iPhysio Research Group, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain; Universidad de Zaragoza, Faculty of Health Sciences, Zaragoza, Spain.
San Juan De Dios Foundation, Health Sciences University Centre, Antonio de Nebrija University, Madrid, Spain.
Arch Phys Med Rehabil. 2021 May;102(5):967-975. doi: 10.1016/j.apmr.2021.01.073. Epub 2021 Feb 6.
To determine the additional effect of dry needling (DN) or percutaneous needle electrolysis (PNE) combined with eccentric exercise (EE) and determine which is the most effective for patients with patellar tendinopathy (PT).
Blinded, randomized controlled trial, with follow-up at 10 and 22 weeks.
Recruitment was performed in sport clubs. Diagnosis and intervention were conducted at San Jorge University.
Patients (N=48) with PT with pain for at least 3 months between the ages of 18 and 45 years.
Three interventions were carried out: DN and EE, PNE and EE, and EE with sham needle as the control group.
Disability was measured using the Victorian Institute of Sports Assessment Questionnaire, patellar tendon. Visual analog scale was used to measure pain over time, the Short Form-36 was used to measure quality of life, and ultrasound was used to measure structural abnormalities.
A total of 48 participants (42 men, 6 women; average age, 32.46y; SD, 7.14y) were enrolled. The improvement in disability and pain in each group between baseline and post-treatment and baseline and follow-up was significant (P≤.05), without differences among groups.
DN or PNE combined with an EE program has not shown to be more effective than a program of only EE to improve disability and pain in patients with PT in the short (10wk) and medium (22wk) terms. Clinical improvements were not associated with structural changes in the tendon.
确定干针疗法（DN）或经皮针电解（PNE）联合离心运动（EE）的附加效果，并确定哪种方法对髌腱病（PT）患者最有效。
盲法、随机对照试验，随访时间为 10 周和 22 周。
在运动俱乐部进行招募。诊断和干预在圣豪尔赫大学进行。
年龄在 18 至 45 岁之间，患有 PT 且疼痛至少持续 3 个月的患者（N=48）。
进行了三种干预措施：DN 和 EE、PNE 和 EE、EE 加 sham 针作为对照组。
使用维多利亚运动评估问卷（维多利亚州体育评估问卷，髌腱）评估残疾程度。使用视觉模拟量表随时间测量疼痛，使用简短形式 36 项健康调查量表（36 项简短形式健康调查量表）评估生活质量，使用超声评估结构异常。
共有 48 名参与者（42 名男性，6 名女性；平均年龄 32.46 岁，标准差 7.14 岁）入组。每组在治疗后和随访时与基线相比，残疾和疼痛均有显著改善（P≤.05），但组间无差异。
DN 或 PNE 联合 EE 方案在短期（10 周）和中期（22 周）内并未显示比单独进行 EE 方案更能有效改善 PT 患者的残疾和疼痛。临床改善与肌腱的结构变化无关。
