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dc.contributor.authorWalls, Raymond J
dc.contributor.authorMcHugh, Gavin
dc.contributor.authorO'Gorman, Donal J
dc.contributor.authorMoyna, Niall M
dc.contributor.authorO'Byrne, John M
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
refterms.dateFOA2018-08-22T11:26:01Z
html.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.
html.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).
html.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.
html.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.


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