Fisioterapia Invasiva EPTE y NMP.
La fisioterapia invasiva es una rama emergente de la fisioterapia que se está desarrollando rápidamente. A pesar de su creciente popularidad, la fisioterapia invasiva todavía es un área relativamente nueva en la investigación científica, sin embargo, un número cada vez mayor de estudios clínicos están demostrando los efectos positivos de la fisioterapia invasiva en la mejora del dolor, la función y la movilidad en pacientes con una amplia variedad de lesiones musculoesqueléticas.
En esta sección, se presentan algunos artículos científicos actualizados sobre la investigación y el desarrollo de la fisioterapia invasiva. Los artículos incluyen resultados de estudios clínicos rigurosos, revisiones sistemáticas y ensayos clínicos controlados, que brindan información valiosa sobre la eficacia y la seguridad de la fisioterapia invasiva en la práctica clínica. Estos artículos son una fuente valiosa de información para los profesionales de la salud que buscan aprender más sobre el estado actual del desarrollo de la fisioterapia invasiva y cómo puede ser aplicada de manera efectiva en la atención de los pacientes.
Publicaciones Científicas
Revisa alguna de las últimas publicaciones relacionadas a la Fisioterapia Invasiva.
Effectiveness of the Intratissue Percutaneous Electrolysis technique and isoinertial eccentric exercise in the treatment of patellar tendinopathy at two years follow-up
La electrólisis percutánea intratisular (EPI®) combinada con un programa de rehabilitación basado en ejercicios excéntricos ofrece excelentes resultados en términos de mejora clínica y funcional del tendón patelar con baja morbilidad en un período corto de tiempo.
Effectiveness of Ultrasound-Guided Percutaneous Electrolysis for Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Moderate evidence suggests positive effects of ultrasound-guided percutaneous electrolysis for pain and pain-related disability in musculoskeletal pain conditions relative to a comparison group in the short term, midterm, and long term.
Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial
Los sujetos que recibieron terapia manual, ejercicio y electrólisis percutánea mostraron cambios significativamente mayores en el dolor del hombro (P < .001) y SPADI (P < .001) que aquellos que recibieron solo terapia manual y ejercicio en todos los seguimientos. Los tamaños de efecto fueron grandes (diferencia media estandarizada > .91) para el dolor del hombro y la función a los 3 y 6 meses a favor del grupo de electrólisis percutánea.
Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis
Results: Of the 14 articles, four applied percutaneous electrolysis to the knee, three to the shoulder, three to the elbow, two to the hip and two to the ankle and foot. A meta-analysis on intensity of pain (evaluated with algometer and the Visual Analogue Scale) was performed on studies comparing percutaneous electrolysis with a control group, indicating that the groups treated with percutaneous electrolysis had better results (p = 0.01)
Conclusions: The percutaneous electrolysis is effective for the treatment of tendinopathies. The combination of this technique with eccentric training has proven to be one of the most effective treatments to date for improving pain.
Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial
Few studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach-trigger point dry needling (TDN)-in patients with LE. A randomized controlled trial was conducted in which 32 participants with LE were randomly assigned to two treatment groups, the PE group (n = 16) and the TDN group (n = 16). Both groups received four therapy sessions and an eccentric exercise program to be performed daily. The numerical pain rating scale (NPRS), pressure pain thresholds (PPT), quality of life, and range of motion were measured before treatment, at the end of treatment, and at one- and three-month follow-ups. Significant between-group mean differences were found after treatment for NPRS (p < 0.001) and flexion movement (p = 0.006). At one-month follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.021), and flexion (p = 0.036). At three-months follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.004), and flexion (p = 0.003). This study provides evidence that PE could be more effective than TDN for short- and medium-term improvement of pain and PPTs in LE when added to an eccentric exercise program.
Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis
Background: Corticosteroid infiltration (CI) is commonly used for treatment of plantar fasciosis. In recent years, however, interest has grown in the use of intratissue percutaneous electrolysis (EPI) for the treatment of tendinopathies. The aim of our study was to compare the effectiveness of the above techniques in the treatment of plantar fasciosis.
Methods: The results achieved over a period of 1 year following the use of these techniques to treat plantar fasciosis were examined. There were 64 patients; 32 of whom were treated with ultrasound-guided EPI and 32 with ultrasound-guided CI. A clinical examination was performed and ultrasound taken before treatment and at 3, 6, and 12 months. Clinical assessments were made using a visual analog scale (VAS) to record pain and the Foot and Ankle Disability Index (FADI) to evaluate function. Ultrasound was used to determine the thickness of the plantar fascia.
Results: Both the ultrasound-guided EPI and CI techniques were associated with significant clinical and echographic improvements at 12 months post-treatment ( P < .001).
Level of evidence: Level III, retrospective comparative study.
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