RT journal article T1 Structural and Functional Changes in Supraspinatus Tendinopathy through Percutaneous Electrolysis, Percutaneous Peripheral Nerve Stimulation and Eccentric Exercise Combined Therapy: A Single-Blinded Randomized Clinical Trial A1 Góngora Rodríguez, Jorge Manuel A1 Rosety Rodríguez, Miguel Ángel A1 Rodríguez-Almagro, Daniel A1 Martín Valero, Rocío A1 Góngora-Rodríguez, Pablo A1 Rodríguez Huguet, Manuel A2 Didáctica de la Educación FísicaPlástica y Musical A2 Enfermería y Fisioterapia K1 percutaneous electrolysis K1 peripheral nerve stimulation K1 physical therapy K1 shoulder pain K1 supraspinatus tendinopathy K1 ultrasonography AB AbstractShoulder tendinopathies produce pain and reduce functionality. The aim of this randomized clinical trial was to analyze the effects of Percutaneous electrolysis (PE), Percutaneous peripheral Nerve Stimulation (PNS) and eccentric exercise (EE) on pain (NPRS), strength, electromyographic activity, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and functionality (DASH and SPADI) in individuals with supraspinatus tendinopathy. Participants (n = 50) were divided into two groups; they received 4 treatment sessions, 1 per week, of PE and PNS (n = 25) or 10 treatment sessions of TENS and US (n = 25). Both groups performed the EE program consisting of 3 sets of 10 repetitions of each of the 3 exercises, twice a day, during the 4 weeks. Follow-up was carried out at 4, 12 and 24 weeks after the start of the intervention. There are statistically significant differences in the analysis between groups (p < 0.001) in the post-treatment and follow-up measurements favorable to the PE+PNS+EE treatment on pain (NPRS), strength, supraspinatus electromyographic amplitude, ultrasound characteristics of the tendon (echogenicity, thickness and hypervascularization) and DASH and SPADI questionnaires. The combined treatment with PE, PNS and EE is an effective option in the clinical management of tendinopathies, with positive results in the short and long term on the variables studied. PB Multidisciplinary Digital Publishing Institute (MDPI) SN 2227-9059 YR 2024 FD 2024 LK http://hdl.handle.net/10498/33687 UL http://hdl.handle.net/10498/33687 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 06-nov-2026