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NIH consensus statement on total knee replacement. This difference did not affect analysis because within-subject changes were measured over time. No adjustment was made for multiple comparisons because this was a secondary analysis and should be considered hypothesis generating. Med Sci Sports Exerc — Urbach D, Nebelung W, Becker R, Awiszus F Effects of reconstruction of the anterior cruciate ligament on voluntary activation of quadriceps femoris a prospective twitch interpolation study. This quadriceps weakness persists years after surgery, based on comparisons with age-matched controls [ 6 ]. After TKA patients are at a higher risk of falling and sustaining further orthopaedic injury [ 5051 ]. Similarly, the higher the NMES training intensities, the greater the strength gains for both healthy and impaired muscles. Effects of stimulation intensity on the physiological responses of human motor units.

  • jurnal Physical Exercise Muscle
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  • International Medical Devices Database
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    We hypothesized that higher NMES training intensities would be associated with greater recovery of quadriceps muscle function after TKA. Recommend Documents.

    jurnal Physical Exercise Muscle

    The purpose of this research was to verify the effectiveness of an eight-week quadriceps strengthening program on pain, function and quality of life of patients with knee osteoarthritis. Comparative responsiveness of locomotor tests and questionnaires used to follow early recovery after total knee arthroplasty.

    Arslanian C, Bond M. How NMES improves muscle strength is unclear, though some theories have emerged. The authors conclude that water-based therapy was not particularly advantageous with respect to functional outcome or clinical metrics, although it may be a valid alternative treatment for rehabilitation after TKA.

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    Dose-response relationship of resistance training in older adults: a meta-analysis. Method Design Overview This investigation was an observational substudy of data derived from a randomized, controlled, parallel-group intervention trial to evaluate the benefits of adding NMES to a postoperative TKA rehabilitation program.

    Nevertheless, in the presence of substantial quadriceps muscle fatigue without a concurrent increase in muscle activation, NMES application may be best timed after other exercises prescribed for rehabilitation for patients using NMES daily.

    At the 3. A score of 0 represented complete disability, and a score of represented a level of knee function before the individual had any OA symptoms. The TUG measures the time to rise from an armchair, walk 3 m, turn around, and return to sitting in the same chair without physical assistance.

    The length of NMES treatment ie, 6 weeks in this study was chosen to maximize the potential for physiological changes in the quadriceps muscle to translate into improvements in functional performance, but it remains uncertain whether the full 6 weeks is necessary because of the robust early response to NMES treatment.

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    and longer NMES treatment duration of 2 h per session, whereas Stevens-​Lapsley et al. [66, 67] utilized larger 76 × mm electrodes (Supertrodes, SME​.

    hip flexion and 60 degrees of knee flexion., Self-adherent, flexible rectangular electrodes ( × cm; Supertrodes [SME Inc, Wilmington.
    The standard care group was weaker and exhibited worse function at 12 months compared to both treatment groups.

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    Neurology — Physical therapists reported treatment session details via a detailed flow sheet that was reviewed by the study team to monitor consistency of treatment. If you're a patient or a caregiver, what might these findings mean for you? Recommendations for the medical management of osteoarthritis of the hip and knee; update: American College of Rheumatology Subcommittee on Osteoarthritis Guidelines.

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    Yet, previous investigations of NMES application in an outpatient setting 2—3 times per week have resulted in conflicting evidence in favor of 20 — 23 and against 2425 benefits of treatment.

    The Bottom Line What do we already know about this topic? Motor unit recruitment during neuromuscular electrical stimulation: a critical appraisal.

    International Medical Devices Database

    However, in practice each session cannot last longer than 2 h because patients have to be allowed time for conventional physical therapy interventions, occupational therapy visits, nursing care and radiographic and medical assessments.

    Self-adherent, flexible rectangular electrodes ( × cm, Supertrodes, SME Inc, Wilmington, North Carolina) were placed on the distal.

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    Luthfi Hakim. The home exercise program included ROM exercises and weight-bearing and non—weight-bearing strengthening exercises for the quadriceps, hamstring, hip abductor, hip extensor, and plantar-flexor muscles.

    Does electric stimulation of the vastus medialis muscle influence rehabilitation after total knee replacement? Recommendations for the medical management of osteoarthritis of the hip and knee; update: American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. This weight reduction, in line with to Archimedes law, protects the joints and permits better movement, muscular reinforcement through proprioceptive mechanisms and accelerated mobilization of the operated limb [ 45 ].

    J Orthop Sports Phys Ther —

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    Randomization and Interventions Blocked randomization was used to ensure balanced assignment of participants to the 2 intervention groups by sex and decade of age, with random block sizes of 4, 6, or 8.

    In a recent study comparing patients with upper extremity neuralgia to patients with OA of the hand and healthy controls, no differences in TMS measures were found between patients with OA and healthy older adults. The results of the present study expanded these findings by demonstrating that stronger, electrically induced muscle forces during training resulted in greater improvements in quadriceps muscle strength.

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    However, these conclusions were based on only five studies that met the inclusion criteria for the meta-analysis. Design This was a prospective, longitudinal randomized controlled trial.

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    As such, altered motor unit recruitment may explain some of the improvements in muscle function. J Bone Joint Surg Am.

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    1. The intensity was set to the maximal intensity tolerated during each session, and participants were repeatedly encouraged to increase the intensity as tolerated.