Electrolysis Percutaneous Therapeutic (EPTE) for Supraspinatus Tendinopathy

Study Overview
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Brief Summary
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Therapeutic management of supraspinatus tendinopathy is conflicting. There is evidence that eccentric exercise protocols can be effective for this condition. The inclusion of other therapeutic modalities could help to the management of these patients. A new therapeutic approach, called Electrolysis Percutaneous Therapeutic (EPTE) has been clinically developed. The objective of this randomized clinical trial is to determine the effectiveness of the inclusion of EPTE into a eccentric exercise protocol for the management of patients with unilateral supraspinatus tendinopathy

Official Title
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Electrolysis Percutaneous Therapeutic (EPTE) for the Management of Supraspinatus Tendinopathy

Conditions
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Supraspinatus Tendinopathy

Intervention / Treatment
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* Other: Electrolysis Percutaneous Therapeutic (EPTE)
* Other: Eccentric exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral supraspinatus tendinopathy Shoulder pain from at least 3 months Shoulder pain of more than 4 points on a NPRS Positive findings of supraspinatus tendinopathy on MRI Exclusion Criteria: bilateral shoulder symptoms younger than 18 or older than 65 years history of shoulder fractures or dislocation cervical radiculopathy previous interventions with steroid injections fibromyalgia syndrome previous history of shoulder or neck surgery any type of intervention for the neck-shoulder area during the previous year

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Electrolysis Percutaneous Therapeutic (EPTE)<br>Electrolysis Percutaneous Therapeutic (EPTE) consists of the application of a galvanic electrical current with an acupuncture needle in the soft tissue, in this case the supraspinatus tendon, to initiate a local inflammatory process allowing phagocytosis and repair of the affected tissue. The technique is pain-free since the electrical intensity is adapted to each patient. In addition, patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 4 weeks. | Other: Electrolysis Percutaneous Therapeutic (EPTE)<br> <br> |
| Experimental: Eccentric exercise<br>Patients will be asked to perform an eccentric loading exercise program for the shoulder musculature, particularly the supraspinatus and infraspinatus muscles, to be performed on an individual basis twice every day. The therapeutic protocol will be applied for 4 weeks. | Other: Eccentric exercise<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in pain intensity before and after the intervention | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of shoulder pain, and the worst and lowest level of pain experienced in the preceding week in the shoulder area. | Baseline, after 2 weeks of treatment and one week after the last session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in disability before and after the intervention | The Disabilities of the Arm, Shoulder and Hand (DASH) will be used to determine the disability induced by shoulder pain | Baseline, after 2 weeks of treatment and one week after the last session | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Supraspinatus, tendinopathy, pain, disability, EPTE