Mogućnosti primene ultrazvučno vođene perkutane elektrolize kod mišićno-skeletnog bola
Ključne reči:
fizikalna terapija, perkutana elektroliza, ultrazvučna vizuelizacija, rehabilitacija, tretman bola
Sažetak
Fizikalna terapija neprekidno se razvija i prilagođava novim saznanjima i tehnologijama kako bi pružila optimalnu podršku pacijentima sa različitim mišićno-skeletnim stanjima. U tom kontekstu, nedavni napredak u tehnologiji i metodama terapije dovodi do uvođenja novih tehnika, a među njima se ističe ultrazvučno vođena perkutana elektroliza. Ova tehnika, koja kombinuje princip elektroterapije (jednosmerne konstantne struje) sa perkutanom aplikacijom igle, postaje sve značajnija u rehabilitaciji pacijenata sa tendinopatijama, miofascijalnim bolnim sindromima i drugim mišićno-skeletnim stanjima. Najveći broj dosadašnjih studija ukazuje njenu efikasnost bilo da se primenjuje kao pojedinačna procedura ili u kombinaciji sa drugim fizikalnim modalitetima i terapijskim vežbama. Terapijski efekti su praćeni u kratkoročnom i dugoročnom periodu. S obzirom na to da je za rešavanje simptoma i posledica mišićno-skeletnog bola ova tehnika skoro uvedena, još uvek se traga za najadekvatnim terapijskim protokolima. Cilj ovog istraživanja bio je da se sagledaju pristupi i terapijski protokoli primene perkutane elektrolize u tretmanu mišićno-skeletnog bola. Rezultati istraživanja ukazuju na pozitivne terapijske efekte i prednosti primene ultrazvučnovođene perkutane elektrolize kod mišićno-skeletnog bola.
Reference
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13. Borrella-Andrés S, Malo-Urriés M, Pérez-Bellmunt A, et al. Application of Percutaneous Needle Electrolysis Does Not Elicit Temperature Changes: An In Vitro Cadaveric Study. Int J Environ Res Public Health 2023; 19(23): 15738.
14. Gómez-Chiguano GF, Navarro-Santana MJ, Cleland JA, et al. Effectiveness of Ultrasound-Guided Percutaneous Electrolysis for Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Pain Med 2021; 22: 1055-71.
15. Rodríguez-Huguet M, Góngora-Rodríguez J, Rodríguez-Huguet P, et al. Effectiveness of percutaneous electrolysis in supraspinatus tendinopathy: A single-blinded randomized controlled trial. J Clin Med 2020; 6: 1837.
16. García Naranjo J, Barroso Rosa S, Loro Ferrer JF, et al. A Novel Approach in the Treatment of Acute Whiplash Syndrome: Ultrasound-Guided Needle Percutaneous Electrolysis. A Randomized Controlled Trial. Orthop Traumatol Surg Res 2017; 103:1229-234.
17. Margalef R, Valera-Garrido F, Minaya-Muñoz F, et al. Percutaneous Needle Electrolysis Reverses Neurographic Signs of Nerve Entrapment by Induced Fibrosis in Mice. Evid Based Complement Altern Med 2020; 2020: 6615563.
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24. Lopez-Martos R, Gonzalez-Perez LM, Ruiz-Canela-Mendez P, et al. Randomized, double-blind study comparing percutaneous electrolysis and dry needling for the management of temporomandibular myofascial pain. Med Oral Patol Oral Cir Bucal 2018; 23(4): e454-e462.
25. Valera-Garrido F, Jiménez-Rubio S, Minaya-Muñoz F, et al. Ultrasound-Guided Percutaneous Needle Electrolysis and Rehab and Reconditioning Program for Rectus Femoris Muscle Injuries: A Cohort Study with Professional Soccer Players and a 20-Week Follow-Up. Appl Sci 2020; 10(21): 7912.
26. De-la-Cruz-Torres B, Barrera-García-Martín I, Valera-Garrido F, et al. Ultrasound-Guided Percutaneous Needle Electrolysis in Dancers with Chronic Soleus Injury: A Randomized Clinical Trial. Evid Based Complement Alternat Med 2020; 2020: 4156258.
27. Rodríguez-Huguet M, Góngora-Rodríguez J, Lomas-Vega R, et al. Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial. J Clin Med 2020; 9(7): 2068.
28. López-Royo MP, Ríos-Díaz J, Galán-Díaz RM, et al. A Comparative Study of Treatment Interventions for Patellar Tendinopathy: A Randomized Controlled Trial. Arch Phys Med Rehabil 2021; 102(5): 967-75.
29. Benito-de-Pedro AI, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, et al. Efficacy of Deep Dry Needling versus Percutaneous Electrolysis in Ultrasound-Guided Treatment of Active Myofascial Trigger Points of the Levator Scapulae in Short-Term: A Randomized Controlled Trial. Life (Basel) 2023; 13(4): 939.
2. Williams A, Kamper SJ, Wiggers JH, et al. Musculoskeletal conditions may increase the risk of chronic disease: A systematic review and metaanalysis of cohort studies. BMC Med 2018; 16(1): 1-9.
3. Musculoskeletal health: Geneva: Word Health Organization, 2022. (https://www.who.int/news-room/fact-sheets/ detail/musculoskeletal-conditions).
4. GBD 2021 Osteoarthritis Collaborators. Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Rheumatol 2023; 5(9): 508-22.
5. Babatunde OO, Jordan JL, Van der Windt DA, et al. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. PloS one 2017; 12(6): e0178621.
6. Mannerkorpi K, Henriksson C. Non-pharmacological treatment of chronic widespread musculoskeletal pain. Best Pract Res Clin Rheumatol 2007; 21(3): 513-34.
