Effectiveness of electrical stimulation on rehabilitation after ligament and meniscal injuries: a systematic review

Imoto, Aline Mizusaki; Peccin, Maria Stella; Almeida, Gustavo J.; Saconato, Humberto; Atallah, Álvaro Nagib

doi:10.1590/s1516-31802011000600008

Cited by 35 publications

(26 citation statements)

References 35 publications

(77 reference statements)

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“…Imoto et al 93 and Kim et al 94 (level A1 systematic reviews) concluded that the addition of electrostimulation to conventional rehabilitation might be more effective in improving quadriceps strength up to 2 months after ACLR. The level A2 RCT of Paternostro-Sluga et al 100 and the level B RCT of Fitzgerald et al 99 were included in both systematic reviews.…”

Section: Resultsmentioning

confidence: 99%

“…However, its effect on long-term functional performance and self-reported knee function is inconclusive 63 93 94 98 101

Level 2 : electromyographic feedback might improve short-term postsurgical pain after ACLR 95 96

…”

Section: Resultsmentioning

confidence: 99%

“…However, its effect on long-term functional performance and self-reported knee function is inconclusive 63 93 94 98 101…”

Section: Resultsmentioning

confidence: 99%

“…The steering group suggests to start isometric quadriceps exercises in this first week for reactivating the quadriceps muscles when they provoke no pain (level 2) 83 90. In addition, electrostimulation can be useful for re-educating voluntary contraction of the quadriceps muscles during the first postoperative weeks (level 1) 63 93 94 98–101. When the quadriceps is reactivated, concentric and subsequently eccentric exercises should be used to replace the isometric exercises, provided that the knee does not react with effusion or (an increase in) pain.…”

Section: Consensus Conclusionmentioning

confidence: 99%

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Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

551

572

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AimThe Royal Dutch Society for Physical Therapy (KNGF) instructed a multidisciplinary group of Dutch anterior cruciate ligament (ACL) experts to develop an evidence statement for rehabilitation after ACL reconstruction.DesignClinical practice guideline underpinned by systematic review and expert consensus.Data sourcesA multidisciplinary working group and steering group systematically reviewed the literature and wrote the guideline. MEDLINE and the Cochrane Library were searched for meta-analyses, systematic reviews, randomised controlled trials and prospective cohort studies published between January 1990 and June 2015.Eligibility criteria for selecting studiesIncluded literature must have addressed 1 of 9 predetermined clinical topics: (1) preoperative predictors for postoperative outcome, (2) effectiveness of physical therapy, (3) open and closed kinetic chain quadriceps exercises, (4) strength and neuromuscular training, (5) electrostimulation and electromyographic feedback, (6) cryotherapy, (7) measurements of functional performance, (8) return to play and (9) risk for reinjury.SummaryNinety studies were included as the basis for the evidence statement. Rehabilitation after ACL injury should include a prehabilitation phase and 3 criterion-based postoperative phases: (1) impairment-based, (2) sport-specific training and (3) return to play. A battery of strength and hop tests, quality of movement and psychological tests should be used to guide progression from one rehabilitation stage to the next. Postoperative rehabilitation should continue for 9–12 months. To assess readiness to return to play and the risk for reinjury, a test battery, including strength tests, hop tests and measurement of movement quality, should be used.

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Section: Resultsmentioning

confidence: 99%

“…However, its effect on long-term functional performance and self-reported knee function is inconclusive 63 93 94 98 101

Level 2 : electromyographic feedback might improve short-term postsurgical pain after ACLR 95 96

…”

Section: Resultsmentioning

confidence: 99%

“…However, its effect on long-term functional performance and self-reported knee function is inconclusive 63 93 94 98 101…”

