Ultrasound-Guided Percutaneous Needle Electrolysis in Dancers with Chronic Soleus Injury: A Randomized Clinical Trial.
Blanca de la CruzI Barrera-García-MartínF Valera-GarridoF Minaya-MuñozC Romero-MoralesPublished in: Evidence-based complementary and alternative medicine : eCAM (2020)
Damage to intramuscular tendons is very common in sports injuries, specifically in soleus muscle injuries. This study sought to compare the effects of applying ultrasound- (US-) guided percutaneous needle electrolysis (PNE) in combination with an eccentric exercise program on pain and functionality in dancers with chronic soleus injury, located in the central tendon. Thirty dancers with injured central tendon of the soleus muscle were randomly allocated to a PNE group (n = 10), an eccentric exercise group (n = 10), or a combined group (n = 10). Pain, ankle dorsiflexion range of motion (DROM), endurance, the heel raise test, the DFOS questionnaire, and the minimal clinically important difference (MCID) were analyzed at baseline and after treatment (four weeks). Over half (52%) of the dancers had a chronic soleus muscle injury. Variables for pain, DROM, the heel rise test, ADL, technique, DFOS total, and DFOS-subjective variables showed significant differences (P < 0.05) in pretreatment and posttreatment in all groups, whereas no significant differences were observed between intervention groups. However, the combined group showed a higher percentage of changes compared to the other groups, and these dancers had greater perceived changes (MCID = 4.70 ± 1.42). The conclusion of the study was that dancers with chronic soleus injury, located in the central tendon, treated with a combination of US-guided PNE and an eccentric exercise program displayed improved outcomes compared to the application of PNE therapy or eccentric exercise alone. The US-guided PNE, combined with an eccentric exercise program, is a useful therapeutic tool for the treatment of chronic soleus injury, located in the central tendon. The trial is registered with NCT04042012.
Keyphrases
- resistance training
- ultrasound guided
- high intensity
- physical activity
- chronic pain
- skeletal muscle
- body composition
- pain management
- neuropathic pain
- magnetic resonance imaging
- stem cells
- fine needle aspiration
- rotator cuff
- oxidative stress
- anterior cruciate ligament reconstruction
- mental health
- quality improvement
- computed tomography
- spinal cord
- type diabetes
- weight loss
- spinal cord injury
- mesenchymal stem cells
- metabolic syndrome
- cell therapy
- open label
- psychometric properties
- contrast enhanced ultrasound
- newly diagnosed
- postoperative pain
- replacement therapy