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.
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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.
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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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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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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 —