Effects of Microelectrólisis Percutaneous (MEP ®) on pain and functionality in patients with calcaneal tendinopathy.

Silva, Rodrigo Marcel Valentim da; Costa, Leandro de Souza; Coldibeli, E. da Silva; Fernandes, Maria do Rosário Soares; Meyer, Patrícia Fróes; Ronzio, Oscar Ariel

doi:10.17784/mtprehabjournal.2014.12.188

Cited by 5 publications

(6 citation statements)

References 13 publications

(3 reference statements)

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“…MEP is a new therapeutic pro posal that uses dC percutaneously through acupuncture needles, and its foundation is also based on the generation of a controlled local inflammatory process accompanied by analgesic effects resulting from the cathode polar effect. MEP is more comfortable than other percutaneous electrical inter ventions because it uses a microcurrent [8][9][10][11]31].…”

Section: Discussionmentioning

confidence: 99%

“…it is also reported that the caustic reaction would maintain the analgesic effect by de stroying local free nerve endings that process nociceptive in formation. Furthermore, the mechanical stimulus of the needle generates a micro tissue break, accompanied by physiologi cal effects of electrical stimulus [8,10].…”

Section: Introductionmentioning

confidence: 99%

“…MEP is used today in the traumatological and sports field as a treatment for muscular and tendinous injuries, and in the dermatofunctional area for wrinkles, stretch marks, fibrosis, and neuropathic scars management. MEP generates new collagen synthesis, followed by tissue repair process and in flammatory response induced by microelectrolysis [8,10,11]. The intervention has also been proposed for myofascial trigger points (MTrPs) treatment owing to good therapeutic response obtained in other tissues, although more research is needed [8].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of percutaneous microelectrolysis and ultrasound in the decrease of pain in myofascial trigger points: evaluation through algometry and visual analog scale

et al. 2020

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Introduction. Percutaneous electrotherapy is a therapeutic alternative in musculoskeletal conditions. Percutaneous micro electrolysis (MEP) stands out as treatment for tendinopathies and musculoskeletal pain, such as myofascial trigger points (MTrPs), although more studies are needed to support it. The study aimed to investigate MEP effectiveness in reducing pain pressure threshold (PPT) and pain intensity (Pi) in MTrPs. Methods. A randomized controlled clinical trial was performed at Physiotherapy Laboratory of Andrés Bello University and in volved 48 volunteers with MTrPs in upper trapezius muscle, randomly assigned to the experimental or control group. Both groups received baseline ultrasound treatment. in the experimental group, MEP intervention was applied with 3 reevaluation sessions (on days 1, 3, and 7). direct current was delivered with an acupuncture needle directly to MTrPs, and PPT and Pi were reevaluated before and after the application. The main outcomes were PPT and Pi differences (PPTdiff and Pidiff) between evaluation sessions. Results. TMEP implied positive changes, increasing PPT (PPTdiff11, p = 0.0000; PPTdiff21, p = 0.0000; PPTdiff31, p = 0.0000) and decreasing Pi (Pidiff11, p = 0.0001; Pidiff21, p = 0.0001; Pidiff31, p = 0.0008) in the experimental group. Significant differ ences were observed in PPT in the second reevaluation session compared with the control group (PPTdiff21, p = 0.0032). Conclusions. MEP is a good analgesic treatment for MTrPs compared with therapeutic ultrasound, although neither of these therapies seems to be better than the other in a long term. They improve PPT and Pi, so MEP can be considered effective alter native treatment for MTrPs pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of percutaneous microelectrolysis and ultrasound in the decrease of pain in myofascial trigger points: evaluation through algometry and visual analog scale

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“…In the next question, 293 professionals and a total of 22 participants ignored the answer. A question with multiple options is presented closed with a single selection and the results are the following: "Unsatisfied": 0% (0); "Little satisfied": 1.71% (5); "Neutral": 5.46% (16); "Satisfied": 51.87% (152) and "Very satisfied": 40.96% (120). Figure 3 shows the nominal representation of the results obtained.…”

Section: Figure 1 Complications With Mep® Sportmentioning

confidence: 99%

“…This generates NaOH that produces a liquefaction of adjacent tissues, triggering an acute controlled inflammatory process. On the other hand, H 2 is released, which inhibits the free radicals present in tendinopathies and muscle injuries [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Nivel de satisfacción sobre la seguridad y complicaciones a cuatro años de la introducción de la técnica Microelectrólisis Percutánea (MEP®) Sport como práctica fisioterapéutica

