Novel treatment with percutaneus electrolysis in cervical whiplash syndrome

Abstract

Introduction and Aims Cervical whiplash syndrome (CWS) commonly occurs because of the rear impact of motor vehicle collisions, producing a forced passive extension of the neck, followed by a rapid flexion in the form of a whip. This violent flexion can lead to an enthesopathy of the levator scapulae muscle (LS). The aim of this study was to evaluate the effectiveness of the percutaneous needle electrolysis (PNE) technique on the enthesopathy of the LS after a CWS and to compare this with a conventional physical therapy protocol.

Material and Methods In a physical therapy center specialized in traffic accidents, we arranged to interview a sample of 100 voluntary patients, providing subjects with the inclusion-exclusion criteria and an informed consent form. Participants recruited to the study had their pain quantified using the visual analog scale (VAS) for pain, the validated neck pain questionnaire (NPQ), and an algometer. Two groups were created. One received the PNE technique and the other received the conventional physiotherapy protocol. Once treatments were completed, pain was quantified once again and the results were obtained.

Results The most important findings are highlighted, regarding the comparison of variables of pain quantification in both groups and regarding the cost per treatment session.

Conclusions

1. The conventional physiotherapy protocol used is effective for the reduction of pain in the SLC in the enthesopathy of the LS.

2. Treatment with the PNE technique is effective for the reduction of pain in the CWS for LS enthesopathy.

3. Physiotherapy treatment which includes the PNE technique is more effective in the algometry variable than treatment performed with conventional physiotherapy techniques by 16.8%.

3. The PNE technique is superior to the protocol of conventional physiotherapy in the cost/effectiveness relationship by 85%.

4. The PNE technique, without combining the same with any other physiotherapy technique, is effective for the reduction of pain in cases of enthesopathy.

Comparative of both groups for the VAS variable, before and after:

Group	VAS pre	VAS post	% Improvement
Conventional physiotherapy	6.7136	5.1211	31.3
PNE technique	6.8664	5.0689	35.3

Comparative of both groups with the algometry variable before and after:

Group	Alg. pre	Alg. post	% Improvement
Conventional physiotherapy	3.1778	4.1503	23.5
PNE technique	2.059	3.4477	40.3

Comparative of both groups for the NPQ before and after:

Group	NPQ pre	NPQ post	% Improvement
Conventional physiotherapy	79.025	68.0417	16.4%
PNE technique	73.52	61.894	18.8%

Treatment cost for each group:

Price per session	Group	Sessions	Treatment cost
15.82 €	Conventional physiotherapy	20	316,4 €
	PNE technique	3	47,46 €

Comparativa de los dos grupos en la variable EVA antes y después:

GRUPO	EVA antes	EVA desp.	% Mejoría
Fisioterapia convencional	6,7136	5,1211	31,3
Técnica EP	6,8664	5,0689	35,3

Comparativa de los dos grupos en la variable Algómetro antes y después:

GRUPO	Alg. antes	Alg. desp.	% Mejoría
Fisioterapia convencional	3,1778	4,1503	23,5
Técnica EP	2,059	3,4477	40,3

Comparativa de los dos grupos en la variable NPQ antes y después:

GRUPO	NPQ antes	NPQ desp.	% Mejoría
Fisioterapia convencional	79,025	68,0417	16,4
Técnica EP	73,52	61,894	18,8

Coste de tratamiento en cada grupo:

PRECIO POR SESIÓN	GRUPO	SESIONES	COSTE TTO.
15,82 €	Fisioterapia convencional	20	316,4 €
	Técnica de EP	3	47,46 €