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Titre : | Comparison of the Effect of Sensory-Level and Conventional Motor-Level Neuromuscular Electrical Stimulations on Quadriceps Strength After Total Knee Arthroplasty: A Prospective Randomized Single-Blind Trial (2017) |
Auteurs : | Yosuke Yoshida ; Koki Ikuno ; Koji Shomoto |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/12, 2017) |
Article en page(s) : | p. 2364-2370 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Genou ; Rééducation et réadaptation |
Mots-clés: | Electric Stimulation ; Stimulation électrique ; Knee ; Muscles |
Résumé : |
Objective To compare sensory-level neuromuscular electrical stimulation (NMES) and conventional motor-level NMES in patients after total knee arthroplasty. Design Prospective randomized single-blind trial. Setting Hospital total arthroplasty center: inpatients. Participants Patients with osteoarthritis (N=66; mean age, 73.5+6.3y; 85% women) were randomized to receive either sensory-level NMES applied to the quadriceps (the sensory-level NMES group), motor-level NMES (the motor-level NMES group), or no stimulation (the control group) in addition to a standard rehabilitation program. Interventions Each type of NMES was applied in 45-minute sessions, 5d/wk, for 2 weeks. Main Outcome Measures Data for the quadriceps maximum voluntary isometric contraction, the leg skeletal muscle mass determined using multiple-frequency bioelectrical impedance analysis, the timed Up and Go test, the 2-minute walk test, the visual analog scale, and the range of motion of the knee were measured preoperatively and at 2 and 4 weeks after total knee arthroplasty. Results The motor-level NMES (P=.001) and sensory-level NMES (P=.028) groups achieved better maximum voluntary isometric contraction results than did the control group. The motor-level NMES (P=.003) and sensory-level NMES (P=.046) groups achieved better 2-minute walk test results than did the control group. Some patients in the motor-level NMES group dropped out of the experiment because of discomfort. Conclusions Motor-level NMES significantly improved muscle strength and functional performance more than did the standard program alone. Motor-level NMES was uncomfortable for some patients. Sensory-level NMES was comfortable and improved muscle strength and functional performance more than did the standard program alone. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317303817 |