2019

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RESUMEN El objetivo de este trabajo es investigar la experiencia de los fisioterapeutas formados en microeletrólisis percutánea sport y conocer la cantidad de aplicaciones realizadas semanalmente, los efectos adversos presentados y el nivel de satisfacción de los terapeutas con sus pacientes. Se realizó una encuesta que evaluó la opinión y la experiencia de profesionales certificados en microelectrolisis percutánea sport. Los datos fueron obtenidos a través de la plataforma virtual SurveyMonkey, enviando por correo electrónico una invitación a 1.096 fisioterapeutas de América Latina. Respondieron el cuestionario 315 profesionales, entre los cuales 165 (56,51%) atienden de uno a cinco pacientes por semana. Las respuestas sobre efectos adversos fueron: nunca he tenido complicaciones (56,79% - 159 respuestas); choque hipotensivo (19,64% - 55 respuestas.); alergia al metal (5,36% - 15 respuestas). Los sitios/patologías a que más se aplican la microelectrolisis percutánea sport son: tendón rotuliano (10,77% - 198 respuestas.); tendón de aquiles (9,58% - 176 respuestas); tendón supraespino (9,36% - 172 respuestas.); fascitis plantar/espolón calcáneo (8,05% - 148 respuestas.); y puntos-gatillo (7,18% - 132 respuestas.). La satisfacción de los profesionales fue: satisfecho (51,87% - 152 respuestas) y muy satisfecho (40,96% - 120 respuestas). Las respuestas de los pacientes fueron: satisfecho (61,90% - 182 respuestas) y muy satisfecho (29,93% - 88 respuestas). La técnica MEP se aplica principalmente en tendinopatías y produce resultados satisfactorios y muy satisfactorios tanto para los pacientes como para los terapeutas, con baja presencia de efectos adversos.

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ICON 2020—International Scientific Tendinopathy Symposium Consensus: A Systematic Review of Outcome Measures Reported in Clinical Trials of Achilles Tendinopathy

et al. 2021

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Background Nine core domains for tendinopathy have been identified. For Achilles tendinopathy there is large variation in outcome measures used, and how these fit into the core domains has not been investigated. Objective To identify all available outcome measures outcome measures used to assess the clinical phenotype of Achilles tendinopathy in prospective studies and to map the outcomes measures into predefined health-related core domains. Design Systematic review. Data Sources Embase, MEDLINE (Ovid), Web of Science, CINAHL, The Cochrane Library, SPORTDiscus and Google Scholar. Eligibility Criteria for Selecting Studies Clinical diagnosis of Achilles tendinopathy, sample size ≥ ten participants, age ≥ 16 years, and the study design was a randomized or non-randomized clinical trial, observational cohort, single-arm intervention, or case series. Results 9376 studies were initially screened and 307 studies were finally included, totaling 13,248 participants. There were 233 (177 core domain) different outcome measures identified across all domains. For each core domain outcome measures were identified, with a range between 8 and 35 unique outcome measures utilized for each domain. The proportion of studies that included outcomes for predefined core domains ranged from 4% for the psychological factors domain to 72% for the disability domain. Conclusion 233 unique outcome measures for Achilles tendinopathy were identified. Most frequently, outcome measures were used within the disability domain. Outcome measures assessing psychological factors were scarcely used. The next step in developing a core outcome set for Achilles tendinopathy is to engage patients, clinicians and researchers to reach consensus on key outcomes measures. Prospero Registration CRD42020156763.

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Effects of Microelectrólisis Percutaneous (MEP ®) on pain and functionality in patients with calcaneal tendinopathy.

Cited by 5 publications

References 13 publications

Effectiveness of percutaneous microelectrolysis and ultrasound in the decrease of pain in myofascial trigger points: evaluation through algometry and visual analog scale

Effectiveness of percutaneous microelectrolysis and ultrasound in the decrease of pain in myofascial trigger points: evaluation through algometry and visual analog scale

Nivel de satisfacción sobre la seguridad y complicaciones a cuatro años de la introducción de la técnica Microelectrólisis Percutánea (MEP®) Sport como práctica fisioterapéutica

ICON 2020—International Scientific Tendinopathy Symposium Consensus: A Systematic Review of Outcome Measures Reported in Clinical Trials of Achilles Tendinopathy

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