A Comparative Study of Treatment Interventions for Patellar Tendinopathy: A Randomized Controlled Trial

López-Royo, María Pilar; Ríos-Díaz, José; Galán-Díaz, Rita María; Herrero, Pablo; Gómez-Trullén, Eva M

doi:10.1016/j.apmr.2021.01.073

Cited by 25 publications

(65 citation statements)

References 51 publications

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“…e results of this study showed that there was no correlation between hemiplegic shoulder pain and shoulder subluxation. is finding was also displayed in some previous studies [43,46]; there was no clear causal relationship between pain and structural changes. Hemiplegic shoulder pain is a complex phenomenon whose pathophysiological mechanism is not fully clear [47].…”

Section: Discussionsupporting

confidence: 71%

“…e findings show that there is no significant difference in reducing the distance of shoulder joint subluxation between EA and SEA groups. It indicates the decrease of pain intensity can be due to different modulating mechanisms and lead to increased function without a need of structural changes, as this has widely been demonstrated in many other areas of research [42,43]. e EA can sustain local muscle relaxation and contraction.…”

Section: Discussionmentioning

confidence: 90%

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Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment

Sui

Jiang

Yan

et al. 2021

Pain Research and Management

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Objective. This study aimed to use multidimensional musculoskeletal ultrasound imaging technique to investigate the effect of electroacupuncture (EA) on shoulder subluxation in poststroke patients with hemiplegic shoulder pain. Methods. In this prospective single-blind, randomized, sham-controlled study, thirty-four patients with shoulder subluxation and hemiplegic shoulder pain were recruited and randomly assigned into the EA group or the sham EA (SEA) group. In the EA group, EA was applied to the Jian yu (LI15), Bi nao (LI14), Jian zhen (SI9), and Jian liao (TE14) acupoints. In the SEA group, the EA was applied 15 mm away from the Lou gu (SP7), Di ji (SP8), Jiao xin (KI8), and Zhu bin (KI9) acupoints. Both groups underwent treatment 30 minutes/day, five days a week, for two weeks using dense waves with a frequency of 2/100 Hz. A Visual Analogue Scale (VAS) was used to evaluate the effectiveness of treatment in reducing shoulder pain. Musculoskeletal ultrasound was used to evaluate the changes of measures of shoulder subluxation in multidimensions (i.e., the acromiohumeral distance, AHD; acromion-greater tuberosity, AGT; and acromion-lesser tuberosity, ALT). Both the within- and between-groups treatment effects were assessed. Results. The pain intensity measured by VAS and shoulder subluxation measured by musculoskeletal ultrasound (i.e., AHD, AGT, and ALT) showed significant ( p < 0.05 ) within-group difference in both groups. The between-group difference appeared in the pain intensity ( p < 0.05 ), while it disappeared in the three measures of shoulder subluxation ( p > 0.05 ). Conclusions. Using VAS for measuring pain intensity and multidimensional musculoskeletal ultrasound imaging technique for measuring shoulder subluxation, this study finds that the hemiplegic shoulder pain can be improved significantly by the EA while the shoulder subluxation cannot be. Our findings further reveal the analgesic mechanism of EA on hemiplegic shoulder pain following stroke.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 90%

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment

Sui

Jiang

Yan

et al. 2021

Pain Research and Management

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“…Online supplemental table 1 shows the characteristics of the included studies 12–48. A total of 37 randomised controlled trials (RCTs) were found to be eligible, including 1332 patients (1407 tendons) with patellar tendinopathy (mean age 29.2 years).…”

