ABSTRACT
Damage to intramuscular tendons is very common in sports injuries, specifically in soleus muscle injuries. This study sought to compare the effects of applying ultrasound- (US-) guided percutaneous needle electrolysis (PNE) in combination with an eccentric exercise program on pain and functionality in dancers with chronic soleus injury, located in the central tendon. Thirty dancers with injured central tendon of the soleus muscle were randomly allocated to a PNE group (n = 10), an eccentric exercise group (n = 10), or a combined group (n = 10). Pain, ankle dorsiflexion range of motion (DROM), endurance, the heel raise test, the DFOS questionnaire, and the minimal clinically important difference (MCID) were analyzed at baseline and after treatment (four weeks). Over half (52%) of the dancers had a chronic soleus muscle injury. Variables for pain, DROM, the heel rise test, ADL, technique, DFOS total, and DFOS-subjective variables showed significant differences (P < 0.05) in pretreatment and posttreatment in all groups, whereas no significant differences were observed between intervention groups. However, the combined group showed a higher percentage of changes compared to the other groups, and these dancers had greater perceived changes (MCID = 4.70 ± 1.42). The conclusion of the study was that dancers with chronic soleus injury, located in the central tendon, treated with a combination of US-guided PNE and an eccentric exercise program displayed improved outcomes compared to the application of PNE therapy or eccentric exercise alone. The US-guided PNE, combined with an eccentric exercise program, is a useful therapeutic tool for the treatment of chronic soleus injury, located in the central tendon. The trial is registered with NCT04042012.
ABSTRACT
Objetivos: Evaluar la eficacia de los tratamientos de manipulación cervical y de presión continua en pacientes con cefalea tensional. Métodos: Se ha llevado a cabo un estudio experimental, longitudinal y controlado en el que han participado 82 pacientes (población muestreada) diagnosticados de cefalea tensional, de los cuales 60 participaron en el estudio correctamente (muestra); a su vez, la muestra se ha distribuido de manera aleatoria en 3 grupos: 2 de tratamiento y un grupo control. Para el grupo 1 se ha realizado la técnica de manipulación cervical de C1 y C2 en rotación de forma bilateral, mientras que al grupo 2 le correspondió la técnica de presión en punto gatillo. Se llevaron a cabo 2 sesiones con una regularidad semanal, realizando evaluaciones antes y después del tratamiento. Se evaluó el umbral del dolor a la presión en los puntos gatillo de los músculos trapecio y temporal, de forma bilateral. Resultados: Los resultados más significativos se encontraron en la sesión 2 POST con valores que muestran que hay un aumento del umbral del dolor a la presión para las variables TPD (p = 0,003), TPI (p < 0,001) y TMD (p = 0,029). Las variables TPD (p = 0,020; IC del 95%, 0,470-0,645), TPI (p = 0,004; IC del 95%, 0,110-0,668) y TMD (p = 0,047; IC del 95%, 0,003-0,511) mostraron diferencias significativas entre los grupos de manipulación y presión. Conclusiones: Los tratamientos de manipulación y de presión continua son eficaces para el manejo de pacientes con cefalea tensional, siendo el grupo de manipulación el que mejores resultados ha obtenido
Objective: To evaluate the efficacy of cervical manipulation treatment and positional release therapy in patients with tension-type headache. Methods: An experimental, longitudinal, controlled, study was carried out. A total of 82 patients (sampled population) who were diagnosed with tension headache participated in the study. The final sample included 60 subjects (sample), which was randomly divided into three groups: two treatment groups and one control group. Cervical manipulation was performed in bilateral rotation for C1 and C1 in group 1 while positional release therapy was done in group 2. Therapy was performed in two sessions weekly, with assessments before and after treatment. The pain threshold to pressure on trigger points in the upper trapezius and temporalis muscles bilaterally was evaluated. Results: The most significant results were found in POST session 2 with values that showed that there was an increased pain threshold to pressure for TPD (total permanent disability) variables (P = 0.003), TPI (P < 0.001) and TMD (P = 0.029). TPD variable (P = 0.020, 95% CI = 0.470-0.645), TPI (P = 0.004, 95% CI = 0.110-0.668) and TMD (P = 0.047, 95% CI = 0.003-0.511) showed significant differences between the cervical manipulation groups and positional release therapy. Conclusions: Cervical manipulation and positional release therapy treatments are effective in the management of patients with tension type headache, with the cervical manipulation group showing the best results
