Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehab.periodikos.com.br/article/doi/10.17784/mtprehabjournal.2014.12.188
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Effects of Microelectrólisis Percutaneous® on pain and functionality in patients with calcaneal tendinopathy.

Da Silva, Rodrigo Marcel V. da; Costa, Leandro de Souza; Coldibeli, Eloise da Silva; Fernandes, Maria do Rosário Soares; Meyer, Patricia Froes; Ronzio, Oscar Ariel

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Abstract

Introduction: The Achilles tendinopathy with tendon injuries are the third most common in the musculoskeletal system. New therapies have been proposed for the treatment of tendinopathy as Percutaneous Microelectrólisis (MEP ®). Objectives: The aim of this study was to evaluate the effects of MEP ® on tendinopathy of Achilles. Method: This was a controlled clinical trial, randomized study. The sample comprised 20 patients with Achilles tendinopathy. The volunteers were randomly divided into two groups, control (G1) underwent conventional treatment protocol and experimental (G2) which was under the application of MEP. We made two visits per week for a month, totaling eight sessions. As evaluation method were used four questions from Visa-A questionnaire related to the functionality and exercise pratice. Data were analyzed using paired and independent T test. Results: The pain when walking down stairs has been observed a reduction in G1 (p <0.05) and G2 (p <0.001) before and after the protocols. Among the groups there was a greater reduction in G2 (p <0.001). Pain after heating was observed a reduction in G2 (p <0.001). Among them there was a greater reduction (p <0.05) in G2. For pain was observed after walking a reduction in G1 (p <0.05) and G2 (p <0.001) before and after the protocols. Among them there was a reduction (p <0.05) higher in G2. In pain after exercise was observed a reduction in G2 (p <0.001). Among the groups there was a greater decrease in G2 (p <0.05). Conclusion: We conclude that the MEP ® helps reduce pain in functional activities.

Keywords

Achilles tendon, tendinopathy, pain, physical therapy modalities, electrotherapy, analgesia, Electric Stimulation.

References

 


1. Sharma P, Maffulli N. Biology of tendon injury: healing, modeling and remodeling. J Musculoskelet Neuronal Interact. 2006 Apr-Jun;6(2):181-90.

2. Magnussen RA, Dunn WR, Thomson AB. Nonoperative treatment of midportion Achilles tendinopathy: a systematic review. Clin J Sport Med. 2009 Jan;19(1):54-64.

3. Wiegerinck JI, Kerkhoffs GM, van Sterkenburg MN, Sierevelt IN, van Dijk CN. Treatment for insertional Achilles tendinopathy: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2012 Oct 6.

4. Smith LWE, Lehmkuhl LD. Cinesiologia Clínica de Brunnstrom. 1997(5. ed).

5. Ronzio OA, Meyer PF, Brienza D. Microlectrólisis Percutánea: Un nuevo recurso Médico e Kinesico,. 2009.

6. Zhao ME. Electrical fields in wound healing--An overriding signal that directs cell migration. Elsevier. 2009.

7. Robinson JM, Cook JL, Purdam C, Visentini PJ, Ross J, Maffulli N, et al. The VISA-A questionnaire: a valid and reliable index of the clinical severity of Achilles tendinopathy. Br J Sports Med. 2001 Oct;35(5):335-41.

8. Kramer R, Lorenzen J, Vogt PM, Knobloch K. [Systematic review about eccentric training in chronic achilles tendinopathy]. Sportverletz Sportschaden. 2010 Dec;24(4):204-11.

9. Sweeting KR, Whitty JA, Scuffham PA, Yelland MJ. Patient preferences for treatment of achilles tendon pain: results from a discrete-choice experiment. Patient. 2011;4(1):45-54.

10. Kearney RS, McGuinness KR, Achten J, Costa ML. A systematic review of early rehabilitation methods following a rupture of the Achilles tendon. Physiotherapy. 2012 Mar;98(1):24-32.

11. Rees JD, Lichtwark GA, Wolman RL, Wilson AM. The mechanism for efficacy of eccentric loading in Achilles tendon injury; an in vivo study in humans. Rheumatology (Oxford). 2008 Oct;47(10):1493-7.

12. Rompe JD, Furia J, Maffulli N. Eccentric loading versus eccentric loading plus shock-wave treatment for midportion achilles tendinopathy: a randomized controlled trial. Am J Sports Med. 2009 Mar;37(3):463-70.

13. Robertson GS, Wemyss-Holden SA, Dennison AR, Hall PM, Baxter P, Maddern GJ. Experimental study of electrolysis- induced hepatic necrosis. Br J Surg. 1998 Sep;85(9):1212-6.

14. Ces GMOAC. A iontoforese na prática fisioterapêutica. Fisioterapia Brasil. 2007;8(6):5.

15. Artioli DP. O uso da corrente polarizada na Fisioterapia. Revista da Sociedade Brasileira de Clínica Médica. 2011;9(6).

16. Samuelsson LJL. Electrolyte destruction of lung tissue. Electrochemical aspects. Acta Radiol Diagn (Stockh). 1980;21(6).

17. Robertson GWHS, Dennison AR, Hall P, Baxter P, Maddern GJ. Experimental study of electrolysis‐induced hepatic necrosis. British journal of surgery. 1998;85(9):1212-6.

18. Rocha Júnior AM. Modulação da proliferação fibroblástica e da resposta inflamatória pela terapia a laser de baixa intensidade no processo de reparo tecidual. Anais Brasileiros de Dermatologia. 2(81).

 

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