La electrólisis percutánea y su eficacia en el tratamiento de tendinopatías en la extremidad inferior. Revisión sistemática
Article Sidebar
Published:
Oct 4, 2019
Keywords:
Percutaneous electrolysis, efficacy, lower limb, systematic review, tendinopathies.
Main Article Content
Abstract
Nowadays, the tendinopathies world conception has tolerated big changes. The separation of the theories that declare the tendinopathies how inflammatory disorders, theories that allude a pathophysiology of continuing character based on degenerative changes, led to the emergence of physical therapy techniques such as percutaneous invasive electrolysis, which seek to break with this process of degeneration, allowing the recovery of the tissue. The overall objective of this systematic review is to study the efficacy and scientific evidence of the technique of percutaneous electrolysis applied to the treatment of tendinopathies in the lower lamb, to compare the obtained results. For which, it was made a systematic search of studies in 6 databases, using the key words from: patellar tendinopathy with electrolysis, the treatment, physical therapy and rehabilitation, which offered 28 articles, of which, 8 were used in the review, specifically, studies of 5 case series and 2 prospective studies in rats and 1 clinical case. Percutaneous electrolysis, showed a functional improvement and in the painful feeling, to be combined with eccentric exercise therapies. The therapeutic treatment of tendinopathies in the lower limb through percutaneous electrolysis, provides very promising results, however, to develop the consequence of these results, require the input of a substantially larger amount of studies with a more sophisticated methodology, which support your scientific evidence.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Villamarín Arévalo, A. E., Muyulema Allaica, J. C., Culqui García, R. P., & Sandoval Tulcán, M. E. (2019). La electrólisis percutánea y su eficacia en el tratamiento de tendinopatías en la extremidad inferior. Revisión sistemática. Ciencia Digital, 3(4), 210-226. https://doi.org/10.33262/cienciadigital.v3i4.966
Section
Artículos
References
Abat, F., Gelber, P. E., Polidori, F., Monllau, J. C., & Sanchez-Ibaez, J. M. (2015). Clinical results after ultrasound-guided intratissue percutaneous electrolysis (EPI) and eccentric exercise in the treatment of patellar tendinopathy. Knee Surg Sports Traumatol Arthroscopy, 23(4), 1046-1052. doi:10.1007 / s00167-014-2855-2
Abat, F., Sánchez-Sánchez, J. L., Martín-Nogueras, A. M., Calvo-Arenillas, J. I., Yajeya, J., Méndez-Sánchez, R., . . . Gelber, P. E. (2016). Randomized controlled trial comparing the effectiveness of the ultrasound-guided galvanic electrolysis technique (USGET) versus conventional electro-physiotherapeutic treatment on patellar tendinopathy. J Exp Orthop., 3(1), 34. doi:10.1186/s40634-016-0070-4
Ackermann, P. W., & Hart, D. A. (2016). General Overview and Summary of Concepts Regarding Tendon Disease Topics Addressed Related to Metabolic Disorders. Advances in Experimental Medicine and Biology, 920, 293-298. doi:10.1007/978-3-319-33943-6_28
Ackermann, P. W., & Hart, D. A. (2016). General Overview and Summary of Concepts Regarding Tendon Disease Topics Addressed Related to Metabolic Disorders. Advances in Experimental Medicine and Biology, 920, 293-298. doi:10.1007/978-3-319-33943-6_28
Arias-Buria, J. L., Truyols-Domnguez, S., Valero-Alcaide, R., Salom-Moreno, J., Atn-Arratibel, M. A., & Fernndez-De-Las-Pens, C. (2015). Ultrasound-guided percutaneous electrolysis and eccentric exercises for subacromial pain syndrome: A randomized clinical trial. Evidence-Based Complementary and Alternative Medicine, 01-09. doi:10.1155 / 2015/315219
Arnal-Burró, J., López-Capapé, D., Igualada-Blázquez, C., Ortiz-Espada, A., & Martín-García, A. (2015). Surgical treatment of chronic non-insertional Achilles tendinopathy in runners using bipolar radiofrequency. Revista Española de Cirugía Ortopédica y Traumatología, 60(2), 125-132. doi: 10.1016/j.recot.2015.10.003
Carvajal, F. Ó., Álvarez, P. D., Medina, M. F., & Minaya, M. F. (2016). Efectos del electrolisis percutánea en el tendón rotuliano sobre la temperatura local y contralateral medida con termografía infrarroja. Revista Fisioterapia Invasiva, 1(1), 18-25.
Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409-416. doi:10.1136/bjsm.2008.051193
Cook, J. L., Rio, E., Purdam, C. R., Girdwood, M., Ortega-Cebrian, S., & Docking, S. I. (2017). El continuum de la patología de tendón: concepto actual e implicaciones clínicas. Apunts Med Esport., 52(194), 61-69. doi:http://dx.doi.org/10.1016/j.apunts.2017.05.002
De Almeida, S. M., Da Silva, V. R., & Ronzio, O. A. (2019). Surveillance on safety and complications four years after the introduction of Percutaneous Microelectrolisis (MEP®) Sport technique as a physical therapy practice. Fisioter Pesqui., 26(2), 213-218. doi:10.1590/1809-2950/18038726022019
De Carbo, W. T., & Bullock, M. J. (2017). Midsubstance Tendinopathy, Surgical Management. Clinics in Podiatric Medicine and Surgery, 34(2), 175-193. doi: 10.1016/j.cpm.2016.10.006
De la Cruz, T. B., Albornoz, C. M., García, B. P., & Naranjo, O. J. (2016). Autonomic Responses to Ultrasound-Guided Percutaneous Needle Electrolysis of the Patellar Tendon in Healthy Male Footballers. Revista Fisioter Invasiva, 34(4), 18-25. doi:10.1136 / acupmed-2015-010993
De Souza, M. V., Osório, S. C., Da Silva, M. O., Martins da Costa, M. B., Dornas, R. F., Batista, B. A., & Natali, A. J. (2015). Achilles tendon of wistar rats treated with laser therapy and eccentric exercise. Revista Brasileira de Medicina do Esporte, 21(5), 332-337. doi:http://dx.doi.org/10.1590/1517-869220152105144256
Freed, L., Ellis, M. B., Johnson, K., & Haddon, T. B. (2019). Fasciotomy and Surgical Tenotomy for Chronic Achilles Insertional Tendinopathy: A Retrospective Study Using Ultrasound-Guided Percutaneous Microresection. Journal of the American Podiatric Medical Association, 109(1), 01-08. doi:https://doi.org/10.7547/15-168
García, B. P., De La Cruz, T. B., Naranjo, O. J., & Albornoz, C. M. (2018). Autonomic Responses to Ultrasound-Guided Percutaneous Needle Electrolysis: Effect of Needle Puncture or Electrical Current? Journal of Alternative and Complementary Medicine, ;24(1), 69-75. doi:10.1089 / acm.2016.0339
Jennings, M. M., Liew, V., & Marine, B. (2019). Updates in Tendinopathy Treatment Options. Clinics in Podiatric Medicine and Surgery, 34(4), 543-552. doi:10.1016 / j.cpm.2019.06.002
Korakakis, V., Whiteley, R., Tzavara, A., & Malliaropoulos, N. (2018). The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction. British Journal of Sports Medicine, 52(6), 387-407. doi:10.1136/bjsports-2016-097347
Lang, G., Pestka, J. M., Maier, D., Izadpanah, K., Südkamp, N., & Ogon, P. (2017). Arthroscopic patellar release for treatment of chronic symptomatic patellar tendinopathy: long-term outcome and influential factors in an athletic population. BMC Musculoskelet Disord,18(1), 486. doi:10.1186 / s12891-017-1851-3
Lim, H. Y., & Wong, S. H. (2018). Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: A systematic review. Physiotherapy Research International, 23(4), e1721. doi:10.1002/pri.1721
Lui, P. P. (2017). Tendinopathy in diabetes mellitus patients-Epidemiology, pathogenesis, and management. Scand J Med Sci Sports, 27(8), 776-787. doi:10.1111/sms.12824
Mani-Babu, S., Morrissey, D., Waugh, C., Screen, H., & Barton, C. (2015). The effectiveness of extracorporeal shock wave therapy in lower limb tendinopathy: a systematic review. American Journal of Sports Medicine, 43(3), 752-761. doi:10.1177/0363546514531911
Mascaró, A., Cos, M. À., Morral, A., Roig, A., Purdam, C., & Cooke, J. (2018). Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy. Apunts Med Esport., 53(197), 19-27.
