Comparison of the Effect of Sensory-Level and Conventional Motor-Level Neuromuscular Electrical Stimulations on Quadriceps Strength After Total Knee Arthroplasty: A Prospective Randomized Single-Blind Trial
| Autor: | Koki Ikuno, Yosuke Yoshida, Koji Shomoto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale medicine.medical_treatment Electric Stimulation Therapy Physical Therapy Sports Therapy and Rehabilitation Walking Timed Up and Go test Isometric exercise Osteoarthritis Quadriceps Muscle 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Isometric Contraction medicine Humans Single-Blind Method Muscle Strength Prospective Studies Range of Motion Articular Arthroplasty Replacement Knee Physical Therapy Modalities Aged Aged 80 and over Rehabilitation business.industry 030229 sport sciences medicine.disease Arthroplasty Physical therapy business Range of motion Bioelectrical impedance analysis 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 98:2364-2370 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2017.05.005 |
| Popis: | Objective To compare sensory-level neuromuscular electrical stimulation (NMES) and conventional motor-level NMES in patients after total knee arthroplasty. Design Prospective randomized single-blind trial. Setting Hospital total arthroplasty center: inpatients. Participants Patients with osteoarthritis (N=66; mean age, 73.5±6.3y; 85% women) were randomized to receive either sensory-level NMES applied to the quadriceps (the sensory-level NMES group), motor-level NMES (the motor-level NMES group), or no stimulation (the control group) in addition to a standard rehabilitation program. Interventions Each type of NMES was applied in 45-minute sessions, 5d/wk, for 2 weeks. Main Outcome Measures Data for the quadriceps maximum voluntary isometric contraction, the leg skeletal muscle mass determined using multiple-frequency bioelectrical impedance analysis, the timed Up and Go test, the 2-minute walk test, the visual analog scale, and the range of motion of the knee were measured preoperatively and at 2 and 4 weeks after total knee arthroplasty. Results The motor-level NMES ( P =.001) and sensory-level NMES ( P =.028) groups achieved better maximum voluntary isometric contraction results than did the control group. The motor-level NMES ( P =.003) and sensory-level NMES ( P =.046) groups achieved better 2-minute walk test results than did the control group. Some patients in the motor-level NMES group dropped out of the experiment because of discomfort. Conclusions Motor-level NMES significantly improved muscle strength and functional performance more than did the standard program alone. Motor-level NMES was uncomfortable for some patients. Sensory-level NMES was comfortable and improved muscle strength and functional performance more than did the standard program alone. |
| Databáze: | OpenAIRE |
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