Rodríguez-Huguet Manuel, Rodríguez-Almagro Daniel, Rosety-Rodríguez Miguel Angel, Vinolo-Gil Maria Jesus, Molina-Jiménez Javier, Góngora-Rodríguez Jorge
Department of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain.
Department of Nursing, Physiotherapy and Medicine, University of Almería, Almería, Spain.
J Hand Ther. 2024 Oct-Dec;37(4):644-652. doi: 10.1016/j.jht.2024.02.003. Epub 2024 Mar 6.
Lateral Epicondylalgia (LE) represents one of the most common injuries of the upper limb. It is necessary to find effective treatments that reduce pain and increase functionality.
To determine the effects of an integrated intervention of Pulsed Negative Pressure Myofascial Vacuum Therapy (VT), Percutaneous Electrolysis (PE) and eccentric exercise (EE) in the treatment of LE compared versus Manual Therapy soft tissue mobilization (MT) and Ultrasound therapy (US) and EE.
Single-blind randomized controlled trial.
Forty participants, with unilateral LE, were randomly divided into two groups: VT + PE + EE group (n = 20) and MT + US + EE group (n = 20). The VT + PE + EE group received one weekly session for four weeks and a regimen of EE daily at-home, and the MT + US + EE group received 10 sessions over a period of two weeks and a regimen of EE daily at-home. Numerical pain rating scale (NPRS), range of motion (ROM) pressure pain threshold (PPT) and function (PRTEE questionnaire) were measured before treatment, at the end of treatment, and at one- and three-month follow-ups.
The statistically significant improvements were found post-treatment, favoring the VT + PE group in pain intensity (p < 0.001; ES = 0.408), PRTEE-S Pain (p = 0.001; ES = 0.377), PRTEE-S Specific function (p = 0.004; ES = 0.306) and PRTEE-S Total (p = 0.001; ES = 0.355). The VT + PE + EE treatment showed greater effectiveness than the MT + US + EE treatment at immediate post-treatment, as well as at the one-month and three-months follow-up.
VT and PE added to an EE program could be an effective treatment for pain, ROM, PPT, and function in patients with LE.
外侧上髁炎（LE）是上肢最常见的损伤之一。有必要找到能减轻疼痛并提高功能的有效治疗方法。
确定脉冲负压肌筋膜真空疗法（VT）、经皮电解（PE）和离心运动（EE）综合干预治疗LE与手法治疗软组织松动术（MT）、超声疗法（US）和EE相比的效果。
单盲随机对照试验。
40名单侧LE患者被随机分为两组：VT + PE + EE组（n = 20）和MT + US + EE组（n = 20）。VT + PE + EE组每周接受一次治疗，共四周，并在家中每天进行离心运动训练；MT + US + EE组在两周内接受10次治疗，并在家中每天进行离心运动训练。在治疗前、治疗结束时、1个月和3个月随访时测量数字疼痛评分量表（NPRS）、活动范围（ROM）、压痛阈值（PPT）和功能（PRTEE问卷）。
治疗后发现有统计学意义的改善，在疼痛强度（p < 0.001；效应量=0.408）、PRTEE-S疼痛（p = 0.001；效应量=0.377）、PRTEE-S特定功能（p = 0.004；效应量=0.306）和PRTEE-S总分（p = 0.001；效应量=0.355）方面，VT + PE组更具优势。VT + PE + EE治疗在治疗后即刻以及1个月和3个月随访时显示出比MT + US + EE治疗更有效的效果。
在EE方案中加入VT和PE可能是治疗LE患者疼痛、ROM、PPT和功能的有效方法。
