Effectiveness of Ultrasound-Guided Nerve Stimulation for Patients With Post-surgical Shoulder Pain

Universidad Rey Juan Carlos

Status: Completed

Conditions: Ultrasound-Guided Percutaneous Electrical Nerve Stimulation

Treatments: Procedure: Manual physiotherapy protocol based on available evidence.; Procedure: Ultrasound Guied Percutaneus Electrical Nerve Stimulation (US-PENS) and Manual physiotherapy protocol based on available evidence.

Study type: Interventional

Funder types: Other

Identifiers

NCT06331871

2004202111621

Details and patient eligibility

About

The aim of this clinical trial was to demonstrate the effectiveness of the application of ultrasound-guided percutaneous nerve stimulation (US-PENS) directed at the axillary nerve and the suprascapular nerve, in patients with post-surgical shoulder pain.

This is a randomized, longitudinal, prospective and quasi-experimental clinical trial in which a total of 70 patients divided into two groups; physiotherapy protocol group (n=35) and experimental group to which the same protocol was practiced and a US-PENS session was added (n=35).

The intervention and follow-up period of the participants took place over 12 weeks.

Full description

The objective of this clinical trial is to evaluate the effects of including ultrasound-guided percutaneous nerve stimulation (US-PENS) on the suprascapular nerve and axillary nerve, along with a manual physical therapy protocol in patients with pain and lack of function after a shoulder surgery.

Methods: 70 patients with shoulder pain undergoing arthroscopic surgery were recruited.

They were divided into two groups at random; physiotherapy protocol group (n=35) and experimental group to which the same protocol was practiced and two sessions of US-PENS were added (n=35).

A series of variables were evaluated:

Pain, disability and functional impotence with the help of the NSPR, SPADI and DASH scales.

In turn, goniometry, dynamometry and calculation of the pressure pain threshold were performed.

The intervention and follow-up period of the participants lasted 12 weeks.

Enrollment: 70 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing surgery using arthroscopic techniques for rotator cuff repair, shoulder instability injuries or arthrolysis;
• Be between the 4th and 6th week after surgery;
• Presence of pain and restriction in shoulder joint mobility in at least one of the movements analyzed after surgery;
• Patients without previous surgery on the shoulder girdle.

Exclusion criteria

Having undergone previous physiotherapy treatment for the same reason;

• Having undergone previous physiotherapy treatment for the same reason;
• Belonephobia and/or electrophobia;
• Pharmacological treatment with antiplatelet agents;
• Patients infiltrated with corticosteroids and/or anesthetics after surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

Ultrasound-guided percutaneous nerve stimulation (US-PENS) and physiotherapy protocol.

Experimental group

Description:

Ultrasound Guied Percutaneus Electrical Nerve Stimulation on the suprascapular nerve and axillary nerve, along with a manual physical therapy protocol in patients with pain and lack of function after a shoulder surgery.

Treatment:

Procedure: Ultrasound Guied Percutaneus Electrical Nerve Stimulation (US-PENS) and Manual physiotherapy protocol based on available evidence.

Physiotherapy protocol.

Active Comparator group

Description:

Only a physiotherapy protocol based on available evidence, applied to patients with pain undergoing shoulder surgery.

Treatment:

Procedure: Manual physiotherapy protocol based on available evidence.