Section: Resultsmentioning

confidence: 99%

Section: Consensus Conclusionmentioning

confidence: 99%

See 2 more Smart Citations

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Melick

Cingel

Brooijmans³

et al. 2016

Br J Sports Med

551

572

View full text Add to dashboard Cite

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“…As principais alterações que irão ocorrer nestes indivíduos serão a diminuição da força e a redução de atividade voluntária muscular, sendo estas mais aparentes na musculatura do quadríceps. Esta lesão pode vir associada a outros mecanismos de lesões mais comuns como de menisco e lesões condrais [18][19][20][21][22] . O tratamento para lesões de LCA, normalmente é cirúrgico, visando restaurar a estabilidade anatômica e funcional da articulação do joelho, sendo que após este procedimento o processo de reabilitação é fundamental tendo como objetivos a serem alcançados a diminuição da dor, controle da inflamação, cicatrização, melhora na amplitude de movimento, prevenção da hipotrofia muscular, ganho de força muscular, manutenção da propriocepção e retorno das atividades de vida diária, existindo assim vários protocolos de reabilitação [23][24][25] .…”

Section: Protocolos De Tratamento Fisioterápico Nas Lesões De Ligamenunclassified

Protocolos De Tratamento Fisioterápico Nas Lesões De Ligamento Cruzado Anterior Após Ligamentoplastia – Uma Revisão

Araujo

Pinheiro

2015

Cinergis

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Páginas 01 de 05 não para fins de citação ARTIGO DE REVISÃO RESUMOIndivíduos com lesão de ligamento cruzado anterior têm como uma das principais sintomatologias, a instabilidade articular, a qual diminui a autonomia e nível de atividade física. O tratamento fisioterápico tem se mostrado eficaz na maioria dos casos. Objetivo: verificar quais protocolos são mais utilizados no tratamento do ligamento cruzado anterior após ligamentoplastia. Método: foi realizada uma pesquisa bibliográfica nas bases de dados eletrônicas, Pubmed, Scielo e Google Acadêmico, a partir dos termos "anterior cruciate ligament", "physiotherapy", "rehabilitation", "rehabilitation protocols". Resultados: foram encontrados 31 artigos, dos quais apenas 6 apresentavam ensaios clínicos controlados, em que foram analisadas a metodologia, as variáveis e a mudança. Esses resultados apresentaram como método de tratamento: exercícios de amplitude de movimento (ADM), mobilização, fortalecimento, propriocepção, uso do gelo, orientações domiciliares, hidrocinesioterapia, eletroestimulação, isometria, uso de órteses, exercícios em cadeia cinética aberta e cadeia cinética fechada.

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The Timing of Rehabilitation Commencement After Reconstruction of the Anterior Cruciate Ligament

Łyp¹,

Stanisławska²,

Witek

et al. 2018

Advances in Experimental Medicine and Biology

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One of the most common injuries of the knee joint is a rupture of the anterior cruciate ligament (ACL). Most authors believe that early rehabilitation of patients after ACL reconstruction promotes better treatment outcomes. Less is known about the influence of the time that passes from injury to surgical reconstruction. Therefore, the goal of this study was to assess the dependence of treatment outcomes of ACL on injury-to-reconstruction and reconstruction-to-rehabilitation time lags. The study included 30 patients of the mean age 34 ± 7 years with trauma-related rupture of ACL and its surgical reconstruction. The time range from ligament rupture to its reconstruction was 120-180 days and from reconstruction to rehabilitation was 1-120 days. Postsurgical rehabilitation outcomes were assessed with the Lysholm knee scale and the IKDC 2000 subjective knee evaluation form. The scales were applied before and after rehabilitation. We found distinct improvements in all physical symptoms in the damaged knee joint, regardless of the time elapsed from trauma to ACL reconstruction and from ACL reconstruction to rehabilitation. The beneficial outcomes of rehabilitation were significantly inversely associated with the time elapsing from reconstruction to rehabilitation commencement but failed to depend on the time from ACL rupture to reconstruction. We conclude that rehabilitation should start as early as possible after ACL reconstruction to optimize the beneficial outcomes in terms of functional physical recovery, whereas the injury-to-reconstruction delay is less meaningful to this end.

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Effectiveness of electrical stimulation on rehabilitation after ligament and meniscal injuries: a systematic review

Cited by 35 publications

References 35 publications

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Evidence-based clinical practice update: practice guidelines for anterior cruciate ligament rehabilitation based on a systematic review and multidisciplinary consensus

Protocolos De Tratamento Fisioterápico Nas Lesões De Ligamento Cruzado Anterior Após Ligamentoplastia – Uma Revisão

The Timing of Rehabilitation Commencement After Reconstruction of the Anterior Cruciate Ligament

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