Mattiussi, G. 1., & Moreno, C. (2016). Treatment of proximal hamstring tendinopathy-related sciatic nerve entrapment: presentation of an ultrasound-guided "Intratissue Percutaneous Electrolysis" application. Muscle, Ligaments and Tendons Journal, 6(2), 248-252. doi:10.11138/mltj/2016.6.2.248
Moreno, C., Mattiussi, G., & Núñez, F. (2016). Therapeutic results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) in the treatment of rectus abdominis-related groin pain in professional footballers: a pilot study. The Journal of Sports Medicine and Physical Fitness, 56(10), 1171-1178.
Ögüt, T., & Yontar, N. S. (2017). Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques. EFORT Open Reviews, 2(5), 230-240. doi:10.1302/2058-5241.2
Rodríguez, R. A., & Mayordomo, A. R. (2017). Revisión sistemática de la eficacia de la electrolisis percutánea en el tratamiento de tendinopatías en la extremidad inferior. Revista Española de Podología, 28(2), 93-98. doi:https://doi.org/10.1016/j.repod.2017.05.002
Sánchez, A. J., Esquirol, C. J., & Dalmau, S. I. (2016). La pregunta clínica y de investigación en Fisioterapia: el acrónimo PICO. Actualizaciones en Fisioterapia, XII, 80-83.
Sánchez, L. M., & Seoane, P. R. (2018). Electrólisis percutánea ecoguiada y ejercicio terapéutico en tendinopatía de Aquiles: estudio de un caso. Fisioterapia, 40(6), 40(6), 331-225. doi:10.1016/j.ft.2018.07.005
Scott, A., Backman, L. J., & Speed, C. (2015). Tendinopathy: Update on Pathophysiology. Journal of Orthopaedic & Sports Physical Therapy, 45(11), 833-841. doi:10.2519/jospt.2015.5884
Shakked, R. J., & Raikin, S. M. (2017). Insertional Tendinopathy of the Achilles: Debridement, Primary Repair, and When to Augment. Foot and Ankle Clinics, 22(4), 761-780. doi:10.1016/j.fcl.2017.07.005
Singh, A., Calafi, A., Diefenbach, C., Kreulen, C., & Giza, E. (2017). Noninsertional Tendinopathy of the Achilles. Foot Ankle Clin, 22(4), 745-760. doi:10.1016 / j.fcl.2017.07.006
Splittgerber, L. E., & Ihm, J. M. (2019). Significance of Asymptomatic Tendon Pathology in Athletes. Current Sports Medicine Reports (CSMR) | ACSM Journal, 18(6), 192-200. doi:10.1249/JSR.0000000000000600
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicacio´n de revisiones. Medicina Clínica (Barc)., 135(11), 507–511. doi: 10.1016/j.medcli.2010.01.015
Valera-Garrido, F., Minaya-Muñoz, F., & Medina-Mirapeix, F. (2014). Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results. Acupuncture in Medicine, 32(6), 446-454. doi:10.1136/acupmed-2014-010619
