Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study.

Hdl Handle:
http://hdl.handle.net/10147/124471
Title:
Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study.
Authors:
Walls, Raymond J; McHugh, Gavin; O'Gorman, Donal J; Moyna, Niall M; O'Byrne, John M
Affiliation:
Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin, Ireland. raywalls1@hotmail.com
Citation:
Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study. 2010, 11:119 BMC Musculoskelet Disord
Journal:
BMC musculoskeletal disorders
Issue Date:
2010
URI:
http://hdl.handle.net/10147/124471
DOI:
10.1186/1471-2474-11-119
PubMed ID:
20540807
Abstract:
Supervised preoperative muscle strengthening programmes (prehabilitation) can improve recovery after total joint arthroplasty but are considered resource intensive. Neuromuscular electrical stimulation (NMES) has been shown to improve quadriceps femoris muscle (QFM) strength and clinical function in subjects with knee osteoarthritis (OA) however it has not been previously investigated as a prehabilitation modality.; This pilot study assessed the compliance of a home-based, NMES prehabilitation programme in patients undergoing total knee arthroplasty (TKA). We evaluated its effect on preoperative and postoperative isometric quadriceps femoris muscle (QFM) strength, QFM cross-sectional area (CSA) and clinical function (subjective and objective). Seventeen subjects were recruited with 14 completing the study (NMES group n = 9; Control group n = 5).; Overall compliance with the programme was excellent (99%). Preoperative QFM strength increased by 28% (p > 0.05) with associated gains in walk, stair-climb and chair-rise times (p < 0.05). Early postoperative strength loss (approximately 50%) was similar in both groups. Only the NMES group demonstrated significant strength (53.3%, p = 0.011) and functional recovery (p < 0.05) from 6 to 12 weeks post-TKA. QFM CSA decreased by 4% in the NMES group compared to a reduction of 12% in the control group (P > 0.05) at 12 weeks postoperatively compared to baseline. There were only limited associations found between objective and subjective functional outcome instruments.; This pilot study has shown that preoperative NMES may improve recovery of quadriceps muscle strength and expedite a return to normal activities in patients undergoing TKA for OA. Recommendations for appropriate outcome instruments in future studies of prehabilitation in TKA have been provided.
Item Type:
Article
Language:
en
MeSH:
Aged; Aged, 80 and over; Arthroplasty, Replacement, Knee; Electric Stimulation Therapy; Female; Humans; Knee Joint; Male; Middle Aged; Mobility Limitation; Muscle Strength; Muscle Weakness; Muscular Atrophy; Pilot Projects; Postoperative Complications; Preoperative Care; Quadriceps Muscle; Range of Motion, Articular; Recovery of Function
ISSN:
1471-2474

Full metadata record

DC FieldValue Language
dc.contributor.authorWalls, Raymond Jen
dc.contributor.authorMcHugh, Gavinen
dc.contributor.authorO'Gorman, Donal Jen
dc.contributor.authorMoyna, Niall Men
dc.contributor.authorO'Byrne, John Men
dc.date.accessioned2011-03-14T11:56:52Z-
dc.date.available2011-03-14T11:56:52Z-
dc.date.issued2010-
dc.identifier.citationEffects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study. 2010, 11:119 BMC Musculoskelet Disorden
dc.identifier.issn1471-2474-
dc.identifier.pmid20540807-
dc.identifier.doi10.1186/1471-2474-11-119-
dc.identifier.urihttp://hdl.handle.net/10147/124471-
dc.description.abstractSupervised preoperative muscle strengthening programmes (prehabilitation) can improve recovery after total joint arthroplasty but are considered resource intensive. Neuromuscular electrical stimulation (NMES) has been shown to improve quadriceps femoris muscle (QFM) strength and clinical function in subjects with knee osteoarthritis (OA) however it has not been previously investigated as a prehabilitation modality.-
dc.description.abstractThis pilot study assessed the compliance of a home-based, NMES prehabilitation programme in patients undergoing total knee arthroplasty (TKA). We evaluated its effect on preoperative and postoperative isometric quadriceps femoris muscle (QFM) strength, QFM cross-sectional area (CSA) and clinical function (subjective and objective). Seventeen subjects were recruited with 14 completing the study (NMES group n = 9; Control group n = 5).-
dc.description.abstractOverall compliance with the programme was excellent (99%). Preoperative QFM strength increased by 28% (p > 0.05) with associated gains in walk, stair-climb and chair-rise times (p < 0.05). Early postoperative strength loss (approximately 50%) was similar in both groups. Only the NMES group demonstrated significant strength (53.3%, p = 0.011) and functional recovery (p < 0.05) from 6 to 12 weeks post-TKA. QFM CSA decreased by 4% in the NMES group compared to a reduction of 12% in the control group (P > 0.05) at 12 weeks postoperatively compared to baseline. There were only limited associations found between objective and subjective functional outcome instruments.-
dc.description.abstractThis pilot study has shown that preoperative NMES may improve recovery of quadriceps muscle strength and expedite a return to normal activities in patients undergoing TKA for OA. Recommendations for appropriate outcome instruments in future studies of prehabilitation in TKA have been provided.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshArthroplasty, Replacement, Knee-
dc.subject.meshElectric Stimulation Therapy-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshKnee Joint-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshMobility Limitation-
dc.subject.meshMuscle Strength-
dc.subject.meshMuscle Weakness-
dc.subject.meshMuscular Atrophy-
dc.subject.meshPilot Projects-
dc.subject.meshPostoperative Complications-
dc.subject.meshPreoperative Care-
dc.subject.meshQuadriceps Muscle-
dc.subject.meshRange of Motion, Articular-
dc.subject.meshRecovery of Function-
dc.titleEffects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study.en
dc.typeArticleen
dc.contributor.departmentDepartment of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Finglas, Dublin, Ireland. raywalls1@hotmail.comen
dc.identifier.journalBMC musculoskeletal disordersen

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