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A Journal on Applied Physiology, Biomechanics, Preventive Medicine,
Sports Medicine and Traumatology, Sports Psychology

Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,111

Frequency: Monthly

ISSN 0022-4707

Online ISSN 1827-1928


The Journal of Sports Medicine and Physical Fitness 2016 Jan 12

Therapeutic results after ultrasound-guided Intratissue Percutaneous Electrolysis (EPI®) in the treatment of rectus abdominis-related groin pain in professional footballers: a pilot study

Carlos MORENO 1, Gabriele MATTIUSSI 1, Francisco J. NUÑEZ 2

1 Udinese Calcio Spa, Medical Staff Member; 2 Department of Sports and Computing, Sport Faculty, Pablo de Olavide University of Sevilla.

BACKGROUND: Rectus Abdominis-related Groin Pain (RAGP) is one of the possible clinical patterns that determine pubalgia. RAGP is one of the typical clinical patterns in footballers and is due to the degeneration/tendinopathy of the distal tendon at the level of the two pubic tubercles. Intratissue Percutaneous Electrolysis (EPI) is a recent technique used in the treatment of tendinopathies.
AIM: The aim was to examine the therapeutic benefits of EPI by contrasting the two basic components that characterize RAGP: painful symptoms and resultant functional deficits.
DESIGN: Consecutive Case Series
SETTING: The therapeutic interventions were performed within the facilities of the “Friuli” Stadium, in Udine (Italy), the sporting venue of the Udinese Calcio Spa Football Club.
POPULATION: Eight professional footballers at Udinese Calcio Spa Football Club.
METHODS: The footballers underwent ultrasound-guided EPI treatment. No other type of treatment was combined with EPI. Pain was monitored with the Verbal Rating Scale, while functional deficit was monitored using the Patient Specific Functional Scale. The scales implementation took place before treatment, then 24 hours, 1 week, 1 month and 6 months after the end of treatment.
RESULTS: Treatment with EPI produced a complete reduction of pain symptoms in one month and enabled excellent functional recovery for walking and jogging in one week; getting out of bed, running, jumping and kicking within one month from the end of the treatment.
CONCLUSIONS: Treatment with ultrasound-guided EPI has shown encouraging clinical results for RAGP. Data are preliminary: considering the limitations of this study more complex study designs are necessary to test the efficacy of the technique.

language: English


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