Ultrasound-guided Percutaneous Neuromodulation in Anterior Cruciate Reconstruction (NMPeLCA)
ACL Injury
About this trial
This is an interventional treatment trial for ACL Injury focused on measuring percutaneous neuromodulation, femoral nerve, ultrasound, acl reconstruction
Eligibility Criteria
Inclusion Criteria: Subjects aged between 18 and 55 years who have undergone surgery for an anterior cruciate ligament (ACL) in a period of time between 2 and 6 weeks of evolution with or without meniscal injury (meniscal regularization / meniscal suture / meniscectomy, etc.). have pain or loss of sensitivity in the operated knee and that they have signed the informed consent. Exclusion Criteria: Subjects with chronic joint disease; prosthesis or osteosynthesis in the intervention area, as well as heart disease, neoplasia and coagulopathy. Subjects consuming analgesics. Subjects with belonephobia or insurmountable fear of needles History of lumbar pathology (lumbar hernia/protrusion) due to possible involvement of the lumbar plexus. Subjects with a history of neurological or orthopedic disorders Subjects with bilateral symptoms. Subjects with epilepsy, pacemaker or pregnant.
Sites / Locations
- Julio José Caballero López
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Physical therapy protocol
Ultrasound-Guided Percutaneous Neuromodulation
The physiotherapy protocol is based on manual therapy (passive joint mobilization), myofascial work, active exercise, high intensity neuromuscular electrical stimulation and cryotherapy.
Ultrasound-guided percutaneous neuromodulation (e-NMP) is the electrical stimulation by means of a needle with ultrasound guidance of a peripheral nerve at some point in its course or of a muscle at a motor point, with a therapeutic purpose. The application of the stimulation is carried out with a puncture needle accompanied by a low or medium frequency electrical current. In e-MPN, a sensory and/or motor response is sought when the peripheral nerve is stimulated, and a motor response is achieved by stimulating the motor point (uncontrolled exaggerated response that normalizes after the application of the technique).