is an effective approach for the treatment of Quebec type II acute whiplash syndrome (AWS). PNE consists in the application of brief galvanic currents into a damaged structure, producing a local controlled inflammatory response, with subsequent tissular healing enhancement.
One hundred AWS patients were randomized into: (a) standard physiotherapy intervention for AWS; (b) a standardized PNE protocol for AWS. Both groups were assessed for treatment outcome at the 5th week mark.
Both groups showed a statistically significant improvement according to the Northwick Park Neck Questionnaire, visual analogic scale and pressure pain threshold. The improvement was similar in both groups, except for the pain pressure threshold, with a 56.6% reduction vs. 44.4% reduction in favour of the PNE group (P=0.035). In addition, the physio group consumed a mean treatment time of 20hours, while the PNE intervention averaged less than 1 hour in total.
PNE can be considered as an effective treatment option for AWS. Importantly, the technique is highly cost-effective, with limited equipment required and a notable treatment time reduction, compared to more comprehensive physiotherapy protocols.
Randomized controlled trial.
1b.
挥鞭样损伤相关疾病是当前常见的肌肉骨骼问题。除了在西方国家发病率高之外，长期治疗和法医学赔偿产生的费用，使这个问题对临床医生和保险公司来说颇具挑战性。迄今为止，在急性病例的管理中，尚无保守治疗显示出明显优势。
经皮针电解术（PNE）是治疗魁北克II型急性挥鞭样综合征（AWS）的有效方法。PNE是将短暂的直流电施加于受损结构，产生局部可控的炎症反应，随后增强组织愈合。
100例AWS患者被随机分为：（a）AWS的标准物理治疗干预组；（b）AWS的标准化PNE方案组。两组均在第5周时评估治疗效果。
根据诺斯威克公园颈部问卷、视觉模拟量表和压痛阈值，两组均显示出统计学上的显著改善。两组的改善情况相似，但压痛阈值除外，PNE组降低了56.6%，而物理治疗组降低了44.4%（P=0.035）。此外，物理治疗组的平均治疗时间为20小时，而PNE干预总共平均不到1小时。
PNE可被视为AWS的一种有效治疗选择。重要的是，与更全面的物理治疗方案相比，该技术具有很高的成本效益，所需设备有限，治疗时间显著减少。
随机对照试验。
1b。
