Ultrasound-guided gluteal nerves electrical stimulation to enhance strength and power in individuals with chronic knee pain: a randomized controlled pilot trial
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| Názov: | Ultrasound-guided gluteal nerves electrical stimulation to enhance strength and power in individuals with chronic knee pain: a randomized controlled pilot trial |
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| Autori: | Francesco Sartori, Pedro Luiz Flores Fagnani, Laia Monne-Guasch, Giovanni La Cagnina, Javier Picañol, Albert Puig-Diví |
| Prispievatelia: | Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna |
| Zdroj: | Front Med (Lausanne) DAU Arxiu Digital de la Universitat Ramon Llull instname Repositori Digital del TecnoCampus TecnoCampus Frontiers in Medicine, Vol 11 (2024) |
| Informácie o vydavateľovi: | Frontiers Media SA, 2024. |
| Rok vydania: | 2024 |
| Predmety: | Medicine (General), Neuroestimulació, TENS, Chronic pain, 03 medical and health sciences, R5-920, 0302 clinical medicine, Rehabilitation medicine, Ultrasons, Estimulació nerviosa perifèrica, Electrofisiologia, knee pain, Neuromodulació, Neuromodulation, Estimulació elèctrica, Genolls -- Malalties, rehabilitation medicine, Ultrasound-guided percutaneous peripheral nerve stimulation, Knee pain, Dolor crònic, Electrophysiology, ultrasound-guided percutaneous peripheral nerve stimulation, Rehabilitació, Electrical stimulation, neuromodulation, Medicine, chronic pain |
| Popis: | IntroductionVarious pathophysiological contexts can be accompanied by weakness, arthrogenic muscle inhibition, and even disability. In this scenario, peripheral nerve stimulation has been studied not only for pain management but also for the improvement of neuromuscular parameters. For this purpose, the use of Transcutaneous Electrical Nerve Stimulation (TENS) has typically been investigated, but recently, the use of ultrasound-guided percutaneous peripheral nerve stimulation (pPNS) has gained popularity. In this regard, electrical stimulation has a predisposition to activate Type II muscle fibers and has been shown to be capable of generating short-term potentiation by increasing calcium sensitivity. However, the evidence of pPNS applied in humans investigating such variables is rather limited.ObjectivesThis pilot study aimed to assess the feasibility of the methodology and explore the potential of pPNS in enhancing hip extension performance in individuals suffering from knee pain, comparing it with TENS.MethodsTwelve participants were divided into pPNS and TENS groups, undergoing pre- and post-intervention assessments of peak concentric power (W), strength (N), execution speed (m/s), and one-repetition maximum (1RM) (kg) estimation. For pPNS, two needles were positioned adjacent to the superior and inferior gluteal nerves under ultrasound guidance. For TENS, electrodes were positioned between the posterosuperior iliac spine and the ischial tuberosity, and halfway between the posterosuperior iliac spine and the greater trochanter. The interventions consisted of 10 stimulations of 10 s at a frequency of 10 Hz with a pulse width of 240 μs, with rest intervals of 10 s between stimulations.ResultsPeripheral nerve stimulation significantly improved concentric power at 30% (p = 0.03) and 50% (p = 0.03) of 1RM, surpassing TENS, which showed minimal changes. No significant strength differences were observed post-intervention in either group.ConclusionThis work presents evidence where pPNS applied to the gluteal nerves results in an enhanced performance of hip extension at submaximal loads. However, this improvement does not seem to be reflected in short-term changes in the estimation of the 1RM by the force-velocity profile. |
| Druh dokumentu: | Article Other literature type |
| Popis súboru: | application/pdf |
| ISSN: | 2296-858X |
| DOI: | 10.3389/fmed.2024.1410495 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39021827 http://hdl.handle.net/20.500.12367/2922 https://doaj.org/article/eff7ba26b8ec42cb976abb52ab943182 |
| Rights: | CC BY |
| Prístupové číslo: | edsair.doi.dedup.....2be2004864424e459f92ebe74729b9fb |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | IntroductionVarious pathophysiological contexts can be accompanied by weakness, arthrogenic muscle inhibition, and even disability. In this scenario, peripheral nerve stimulation has been studied not only for pain management but also for the improvement of neuromuscular parameters. For this purpose, the use of Transcutaneous Electrical Nerve Stimulation (TENS) has typically been investigated, but recently, the use of ultrasound-guided percutaneous peripheral nerve stimulation (pPNS) has gained popularity. In this regard, electrical stimulation has a predisposition to activate Type II muscle fibers and has been shown to be capable of generating short-term potentiation by increasing calcium sensitivity. However, the evidence of pPNS applied in humans investigating such variables is rather limited.ObjectivesThis pilot study aimed to assess the feasibility of the methodology and explore the potential of pPNS in enhancing hip extension performance in individuals suffering from knee pain, comparing it with TENS.MethodsTwelve participants were divided into pPNS and TENS groups, undergoing pre- and post-intervention assessments of peak concentric power (W), strength (N), execution speed (m/s), and one-repetition maximum (1RM) (kg) estimation. For pPNS, two needles were positioned adjacent to the superior and inferior gluteal nerves under ultrasound guidance. For TENS, electrodes were positioned between the posterosuperior iliac spine and the ischial tuberosity, and halfway between the posterosuperior iliac spine and the greater trochanter. The interventions consisted of 10 stimulations of 10 s at a frequency of 10 Hz with a pulse width of 240 μs, with rest intervals of 10 s between stimulations.ResultsPeripheral nerve stimulation significantly improved concentric power at 30% (p = 0.03) and 50% (p = 0.03) of 1RM, surpassing TENS, which showed minimal changes. No significant strength differences were observed post-intervention in either group.ConclusionThis work presents evidence where pPNS applied to the gluteal nerves results in an enhanced performance of hip extension at submaximal loads. However, this improvement does not seem to be reflected in short-term changes in the estimation of the 1RM by the force-velocity profile. |
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| ISSN: | 2296858X |
| DOI: | 10.3389/fmed.2024.1410495 |