Low-Frequency Electric Muscle Stimulation Combined With Physical Therapy After Total Hip Arthroplasty for Hip Osteoarthritis in Elderly Patients: A Randomized Controlled Trial

Grémeaux, Vincent; Renault, Julien; Pardon, Laurent; Deley, Gaëlle; Lepers, Romuald; Casillas, Jean-Marie

doi:10.1016/j.apmr.2008.05.024

Cited by 37 publications

(39 citation statements)

References 70 publications

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“…Similar to critically ill patients, there is only a small number of NMES studies that have focused on elderly, mostly orthopedic, subjects (mean age ≥70 years), with equivocal results. Some studies have found an increase in muscle force after NMES training in hospitalized patients with various pathologies, which was greater than what was achieved with conventional rehabilitation training [5,116]. Unsurprisingly, greater strength improvements were found with whole‐body NMES (NMES of trunk, upper arms, buttocks, and thighs) compared with no training in weak but otherwise‐healthy elderly women [86].…”

Section: Clinical Recommendation For Nmes Applicationsmentioning

confidence: 99%

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

Herzig

Maffiuletti

Eser

2015

PM&R

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In the last 2 decades, neuromuscular electrical stimulation has been used increasingly in deconditioned patients with the aim of increasing muscle force. Much basic research has been conducted in the area of increasing a muscle's fatigue resistance by neuromuscular electrical stimulation but similarly thorough research with regard to increasing maximal force is missing. Insufficient clinical and basic knowledge exists on the selection of stimulation parameters that will optimize muscle hypertrophy and gains in muscle force. For volitional training, established stimuli for muscle hypertrophy (which more or less parallels maximal muscle force) are muscle tension, metabolic stress, and muscle damage. The present review summarizes findings from clinical and basic research in terms of muscle mechanical as well as acute and chronic physiologic effects of different stimulation protocols, explains the role of the various stimulation parameters in determining the effect of NMES training protocols, and gives clinical recommendations for the choice of stimulation parameters for different patient populations with different training goals, such as increasing muscle force, mass, endurance, or energy consumption. We limit this review to non-neurologic patients, because training goals of neurologic patients are specific to their functional deficits.

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Section: Clinical Recommendation For Nmes Applicationsmentioning

confidence: 99%

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

Herzig

Maffiuletti

Eser

2015

PM&R

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“…Peak torque improved on the operated leg for the resistance training group by 28% at 60°/s (p < .001) and 22% at 180°/s (p < .05) at 12 weeks following surgery, but there were no changes on either leg at any time for the electrical stimulation and standard care groups [32]. Electrical stimulation in addition to physiotherapy has been compared to standard care physiotherapy alone following hip replacement surgery in one study [33]. Stimulation was applied to the quadriceps and calf muscles bilaterally using two portable dual-channel stimulators.…”

Section: Summary Of Current Evidencementioning

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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“…There were no significant differences in walking speed or LOS between the two groups in the short term [42]. Interestingly, the extension-resisted exercises alone were found to reduce the LOS and to improve the muscle strength and functional performance significantly compared with NMES alone or conventional physiotherapy alone in a three-armed RCT [43].…”

Section: Non-surgical Interventionsmentioning

confidence: 99%

Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review

Ibrahim

Khan

Nizam

et al. 2013

BMC Med

170

117

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The increasing numbers of patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA), combined with the rapidly growing repertoire of surgical techniques and interventions available have put considerable pressure on surgeons and other healthcare professionals to produce excellent results with early functional recovery and short hospital stays. The current economic climate and the restricted healthcare budgets further necessitate brief hospitalization while minimizing costs.Clinical pathways and protocols introduced to achieve these goals include a variety of peri-operative interventions to fulfill patient expectations and achieve the desired outcomes.In this review, we present an evidence-based summary of common interventions available to achieve enhanced recovery, reduce hospital stay, and improve functional outcomes following THA and TKA. It covers pre-operative patient education and nutrition, pre-emptive analgesia, neuromuscular electrical stimulation, pulsed electromagnetic fields, peri-operative rehabilitation, modern wound dressings, standard surgical techniques, minimally invasive surgery, and fast-track arthroplasty units.

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Low-Frequency Electric Muscle Stimulation Combined With Physical Therapy After Total Hip Arthroplasty for Hip Osteoarthritis in Elderly Patients: A Randomized Controlled Trial

Cited by 37 publications

References 70 publications

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

The Application of Neuromuscular Electrical Stimulation Training in Various Non‐neurologic Patient Populations: A Narrative Review

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

Peri-operative interventions producing better functional outcomes and enhanced recovery following total hip and knee arthroplasty: an evidence-based review

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