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

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    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
    Issue Date
    2010
    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
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    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
    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
    ISSN
    1471-2474
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2474-11-119
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