Weber, J., & Buchhorn, T. (2017). Midportion Achilles tendinopathy. Unfallchirurg, 120(12), 1038-1043. doi:10.1007/s00113-017-0411-5
Yang, Y., Lu, H., & Qu, J. (2018). Tendon pathology in hypercholesterolaemia patients: Epidemiology, pathogenesis and management. Journal of Orthopaedic Translation, 6(16), 14-22. doi: 10.1016/j.jot.2018.07.003
Yeo, A., Kendall, N., & Jayaraman, S. (2016). Ultrasound-guided dry needling with percutaneous paratenon decompression for chronic Achilles tendinopathy. Knee Surg Sports Traumatol Arthrosc, 24(7), 2112-2118. doi:10.1007/s00167-014-3458-7
Zwiers, R., Wiegerinck, J. I., & Van Dijk, C. N. (2016). Treatment of midportion Achilles tendinopathy: an evidence-based overview. Knee Surg Sports Traumatol Arthrosc., 4(7), 2103-2111. doi:10.1007/s00167-014-3407-5
Abat, F., Sánchez-Sánchez, J. L., Martín-Nogueras, A. M., Calvo-Arenillas, J. I., Yajeya, J., Méndez-Sánchez, R., . . . Gelber, P. E. (2016). Randomized controlled trial comparing the effectiveness of the ultrasound-guided galvanic electrolysis technique (USGET) versus conventional electro-physiotherapeutic treatment on patellar tendinopathy. J Exp Orthop., 3(1), 34. doi:10.1186/s40634-016-0070-4
Ackermann, P. W., & Hart, D. A. (2016). General Overview and Summary of Concepts Regarding Tendon Disease Topics Addressed Related to Metabolic Disorders. Advances in Experimental Medicine and Biology, 920, 293-298. doi:10.1007/978-3-319-33943-6_28
Ackermann, P. W., & Hart, D. A. (2016). General Overview and Summary of Concepts Regarding Tendon Disease Topics Addressed Related to Metabolic Disorders. Advances in Experimental Medicine and Biology, 920, 293-298. doi:10.1007/978-3-319-33943-6_28
Arias-Buria, J. L., Truyols-Domnguez, S., Valero-Alcaide, R., Salom-Moreno, J., Atn-Arratibel, M. A., & Fernndez-De-Las-Pens, C. (2015). Ultrasound-guided percutaneous electrolysis and eccentric exercises for subacromial pain syndrome: A randomized clinical trial. Evidence-Based Complementary and Alternative Medicine, 01-09. doi:10.1155 / 2015/315219
Arnal-Burró, J., López-Capapé, D., Igualada-Blázquez, C., Ortiz-Espada, A., & Martín-García, A. (2015). Surgical treatment of chronic non-insertional Achilles tendinopathy in runners using bipolar radiofrequency. Revista Española de Cirugía Ortopédica y Traumatología, 60(2), 125-132. doi: 10.1016/j.recot.2015.10.003
Carvajal, F. Ó., Álvarez, P. D., Medina, M. F., & Minaya, M. F. (2016). Efectos del electrolisis percutánea en el tendón rotuliano sobre la temperatura local y contralateral medida con termografía infrarroja. Revista Fisioterapia Invasiva, 1(1), 18-25.
Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409-416. doi:10.1136/bjsm.2008.051193
Cook, J. L., Rio, E., Purdam, C. R., Girdwood, M., Ortega-Cebrian, S., & Docking, S. I. (2017). El continuum de la patología de tendón: concepto actual e implicaciones clínicas. Apunts Med Esport., 52(194), 61-69. doi:http://dx.doi.org/10.1016/j.apunts.2017.05.002
De Almeida, S. M., Da Silva, V. R., & Ronzio, O. A. (2019). Surveillance on safety and complications four years after the introduction of Percutaneous Microelectrolisis (MEP®) Sport technique as a physical therapy practice. Fisioter Pesqui., 26(2), 213-218. doi:10.1590/1809-2950/18038726022019
De Carbo, W. T., & Bullock, M. J. (2017). Midsubstance Tendinopathy, Surgical Management. Clinics in Podiatric Medicine and Surgery, 34(2), 175-193. doi: 10.1016/j.cpm.2016.10.006
De la Cruz, T. B., Albornoz, C. M., García, B. P., & Naranjo, O. J. (2016). Autonomic Responses to Ultrasound-Guided Percutaneous Needle Electrolysis of the Patellar Tendon in Healthy Male Footballers. Revista Fisioter Invasiva, 34(4), 18-25. doi:10.1136 / acupmed-2015-010993
De Souza, M. V., Osório, S. C., Da Silva, M. O., Martins da Costa, M. B., Dornas, R. F., Batista, B. A., & Natali, A. J. (2015). Achilles tendon of wistar rats treated with laser therapy and eccentric exercise. Revista Brasileira de Medicina do Esporte, 21(5), 332-337. doi:http://dx.doi.org/10.1590/1517-869220152105144256
Freed, L., Ellis, M. B., Johnson, K., & Haddon, T. B. (2019). Fasciotomy and Surgical Tenotomy for Chronic Achilles Insertional Tendinopathy: A Retrospective Study Using Ultrasound-Guided Percutaneous Microresection. Journal of the American Podiatric Medical Association, 109(1), 01-08. doi:https://doi.org/10.7547/15-168
García, B. P., De La Cruz, T. B., Naranjo, O. J., & Albornoz, C. M. (2018). Autonomic Responses to Ultrasound-Guided Percutaneous Needle Electrolysis: Effect of Needle Puncture or Electrical Current? Journal of Alternative and Complementary Medicine, ;24(1), 69-75. doi:10.1089 / acm.2016.0339
Jennings, M. M., Liew, V., & Marine, B. (2019). Updates in Tendinopathy Treatment Options. Clinics in Podiatric Medicine and Surgery, 34(4), 543-552. doi:10.1016 / j.cpm.2019.06.002
Korakakis, V., Whiteley, R., Tzavara, A., & Malliaropoulos, N. (2018). The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of patient-rated pain reduction. British Journal of Sports Medicine, 52(6), 387-407. doi:10.1136/bjsports-2016-097347
Lang, G., Pestka, J. M., Maier, D., Izadpanah, K., Südkamp, N., & Ogon, P. (2017). Arthroscopic patellar release for treatment of chronic symptomatic patellar tendinopathy: long-term outcome and influential factors in an athletic population. BMC Musculoskelet Disord,18(1), 486. doi:10.1186 / s12891-017-1851-3
Lim, H. Y., & Wong, S. H. (2018). Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: A systematic review. Physiotherapy Research International, 23(4), e1721. doi:10.1002/pri.1721
Lui, P. P. (2017). Tendinopathy in diabetes mellitus patients-Epidemiology, pathogenesis, and management. Scand J Med Sci Sports, 27(8), 776-787. doi:10.1111/sms.12824
Mani-Babu, S., Morrissey, D., Waugh, C., Screen, H., & Barton, C. (2015). The effectiveness of extracorporeal shock wave therapy in lower limb tendinopathy: a systematic review. American Journal of Sports Medicine, 43(3), 752-761. doi:10.1177/0363546514531911
Mascaró, A., Cos, M. À., Morral, A., Roig, A., Purdam, C., & Cooke, J. (2018). Load management in tendinopathy: Clinical progression for Achilles and patellar tendinopathy. Apunts Med Esport., 53(197), 19-27.
