Evaluation of the Effectiveness of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty

Bistolfi, Alessandro; Zanovello, Jessica; Ferracini, Riccardo; Allisiardi, Fabrizio; Lioce, Elisa; Magistroni, Ernesta; Berchialla, Paola; Rold, Ilaria Da; Massazza, Giuseppe

doi:10.1097/phm.0000000000000847

Cited by 16 publications

(12 citation statements)

References 35 publications

(47 reference statements)

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“…Despite the paucity of evidence for electrical stimulation in patients undergoing hip replacement, rehabilitation programmes that combine high-intensity muscle contractions in addition to NMES treatment to facilitate activation are reported to attenuate the loss of quadriceps strength following total knee replacement [31,40]. Electrical stimulation is reported to provide a sufficient training dose for patients lacking adequate volitional quadriceps activation by engaging neurophysiological mechanisms which facilitate strength gains and create a physical stress to the quadriceps' neuromuscular system [40].…”

Section: Neuromuscular Electrical Stimulation In Knee Replacement Surmentioning

confidence: 99%

Strengthening Quadriceps Muscles with Neuromuscular Electrical Stimulation Following Total Hip Replacement: a Review

Burgess

Swain

Taylor

et al. 2019

Curr Phys Med Rehabil Rep

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Purpose of Review Functional recovery from total hip replacement can be suboptimal and deficits in quadriceps muscle strength may hinder the return to activities of daily living. Neuromuscular electrical stimulation (NMES) devices have long been used to preserve and restore skeletal muscle mass and function following periods of muscle atrophy due to immobilisation. Here, we evaluate the potential role of NMES for strengthening the quadriceps muscles following hip replacement. Recent Findings Two studies have investigated the effects of NMES on quadriceps strength following hip replacement. NMES in addition to exercise training is reported to reduce length of stay and improve gait speed, stair climbing performance and sit-tostand scores in one study. Conversely, the other study reports no significant effect of NMES on length of stay or gait speed, but instead, benefits to knee extensor strength of the operated side, functional status and independence. The benefits of NMES for the treatment of atrophic musculature following knee replacement are better established. Summary Although it is not possible to offer best-practice recommendations for clinical rehabilitation, the promising approach of NMES following total hip replacement requires further investigation. When used as an adjunctive treatment to standard care physiotherapy, NMES may facilitate recovery and, when used immediately post-surgery, can enable a high exercise volume, with little effort, at a time point where muscle inhibition and atrophy are most prevalent.

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Section: Neuromuscular Electrical Stimulation In Knee Replacement Surmentioning

confidence: 99%

Strengthening Quadriceps Muscles with Neuromuscular Electrical Stimulation Following Total Hip Replacement: a Review

Burgess

Swain

Taylor

et al. 2019

Curr Phys Med Rehabil Rep

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“…Its objective is to restore motor function in patients with central nervous system diseases or orthopedic disorders. [1][2][3][4] When TES is used to restore finger motor function in stroke patients, it is usually administered on the dorsal side of the forearm. This is because wrist and finger extension movements are often more difficult to reacquire compared to flexion movements after a stroke.…”

Section: Introductionmentioning

confidence: 99%

<p>Difference in Pain and Discomfort of Comparable Wrist Movements Induced by Magnetic or Electrical Stimulation for Peripheral Nerves in the Dorsal Forearm</p>

