Influence of Percutaneous Electrolysis on Endogenous Pain Modulation
Influence of Percutaneous Electrolysis on Endogenous Pain Modulation: A Randomized Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
-
Salamanca, Spain, 37007
- Facultad de Enfermería y Fisioterapia de la Universidad de Salamanca
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy asymptomatic subjects
- Aged 18 to 40 years
- Both genders
Exclusion Criteria:
- Belonephobia or fear of needles
- Neurological, cardiovascular or metabolic diseases
- Any pathology or process that causes pain
- Cutaneous alterations
- Pregnancy
- Cognitive and sensitivity disorders
- Fibromyalgia
- Frequent or recent (24 hours before) intake of alcohol and other drugs
- Have received pharmacological, physiotherapeutic or other treatment in the last week
- Intake of caffeine in the two hours prior to measurement
- Vigorous physical activity on the day of testing
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Sham Comparator: Needling Group
The needle will be inserted for 90 seconds without galvanic current.
|
The needle will be inserted into the common extensor tendon of the epicondyle (dominant elbow) for 90 seconds without galvanic current.
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Experimental: Low intensity percutaneous electrolysis
A single impact of galvanic current will be applied with an intensity of 0.3 mA for 90 seconds.
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Once the needle is located in the common extensor tendon of the epicondyle (dominant elbow), a single impact of galvanic current will be applied with an intensity of 0.3 mA for 90 seconds.
|
|
Experimental: High intensity percutaneous electrolysis
Three impacts of galvanic current will be applied with an intensity of 3 mA and a duration of 3 seconds each.
|
The needle will be inserted in the target position during the same time as in the other groups (90 seconds).
During the first stage of intervention the needle will be imbedded without galvanic current and when the end of the application time approaches (approximately 75 seconds) three impacts of galvanic current will be applied with an intensity of 3 mA and a duration of 3 seconds each.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline Conditioned Pain Modulation (evaluated by pressure algometry) immediately after the intervention
Time Frame: Baseline and immediately after the intervention
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Assessed by algometry.
Conditioning stimulus: pressure cuff on the arm.
Measured at three locations (bilaterally): common extensor tendon of the epicondyle, cervical spine and tibialis anterior muscle.
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Baseline and immediately after the intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline Pressure Pain Thresholds immediately after the intervention
Time Frame: Baseline and immediately after the intervention
|
Assessed by algometry.
Measured at three locations (bilaterally): common extensor tendon of the epicondyle, cervical spine and tibialis anterior muscle.
|
Baseline and immediately after the intervention
|
|
Change from baseline Temporal Summation (evaluated by VNRS) immediately after the intervention
Time Frame: Baseline and immediately after the intervention
|
Assessed by Verbal Numeric Rating Scale (11-point).
Temporary stimuli: 10 consecutive pressures with the algometer at the intensity of the pressure pain threshold.
Three locations (bilaterally): common extensor tendon of the epicondyle, cervical spine and tibialis anterior muscle.
|
Baseline and immediately after the intervention
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Valera-Garrido F, Minaya-Munoz F, Medina-Mirapeix F. Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results. Acupunct Med. 2014 Dec;32(6):446-54. doi: 10.1136/acupmed-2014-010619. Epub 2014 Aug 13.
- Abat F, Diesel WJ, Gelber PE, Polidori F, Monllau JC, Sanchez-Ibanez JM. Effectiveness of the Intratissue Percutaneous Electrolysis (EPI(R)) technique and isoinertial eccentric exercise in the treatment of patellar tendinopathy at two years follow-up. Muscles Ligaments Tendons J. 2014 Jul 14;4(2):188-93. eCollection 2014 Apr.
- Garcia Bermejo P, De La Cruz Torres B, Naranjo Orellana J, Albornoz Cabello M. Autonomic Responses to Ultrasound-Guided Percutaneous Needle Electrolysis: Effect of Needle Puncture or Electrical Current? J Altern Complement Med. 2018 Jan;24(1):69-75. doi: 10.1089/acm.2016.0339. Epub 2017 Jan 30.
- Nir RR, Yarnitsky D. Conditioned pain modulation. Curr Opin Support Palliat Care. 2015 Jun;9(2):131-7. doi: 10.1097/SPC.0000000000000126.
- Fernandez-de-Las-Penas C, Nijs J. Trigger point dry needling for the treatment of myofascial pain syndrome: current perspectives within a pain neuroscience paradigm. J Pain Res. 2019 Jun 18;12:1899-1911. doi: 10.2147/JPR.S154728. eCollection 2019.
- Damien J, Colloca L, Bellei-Rodriguez CE, Marchand S. Pain Modulation: From Conditioned Pain Modulation to Placebo and Nocebo Effects in Experimental and Clinical Pain. Int Rev Neurobiol. 2018;139:255-296. doi: 10.1016/bs.irn.2018.07.024. Epub 2018 Aug 14.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- Electrolysis550
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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