Estimulação elétrica neuromuscular na disfunção patelofemoral: revisão de literatura

Santos, Ricardo Lucas Dos; Souza, Márcia Leal São Pedro; Santos, Fernanda A.

doi:10.1590/s1413-78522013000100011

Cited by 15 publications

(6 citation statements)

References 18 publications

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“…The mean force of the quadriceps both in the affected limb and in the contralateral limb showed a significant gain (p < 0.001 for both). These results are supported by previously published data 5 , 6 claiming that when a decrease in symptoms of pain in the treated region occurs, a gain in strength can be achieved. Since the volunteers perceived a reduction in previously experienced pain, they were able to train properly again, as pain is a limiting factor for muscle function.…”

Section: Discussionsupporting

confidence: 88%

Reduction in Knee Pain Symptoms in Athletes Using an Acupuncture Protocol

et al. 2018

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Pain in the lower limbs is common in athletes and a limiting factor in performance. Acupuncture has shown positive effects as an analgesic treatment and may potentially be used for pain reduction in runners. This study aimed to analyze the parameters associated with knee pain by correlating strength parameters of the musculature assessed in runners treated with acupuncture. A descriptive longitudinal study was conducted on 34 runners of both sexes aged 20 to 52 years, who presented with knee-related pain from January to June, 2015. Two pain questionnaires and a maximal strength test with electromyographic evaluation of the rectus femoris, vastus lateralis, and medialis muscles were used, and patients were monitored during five follow-up visits after an acupuncture protocol. All participants reported experiencing a decrease in knee pain after treatment. The affected limbs showed an increase in average strength by 34% and 25% compared to the contralateral limb. An increase in the number of motor units recruited for the three muscles was observed in both limbs. In conclusion, the proposed acupuncture protocol was effective in reducing pain symptoms in the knee region of athletes, thus influencing their gain in strength and muscle balance. Level of Evidence IV, Case series.

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Section: Discussionsupporting

confidence: 88%

Reduction in Knee Pain Symptoms in Athletes Using an Acupuncture Protocol

et al. 2018

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“…In addition to muscular strengthening, neuromuscular electrical stimulation (NMES) is an effective strengthening modality following knee injuries 82-86 . NMES minimizes atrophy associated with immobilization in terms of both thigh muscle size and mass 84,85 .…”

Section: Nonoperative Rehabilitationmentioning

confidence: 99%

Lateral Patellar Dislocation

et al. 2022

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Nonoperative treatment of a lateral patellar dislocation produces favorable functional results, but as high as 35% of individuals experience recurrent dislocations.» Medial patellofemoral ligament reconstruction is an effective treatment to prevent recurrent dislocations and yield excellent outcomes with a high rate of return to sport.» Both nonoperative and postoperative rehabilitation should center on resolving pain and edema, restoring motion, and incorporating isolated and multijoint progressive strengthening exercises targeting the hip and knee.» Prior to return to sports, both functional and isolated knee strength measurements should be used to determine leg symmetry strength and to utilize patient-reported outcome measures to assess the patient's perceived physical abilities and patellofemoral joint stability.

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“…Systematic reviews and RCTs have demonstrated a lack of supportive evidence for the use of physical agents such as therapeutic ultrasound, phonophoresis, iontophoresis, transcutaneous electrical nerve stimulation, medium-frequency neuromuscular electrical stimulation, low-level laser, extracorporeal shock-wave therapy, electromyographic biofeedback and massage therapies. 102 , 125 , 151 , 152 There is little justification for using these modalities alone for PFP patients. 102 , 126 However, despite the lack of clear evidence currently, cryotherapy is still recommended as a part of the conservative treatment for PFP.…”

Section: Managementmentioning

confidence: 99%

Patellofemoral pain in athletes: clinical perspectives

Halabchi¹,

Abolhasani²,

Mirshahi³

et al. 2017

OAJSM

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Patellofemoral pain (PFP) is a very common problem in athletes who participate in jumping, cutting and pivoting sports. Several risk factors may play a part in the pathogenesis of PFP. Overuse, trauma and intrinsic risk factors are particularly important among athletes. Physical examination has a key role in PFP diagnosis. Furthermore, common risk factors should be investigated, such as hip muscle dysfunction, poor core muscle endurance, muscular tightness, excessive foot pronation and patellar malalignment. Imaging is seldom needed in special cases. Many possible interventions are recommended for PFP management. Due to the multifactorial nature of PFP, the clinical approach should be individualized, and the contribution of different factors should be considered and managed accordingly. In most cases, activity modification and rehabilitation should be tried before any surgical interventions.

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Estimulação elétrica neuromuscular na disfunção patelofemoral: revisão de literatura

Cited by 15 publications

References 18 publications

Reduction in Knee Pain Symptoms in Athletes Using an Acupuncture Protocol

Reduction in Knee Pain Symptoms in Athletes Using an Acupuncture Protocol

Lateral Patellar Dislocation

Patellofemoral pain in athletes: clinical perspectives

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