PMID- 38453573
OWN - NLM
STAT- Publisher
LR  - 20240307
IS  - 1545-004X (Electronic)
IS  - 0894-1130 (Linking)
DP  - 2024 Mar 6
TI  - Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis 
      in the treatment of lateral epicondylalgia: A single-blind randomized controlled 
      trial.
LID - S0894-1130(24)00004-8 [pii]
LID - 10.1016/j.jht.2024.02.003 [doi]
AB  - BACKGROUND: 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. PURPOSE: 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. STUDY DESIGN: Single-blind randomized controlled trial. 
      METHODS: 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. RESULTS: 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. CONCLUSIONS: VT and PE added to an EE program could 
      be an effective treatment for pain, ROM, PPT, and function in patients with LE.
CI  - Copyright (c) 2024 The Authors. Published by Elsevier Inc. All rights reserved.
FAU - Rodriguez-Huguet, Manuel
AU  - Rodriguez-Huguet M
AD  - Department of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.
FAU - Rodriguez-Almagro, Daniel
AU  - Rodriguez-Almagro D
AD  - Department of Nursing, Physiotherapy and Medicine, University of Almeria, 
      Almeria, Spain.
FAU - Rosety-Rodriguez, Miguel Angel
AU  - Rosety-Rodriguez MA
AD  - MOVE-IT Research Group, Department of Physical Education, Faculty of Education 
      Sciences, University of Cadiz, Cadiz, Spain; Biomedical Research and Innovation 
      Institute of Cadiz (INiBICA), Research Unit, Puerta del Mar University Hospital, 
      University of Cadiz, Cadiz, Spain.
FAU - Vinolo-Gil, Maria Jesus
AU  - Vinolo-Gil MJ
AD  - Department of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain; 
      Biomedical Research and Innovation Institute of Cadiz (INiBICA), Research Unit, 
      Puerta del Mar University Hospital, University of Cadiz, Cadiz, Spain; 
      Rehabilitation Clinical Management Unit, Interlevels-Intercenters Hospital Puerta 
      del Mar, Hospital Puerto Real, Cadiz Bay-La Janda Health District, Cadiz, Spain. 
      Electronic address: mariajesus.vinolo@uca.es.
FAU - Molina-Jimenez, Javier
AU  - Molina-Jimenez J
AD  - Policlinica Santa Maria Clinic, Cadiz, Spain.
FAU - Gongora-Rodriguez, Jorge
AU  - Gongora-Rodriguez J
AD  - Department of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain; 
      Department of Physiotherapy, Osuna School University, University of Sevilla, 
      Sevilla, Spain.
LA  - eng
PT  - Journal Article
DEP - 20240306
PL  - United States
TA  - J Hand Ther
JT  - Journal of hand therapy : official journal of the American Society of Hand 
      Therapists
JID - 8806591
SB  - IM
OTO - NOTNLM
OT  - Elbow tendinopathy
OT  - Lateral epicondylalgia
OT  - Negative pressure
OT  - Percutaneous electrolysis
OT  - Vacuum therapy
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2024/03/08 00:43
MHDA- 2024/03/08 00:43
CRDT- 2024/03/07 21:57
PHST- 2023/08/23 00:00 [received]
PHST- 2023/11/09 00:00 [revised]
PHST- 2024/02/09 00:00 [accepted]
PHST- 2024/03/08 00:43 [medline]
PHST- 2024/03/08 00:43 [pubmed]
PHST- 2024/03/07 21:57 [entrez]
AID - S0894-1130(24)00004-8 [pii]
AID - 10.1016/j.jht.2024.02.003 [doi]
PST - aheadofprint
SO  - J Hand Ther. 2024 Mar 6:S0894-1130(24)00004-8. doi: 10.1016/j.jht.2024.02.003.