- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05097937
Analgesic Mechanisms of Percutaneous Electrolysis
February 14, 2022 updated by: Sergio Varela Rodríguez, University of Salamanca
Neurophysiological Effects of Percutaneous Electrolysis Related to Endogenous Pain Modulation
Percutaneous electrolysis is based on the application of a galvanic current through an acupuncture needle.
The underlying mechanisms that explain the efficacy of this technique are not completely well understood.
The objective is to delve into the neurophysiological analgesic effects of percutaneous electrolysis.
Participants will be assigned to one of three intervention groups.
The analgesic effects of the technique will be evaluated by means of variables related to endogenous pain modulation.
Study Overview
Status
Completed
Study Type
Interventional
Enrollment (Actual)
54
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Salamanca, Spain, 37007
- Facultad de Enfermería y Fisioterapia de la Universidad de Salamanca
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Asymptomatic subjects
- Signature of the informed consent
Exclusion Criteria:
- Fear of needles
- Any pathology or process that causes pain
- Neurological, rheumatologic, cardiovascular or metabolic diseases
- Cutaneous alterations and cognitive or sensitivity disorders
- Pregnancy
- Recent intake of alcohol or caffeine
- Vigorous physical activity on the day of testing
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: BASIC_SCIENCE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
SHAM_COMPARATOR: Sham intervention
The needle will be inserted for 90 seconds without galvanic current.
|
The needle will be inserted into the right common extensor tendon of the epicondyle for 90 seconds without galvanic current.
|
|
EXPERIMENTAL: Low intensity percutaneous electrolysis
Galvanic current will be applied with an intensity of 0.3 mA for 90 seconds.
|
A single impact of galvanic current will be applied in the common extensor tendon of the epicondyle (right side) with an intensity of 0.3 mA for 90 seconds.
|
|
EXPERIMENTAL: High intensity percutaneous electrolysis
Participants will receive three impacts of galvanic current with an intensity of 3 mA for 3 seconds each.
|
Three impacts of galvanic current will be applied in the common extensor tendon of the epicondyle (right side) with an intensity of 3 mA and a duration of 3 seconds each.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes from baseline in Pressure Pain Thresholds (PPT)
Time Frame: Baseline and immediately after the intervention
|
PPTs will be measure by algometry in the common extensor tendon of the epicondyle, bicipital groove and tibialis anterior muscle (all of the right side).
|
Baseline and immediately after the intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes from baseline in Conditioned Pain Modulation (CPM)
Time Frame: Baseline and immediately after the intervention
|
CPM will be assess by upper extremity submaximal effort tourniquet test with algometric measures in the common extensor tendon of the epicondyle, bicipital groove and tibialis anterior muscle (all of the right side).
|
Baseline and immediately after the intervention
|
|
Changes from baseline in Temporal Summation (TS)
Time Frame: Baseline and immediately after the intervention
|
Assessed by Verbal Numeric Rating Scale (11-point).
10 consecutive pressures will be applied in the three previous locations (epicondyle, bicipital groove and tibialis anterior) with the algometer at the intensity of the pressure pain threshold
|
Baseline and immediately after the intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- de Miguel Valtierra L, Salom Moreno J, Fernandez-de-Las-Penas C, Cleland JA, Arias-Buria JL. Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial. J Pain. 2018 Oct;19(10):1201-1210. doi: 10.1016/j.jpain.2018.04.017. Epub 2018 May 16.
- 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.
- Cagnie B, Dewitte V, Barbe T, Timmermans F, Delrue N, Meeus M. Physiologic effects of dry needling. Curr Pain Headache Rep. 2013 Aug;17(8):348. doi: 10.1007/s11916-013-0348-5.
- Abat F, Valles SL, Gelber PE, Polidori F, Stitik TP, Garcia-Herreros S, Monllau JC, Sanchez-Ibanez JM. [Molecular repair mechanisms using the Intratissue Percutaneous Electrolysis technique in patellar tendonitis]. Rev Esp Cir Ortop Traumatol. 2014 Jul-Aug;58(4):201-5. doi: 10.1016/j.recot.2014.01.002. Epub 2014 May 10. Spanish.
- Abat F, Gelber PE, Polidori F, Monllau JC, Sanchez-Ibanez JM. Clinical results after ultrasound-guided intratissue percutaneous electrolysis (EPI(R)) and eccentric exercise in the treatment of patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2015 Apr;23(4):1046-52. doi: 10.1007/s00167-014-2855-2. Epub 2014 Jan 30.
- Yarnitsky D, Bouhassira D, Drewes AM, Fillingim RB, Granot M, Hansson P, Landau R, Marchand S, Matre D, Nilsen KB, Stubhaug A, Treede RD, Wilder-Smith OH. Recommendations on practice of conditioned pain modulation (CPM) testing. Eur J Pain. 2015 Jul;19(6):805-6. doi: 10.1002/ejp.605. Epub 2014 Oct 20.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
November 22, 2021
Primary Completion (ACTUAL)
February 11, 2022
Study Completion (ACTUAL)
February 11, 2022
Study Registration Dates
First Submitted
October 16, 2021
First Submitted That Met QC Criteria
October 16, 2021
First Posted (ACTUAL)
October 28, 2021
Study Record Updates
Last Update Posted (ACTUAL)
February 16, 2022
Last Update Submitted That Met QC Criteria
February 14, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EP550
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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