RT journal article
T1 Pulsed negative pressure myofascial vacuum therapy and percutaneous electrolysis in the treatment of lateral epicondylalgia: A single-blind randomized controlled trial
A1 Rodríguez Huguet, Manuel
A1 Rodríguez-Almagro, Daniel
A1 Rosety Rodríguez, Miguel Ángel
A1 Viñolo Gil, María Jesús
A1 Molina Jiménez, Maria P.
A1 Góngora Rodríguez, Jorge Manuel
A2 Didáctica de la Educación FísicaPlástica y Musical
A2 Enfermería y Fisioterapia
K1 Elbow tendinopathy
K1 Lateral epicondylalgia
K1 Negative pressure
K1 Percutaneous electrolysis
K1 Vacuum therapy
AB BackgroundLateral 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.PurposeTo 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 designSingle-blind randomized controlled trial.MethodsForty 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.ResultsThe 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.ConclusionsVT and PE added to an EE program could be an effective treatment for pain, ROM, PPT, and function in patients with LE.List of abbreviationsICCIntraclass Correlation CoefficientLELateral EpicondylalgiaPEPercutaneous ElectrolysisMDCMinimum Detectable ChangeMTManual Therapy soft tissue mobilizationNPRSNumerical pain rating scalePPTpressure pain thresholdPRTEE questionnairePatient-Rated Tennis Elbow Evaluation QuestionnaireROMrange of motionSEMStandard Error of MeasurementVTPulsed Negative Pressure Myofascial Vacuum TherapyUSUltrasound therapy
PB Elsevier
SN 1545-004X
YR 2024
FD 2024
LK http://hdl.handle.net/10498/33195
UL http://hdl.handle.net/10498/33195
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 11-nov-2026