Section: Resultsmentioning

confidence: 99%

Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies

Challoumas

Pedret²,

Biddle

et al. 2021

BMJ Open Sport Exerc Med

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ObjectivesWe performed a systematic review and network meta-analysis (NMA) of randomised controlled trials (RCTs) to provide insights into the effectiveness of available treatment modalities in patellar tendinopathy(PT).MethodsSeveral databases were searched in May 2021 for RCTs assessing the effectiveness of any intervention compared with any other intervention, placebo or no treatment for pain and/or function in PT. The risk of bias and strength of evidence were assessed with the Cochrane Collaboration and GRADE (Grading of Recommendations, Assessment, Development and Evaluations)/GRADE-NMA tools.ResultsA total of 37 RCTs were eligible that assessed 33 different interventions and their combinations, most represented by single studies. Based on pairwise meta-analyses of two RCTs, extracorporeal shockwave therapy (ESWT) does not appear to be superior to sham ESWT (eccentric exercise in both groups) for short-term pain (mean differences (MD) +0.1, 95% CI (−0.8 to 1), p=0.84) or function (MD −1.8, 95% CI (–8 to 4.4), p=0.57). Based on a pairwise meta-analysis of three RCTs, isometric exercise appears as effective as isotonic exercise for immediate postintervention pain relief (MD −1.03, 95% CI (−2.6 to 0.5), p=0.19). Our NMA showed that topical glyceryl trinitrate (GTN) and hyaluronic acid injection, both combined with eccentric exercise and moderate, slow resistance exercise had the highest probability of being the most effective interventions (low/very low strength of evidence).ConclusionsPromising interventions with inadequate evidence, such as topical GTN, hyaluronic acid injections and isometric and slow resistance exercise, should be further investigated through high-quality RCTs. Meanwhile, eccentric loading with or without adjuncts should remain the first-line treatment for all individuals with patellar tendinopathy.

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“…Tabla 2. Número de fuentes de las bases de datos De las 14 investigaciones, dos fueron en vida animal, (3,4) 12 estudios en humanos, de los cuales, 11 fueron ensayos clínicos aleatorizados (ECA) (1,7,(9)(10)(11)(12)(13)(14)(15)(16)(17) y una fue retrospectivo comparativo. (18) Los estudios en vida animal(ratas) (3,4) permitieron determinar factores de señalización celular, inflamatorios, angiogénicos y cambios en el pH tras la aplicación de la corriente galvánica: Así, los factores inflamatorios y de señalización celular son componentes indiscutibles en presencia de la aplicación de la EPI; sin embargo, no se reportaron cambios significativos en el pH y concluyeron que resultados se debieron a la acción de los sistemas amortiguadores que controlan la acidosis y alcalosis dentro del organismo (tabla 3).…”

Section: Resultsunclassified

“…Los 12 estudios en humanos correspondieron a comparaciones de la aplicación de EPI con respecto a modalidades convencionales de fisioterapia (termoterapia, medidas electro terapéuticas), programa de ejercicios, infiltración de corticoides y punción seca. (1,7,9-18) EPI tuvo mayor impacto en lesiones musculoesqueléticas de tipo tendinopatías en diferentes regiones anatómicas: cervical, (1) supraespinoso, (7,10,11) infraespinoso, (9) aductor largo, (12) patelar, (13)(14)(15)(16) fasciosis plantar (18) y dolor de talón (17) (tabla 3).…”

Section: Resultsunclassified

La electrólisis percutánea intratisular: una revisión sistemática

2022

EUGENIO ESPEJO

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La electrólisis percutánea intratisular es un procedimiento terapéutico tecnológico mínimamente invasivo para el tratamiento de lesiones en el sistema musculoesquelético mediante inflamación controlada y fagocitosis para recuperar el tejido afectado. Acerca de esta, se realizó un análisis de la producción científica publicada de 2014 a 2021. El estudio se realizó por medio de una revisión bibliográfica sistémica siguiendo la metodología PRISMA, que incluyó el uso de fuentes de información en las bases científicas: PubMed, SciencieDirect, EuropePMC, ResearchGate, Sage Journal, Thiem Connect y PHysiotherapy evidence database (PEdro). Previamente al procesamiento de los datos, los documentos encontrados fueron sometidos diversos criterios de selección. Los investigadores concluyeron que la electrólisis percutánea intratisular resulta un tratamiento efectivo para el tratamiento de tendinopatías crónicas, cuando se realiza combinado con un programa de ejercicios enfocado en la progresión de las cargas.

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A Comparative Study of Treatment Interventions for Patellar Tendinopathy: A Randomized Controlled Trial

Cited by 25 publications

References 51 publications

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment

Management of patellar tendinopathy: a systematic review and network meta-analysis of randomised studies

La electrólisis percutánea intratisular: una revisión sistemática

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