Percutaneous Electrical Nerve Stimulation Compared to Passive Assisted Neurodynamics in Brachial Plexus Neuropathy

Universidad Rey Juan Carlos

Status

Enrolling

Conditions

Peripheral Neuropathy

Percutaneous Electrical Nerve Stimulation

Neuropathic Pain

Treatments

Procedure: Percutaneous Electrical Nerve Stimulation

Procedure: Neurodynamic and manual therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT05432973

PENS210722

Details and patient eligibility

About

Brachial plexus neuropathies, specifically of the median, radial, ulnar, suprascapular, axillary and dorsal scapular nerves, can arise when a peripheral nerve trunk or nerve root is subjected to injury, compression, inflammation or ischemia, resulting in reduced physical capabilities of the peripheral nervous system. Although pharmacological treatments provide mild symptomatic relief in the short term, they are not without side effects.

Neurostimulation techniques may be an effective treatment option for peripheral brachial plexus neuropathies. Some of these procedures are transcutaneous electrical nerve stimulation (TENS) or percutaneous electrical nerve stimulation (PENS). Although some case series have documented a positive effect in relation to ultrasound-guided PENS for subjects with subacromial pain syndrome or postsurgical pain, the lack of studies, to our knowledge, analyzing the effects of percutaneous electrical nerve stimulation, in relation to pain and paresthesias in subjects with brachial plexus neuropathy, warrants investigation for this goal.

Enrollment

11 estimated patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Subjects with upper limb neural symptomatology between 18 and 60 years of age, presenting two or more of the following conditions:
Paresthesias in any territory of the shoulder girdle, arm or hand
Pain at rest in any territory of the upper extremity.
Pain at rest in any upper extremity territory
Sensations of electric shock in any territory of the shoulder girdle, arm or hand.
Allodynia or cutaneous hyperalgesia in any territory of the shoulder girdle, arm or hand.

Exclusion criteria

Less than 2 weeks of evolution
Fracture in the affected upper extremity
Suffering from another joint disorder such as osteoarthritis or rheumatic disease
Suffering from generalized neuropathies due to neuromuscular disease or medication
Inability to understand instructions or sign informed consent.
Wearing a pacemaker or any electrical device implanted in the body
Epilepsy
Aversion or fear of needles
Pregnant.