Mattiussi, G. 1., & Moreno, C. (2016). Treatment of proximal hamstring tendinopathy-related sciatic nerve entrapment: presentation of an ultrasound-guided "Intratissue Percutaneous Electrolysis" application. Muscle, Ligaments and Tendons Journal, 6(2), 248-252. doi:10.11138/mltj/2016.6.2.248
Moreno, C., Mattiussi, G., & Núñez, F. (2016). Therapeutic results after ultrasound-guided intratissue percutaneous electrolysis (EPI®) in the treatment of rectus abdominis-related groin pain in professional footballers: a pilot study. The Journal of Sports Medicine and Physical Fitness, 56(10), 1171-1178.
Ögüt, T., & Yontar, N. S. (2017). Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques. EFORT Open Reviews, 2(5), 230-240. doi:10.1302/2058-5241.2
Rodríguez, R. A., & Mayordomo, A. R. (2017). Revisión sistemática de la eficacia de la electrolisis percutánea en el tratamiento de tendinopatías en la extremidad inferior. Revista Española de Podología, 28(2), 93-98. doi:https://doi.org/10.1016/j.repod.2017.05.002
Sánchez, A. J., Esquirol, C. J., & Dalmau, S. I. (2016). La pregunta clínica y de investigación en Fisioterapia: el acrónimo PICO. Actualizaciones en Fisioterapia, XII, 80-83.
Sánchez, L. M., & Seoane, P. R. (2018). Electrólisis percutánea ecoguiada y ejercicio terapéutico en tendinopatía de Aquiles: estudio de un caso. Fisioterapia, 40(6), 40(6), 331-225. doi:10.1016/j.ft.2018.07.005
Scott, A., Backman, L. J., & Speed, C. (2015). Tendinopathy: Update on Pathophysiology. Journal of Orthopaedic & Sports Physical Therapy, 45(11), 833-841. doi:10.2519/jospt.2015.5884
Shakked, R. J., & Raikin, S. M. (2017). Insertional Tendinopathy of the Achilles: Debridement, Primary Repair, and When to Augment. Foot and Ankle Clinics, 22(4), 761-780. doi:10.1016/j.fcl.2017.07.005
Singh, A., Calafi, A., Diefenbach, C., Kreulen, C., & Giza, E. (2017). Noninsertional Tendinopathy of the Achilles. Foot Ankle Clin, 22(4), 745-760. doi:10.1016 / j.fcl.2017.07.006
Splittgerber, L. E., & Ihm, J. M. (2019). Significance of Asymptomatic Tendon Pathology in Athletes. Current Sports Medicine Reports (CSMR) | ACSM Journal, 18(6), 192-200. doi:10.1249/JSR.0000000000000600
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicacio´n de revisiones. Medicina Clínica (Barc)., 135(11), 507–511. doi: 10.1016/j.medcli.2010.01.015
Valera-Garrido, F., Minaya-Muñoz, F., & Medina-Mirapeix, F. (2014). Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results. Acupuncture in Medicine, 32(6), 446-454. doi:10.1136/acupmed-2014-010619
Weber, J., & Buchhorn, T. (2017). Midportion Achilles tendinopathy. Unfallchirurg, 120(12), 1038-1043. doi:10.1007/s00113-017-0411-5
Yang, Y., Lu, H., & Qu, J. (2018). Tendon pathology in hypercholesterolaemia patients: Epidemiology, pathogenesis and management. Journal of Orthopaedic Translation, 6(16), 14-22. doi: 10.1016/j.jot.2018.07.003
Yeo, A., Kendall, N., & Jayaraman, S. (2016). Ultrasound-guided dry needling with percutaneous paratenon decompression for chronic Achilles tendinopathy. Knee Surg Sports Traumatol Arthrosc, 24(7), 2112-2118. doi:10.1007/s00167-014-3458-7
Zwiers, R., Wiegerinck, J. I., & Van Dijk, C. N. (2016). Treatment of midportion Achilles tendinopathy: an evidence-based overview. Knee Surg Sports Traumatol Arthrosc., 4(7), 2103-2111. doi:10.1007/s00167-014-3407-5