7. Valera-Garrido F, Minaya-Muñoz F. Fundamentos y principios de la electrolisis percutánea musculoesquelética. In Fisioterapia Invasiva. 2nd ed. Barcelona: Elsevier, 2016: 390-91.
8. Stević R, Mašulović D. Ultrazvuk u dijagnostici povreda mišića i tetiva. Srpski arhiv za celokupno lekarstvo 2009; 137(11-12): 647-52.
9. Robotti G, Draghi F, Bortolotto C, et al. Ultrasound of sports injuries of the musculoskeletal system: gender differences. J Ultrasound 2020; 23(3): 279-85.
10. Pirri C, Pirri N, Stecco C, et al. 'Ultrasound Examination' of the Musculoskeletal System: Bibliometric/Visualized Analyses on the Terminology (Change). Tomography 2023; 9(1): 352-61.
11. Sánchez Ibañez JM. Clinical Course in the Treatment of Chronic Patellar Tendinopathy through Ultrasound Guided Percutaneous Electrolysis Intratissue (EPI®): Study of a Population Series of Cases in Sport. Ph.D. Thesis, USA: Atlantic International University, Honolulu, 2009.
12. Colmena, C. New Technique in Tendon Sport Recovery. Percutaneous Electrolysis Intratissue (EPI®). Int J Phys Med R habil 2013; 1: 1000113.
13. Borrella-Andrés S, Malo-Urriés M, Pérez-Bellmunt A, et al. Application of Percutaneous Needle Electrolysis Does Not Elicit Temperature Changes: An In Vitro Cadaveric Study. Int J Environ Res Public Health 2023; 19(23): 15738.
14. Gómez-Chiguano GF, Navarro-Santana MJ, Cleland JA, et al. Effectiveness of Ultrasound-Guided Percutaneous Electrolysis for Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Pain Med 2021; 22: 1055-71.
15. Rodríguez-Huguet M, Góngora-Rodríguez J, Rodríguez-Huguet P, et al. Effectiveness of percutaneous electrolysis in supraspinatus tendinopathy: A single-blinded randomized controlled trial. J Clin Med 2020; 6: 1837.
16. García Naranjo J, Barroso Rosa S, Loro Ferrer JF, et al. A Novel Approach in the Treatment of Acute Whiplash Syndrome: Ultrasound-Guided Needle Percutaneous Electrolysis. A Randomized Controlled Trial. Orthop Traumatol Surg Res 2017; 103:1229-234.
17. Margalef R, Valera-Garrido F, Minaya-Muñoz F, et al. Percutaneous Needle Electrolysis Reverses Neurographic Signs of Nerve Entrapment by Induced Fibrosis in Mice. Evid Based Complement Altern Med 2020; 2020: 6615563.
18. Millar NL, Silbernagel KG, Thorborg K, et al. Tendinopathy [published correction appears in Nat Rev Dis Primers. 2021 Feb 3;7(1):10]. Nat Rev Dis Primers 2021; 7(1):1.
19. Abat F, Sánchez-Sánchez JL, Martín-Nogueras AM, et al. Randomized controlled trial comparing the effectiveness of the ultrasound-guided galvanic electrolysis technique (USGET) versus conventional electro-physiotherapeutic treatment on patellar tendinopathy. J Exp Orthop 2016; 3(1): 34.
20. Valera-Garrido F, Minaya-Muñoz F, Medina-Mirapeix F. Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results. Acupunct Med 2014; 32(6): 446-54.
21. Arias-Buría JL, Truyols-Domínguez S, Valero-Alcaide R, et al. Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial. Evid Based Complement Alternat Med 2015; 2015: 315219.
22. Abat F, Gelber PE, Polidori F, Monllau JC, Sanchez-Ibañez JM. Clinical results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) and eccentric exercise in the treatment of patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc 2015; 23(4): 1046-52.
23. de Miguel Valtierra L, Salom Moreno J, Fernández-de-Las-Peñas C, et al. Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial. J Pain 2018; 19(10):1201-10.
24. Lopez-Martos R, Gonzalez-Perez LM, Ruiz-Canela-Mendez P, et al. Randomized, double-blind study comparing percutaneous electrolysis and dry needling for the management of temporomandibular myofascial pain. Med Oral Patol Oral Cir Bucal 2018; 23(4): e454-e462.
25. Valera-Garrido F, Jiménez-Rubio S, Minaya-Muñoz F, et al. Ultrasound-Guided Percutaneous Needle Electrolysis and Rehab and Reconditioning Program for Rectus Femoris Muscle Injuries: A Cohort Study with Professional Soccer Players and a 20-Week Follow-Up. Appl Sci 2020; 10(21): 7912.
26. De-la-Cruz-Torres B, Barrera-García-Martín I, Valera-Garrido F, et al. Ultrasound-Guided Percutaneous Needle Electrolysis in Dancers with Chronic Soleus Injury: A Randomized Clinical Trial. Evid Based Complement Alternat Med 2020; 2020: 4156258.
27. Rodríguez-Huguet M, Góngora-Rodríguez J, Lomas-Vega R, et al. Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial. J Clin Med 2020; 9(7): 2068.
28. López-Royo MP, Ríos-Díaz J, Galán-Díaz RM, et al. A Comparative Study of Treatment Interventions for Patellar Tendinopathy: A Randomized Controlled Trial. Arch Phys Med Rehabil 2021; 102(5): 967-75.
29. Benito-de-Pedro AI, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, et al. Efficacy of Deep Dry Needling versus Percutaneous Electrolysis in Ultrasound-Guided Treatment of Active Myofascial Trigger Points of the Levator Scapulae in Short-Term: A Randomized Controlled Trial. Life (Basel) 2023; 13(4): 939.
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2025/03/28
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