Effectiveness of Noninvasive Phrenic Nerve Neuromodulation in Shoulder Pain and Hepatobiliary Visceral Comorbidity.
Effectiveness of Noninvasive Phrenic Nerve Neuromodulation in Subjects With Right Shoulder Pain and Hepatobiliary Visceral Comorbidity.
University of Seville
34 participants
Mar 20, 2024
INTERVENTIONAL
Conditions
Summary
Pain, particularly shoulder pain, is a social and economic problem worldwide. Although visceral pathology is not yet taken into account in the diagnosis of these pains, it is likely that on numerous occasions the hepatobiliary visceral condition causes referred pain in the metameric area belonging to the shoulder due to the involvement of the phrenic nerve. Therefore, the aim of this project is to study the response of treatment by neuromodulation of the phrenic nerve for shoulder pain in patients with associated hepatobiliary pathologies, assessing the possible visceral involvement in the symptomatology.
Eligibility
Inclusion Criteria4
- Over 18 years of age.
- Subjects presenting right shoulder pain at the time of enrollment in the study.
- Presentation of a hepatobiliary visceral disorder that may justify the visceral etiology of the pain.
- That they agree to participate in the project by signing the informed consent form.
Exclusion Criteria8
- Patients with chronic pain due to other diseases such as malignant disease.
- Patients with rheumatic diseases.
- Cutaneous infection in the area of pain.
- Disease of neurological, traumatic, oncologic, or infectious origin that rules out the visceral origin of the pain.
- Uncooperative subject.
- Severe psychiatric disease.
- Loss of cognitive capacity.
- Contraindication to electrotherapy.
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Interventions
The intervention group will receive the usual physiotherapy treatment at the health center and will also receive neuromodulation on the phrenic nerve at its exit through the anterior cervical region. The neuromodulation technique will be applied for 10 minutes.
the usual treatment of the center consisting of manual therapy, exercise and thermotherapy will be performed.
Locations(4)
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NCT06296979