Abe¹,

Oyama²,

Liao³

et al. 2020

MDER

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Purpose Both repetitive peripheral magnetic stimulation (rPMS) and transcutaneous electrical current stimulation (TES) could elicit the limb movements; it is still unclear how subjective sensation is changed according to the amount of limb movements. We investigated the pain and discomfort induced by newly developed rPMS and TES of peripheral nerves in the dorsal forearm. Methods The subjects were 12 healthy adults. The stimulus site was the right dorsal forearm; thus, when stimulated, wrist dorsiflexion was induced. The rPMS was delivered by the new stimulator, Pathleader at 10 stimulus intensity levels, and TES intensity was in 1-mA increments. The duration of each stimulation was 2 s. The analysis parameters were subjective pain and discomfort, measured by a numerical rating scale. The rating scale at corresponding levels of integrated range of movement (iROM) induced by rPMS or TES was compared. The subjective values were analyzed by two-way repeated measures ANOVA with the stimulus conditions (rPMS, TES) and the seven levels of iROM (20–140 ºs). Results In the rPMS experiments, stimuli were administered to all subjects at all stimulus intensities. In the TES experiments, none of the subjects dropped out between 1 and 16 mA, but there were dropouts at each of the intensities as follows: 1 subject at 17 mA, 20 mA, 22 mA, 23 mA, 27 mA, 29 mA and 2 subjects at 21 mA, 24 mA, 26 mA. The main effects of the stimulus conditions and iROM were significant for pain and discomfort. Post hoc analysis demonstrated that pain and discomfort in rPMS were significantly lower compared to TES when the iROM was above 60 ºs and 80 ºs, respectively. Conclusion New rPMS stimulator, Pathleader, caused less pain and discomfort than TES, but this was only evident when comparatively large joint movements occurred.

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“…The benefits of ES for accelerating recovery after musculoskeletal injury or surgery have been studied extensively, 4,5 but the effectiveness of ES for Bell’s palsy remains controversial. There are seven published human clinical trials evaluating ES in Bell’s palsy.…”

Section: Introductionmentioning

confidence: 99%

Protocol for randomized controlled trial of electric stimulation with high-volt twin peak versus placebo for facial functional recovery from acute Bell’s palsy in patients with poor prognostic factors

Loyo

McReynold

Mace

et al. 2020

Journal of Rehabilitation and Assistive Technologies Engineerin

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Background Electric stimulation (ES) can prevent muscle atrophy and promote tissue healing and therefore may help prevent sequelae of Bell’s palsy but due to lack of high-quality studies, the effectiveness of ES in Bell’s palsy remains controversial. Here we describe a protocol to evaluate the effects of monophasic high volt ES in patients with Bell’s palsy and poor prognosis for recovery. Results This is a protocol for a prospective, double-blinded, randomized, placebo-controlled study. Participants include adults with acute Bell’s palsy with poor prognosis for full recovery due to complete paralysis or being over age 60. ES will be a monophasic, high-volt pulsed waveform, 100μsec pulse duration, 35 hertz, motor-level intensity. Follow up will be at months 1, 2, 3 and 6. The primary outcome will be the proportion of patients with complete recovery using the eFACES tool. Secondary outcomes include patient reported quality of life measured by FaCE and the synkinesis assessment questionnaires, objective photographs, time to complete recovery, adverse effects, and tolerability. Conclusion This protocol has the potential to provide high quality evidence regarding the effects, up to 6 months after onset, of pulsed monophasic high-volt ES for patients with acute Bell’s palsy and poor prognosis for complete recovery.

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Evaluation of the Effectiveness of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty

Abstract: Neuromuscular electrical stimulation allows a slightly better functional recovery after total knee arthroplasty, especially in the first period, with more evident benefits in patients with a severe lack of muscular activation. Nevertheless, there is no difference at medium-long term.

Cited by 16 publications

References 35 publications

Strengthening Quadriceps Muscles with Neuromuscular Electrical Stimulation Following Total Hip Replacement: a Review

Strengthening Quadriceps Muscles with Neuromuscular Electrical Stimulation Following Total Hip Replacement: a Review

<p>Difference in Pain and Discomfort of Comparable Wrist Movements Induced by Magnetic or Electrical Stimulation for Peripheral Nerves in the Dorsal Forearm</p>

Protocol for randomized controlled trial of electric stimulation with high-volt twin peak versus placebo for facial functional recovery from acute Bell’s palsy in patients with poor prognostic factors

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