{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:31:45Z","timestamp":1791837105408,"version":"4.3.4"},"reference-count":25,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. To compare effects of ultrasound- (US-) guided percutaneous electrolysis combined with an eccentric exercise program of the rotator cuff muscles in subacromial pain syndrome.<jats:italic>Methods<\/jats:italic>. Thirty-six patients were randomized and assigned into US-guided percutaneous electrolysis (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>17<\/mml:mn><\/mml:math>) group or exercise (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mi>n<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>19<\/mml:mn><\/mml:math>) group. Patients were asked to perform an eccentric exercise program of the rotator cuff muscles twice every day for 4 weeks. Participants assigned to US-guided percutaneous electrolysis group also received the application of galvanic current through acupuncture needle on each session once a week (total 4 sessions). Shoulder pain (NPRS) and disability (DASH) were assessed at baseline, after 2 sessions, and 1 week after the last session.<jats:italic>Results<\/jats:italic>. The ANOVA revealed significant Group<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mrow><mml:mi>\u2217<\/mml:mi><\/mml:mrow><\/mml:math>Time interactions for shoulder pain and disability (all,<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mi>P<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn>0.01<\/mml:mn><\/mml:math>): individuals receiving US-guided percutaneous electrolysis combined with the eccentric exercises experienced greater improvement than those receiving eccentric exercise alone.<jats:italic>Conclusions<\/jats:italic>. US-guided percutaneous electrolysis combined with eccentric exercises resulted in small better outcomes at short term compared to when only eccentric exercises were applied in subacromial pain syndrome. The effect was statistically and clinically significant for shoulder pain but below minimal clinical difference for function. Future studies should investigate the long-term effects and potential placebo effect of this intervention.<\/jats:p>","DOI":"10.1155\/2015\/315219","type":"journal-article","created":{"date-parts":[[2015,11,15]],"date-time":"2015-11-15T16:01:42Z","timestamp":1447603302000},"page":"1-9","source":"Crossref","is-referenced-by-count":42,"title":["Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial"],"prefix":"10.1155","volume":"2015","author":[{"given":"Jos\u00e9 L.","family":"Arias-Bur\u00eda","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Universidad Francisco de Vitoria, Carretera Pozuelo a Majadahonda, Km 1.800, Pozuelo de Alarc\u00f3n, 28223 Madrid, Spain"},{"name":"C\u00e1tedra de Investigaci\u00f3n y Docencia en Fisioterapia, Terapia Manual y Punci\u00f3n Seca, Universidad Rey Juan Carlos, Avenida de Atenas s\/n, Alcorc\u00f3n, 28922 Madrid, Spain"},{"name":"Department of Physical Therapy, Hospital Universitario Gregorio Mara\u00f1\u00f3n, Doctor Esquerdo 46, 28007 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebasti\u00e1n","family":"Truyols-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Universidad Camilo Jose Cela, Urb. 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