Neuromuscular electrical stimulation therapy to restore quadriceps muscle function in patients after orthopaedic surgery
Journal of Bone and Joint Surgery - American Volume, ISSN: 1535-1386, Vol: 98, Issue: 23, Page: 2017-2024
2016
- 39Citations
- 144Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations39
- Citation Indexes39
- CrossRef39
- 34
- Captures144
- Readers144
- 144
Review Description
▸ Despite evidence supporting the use of neuromuscular electrical stimulation (NMES) as an adjunct exercise modality to improve voluntary activation, muscle strength, and functional recovery after knee surgery, NMES therapy remains a clinically underutilized modality. ▸ We propose a criteria-based treatment algorithm aimed at optimizing and simplifying the clinical application of NMES therapy following knee surgery. ▸ The suggested algorithm includes a short preoperative phase for patient education (1 visit) and familiarization with NMES, followed by 2 home-based treatment phases (each lasting 3 weeks): (1) a high-intensity, high-volume phase initiated within the first few days following surgery, and (2) a high-intensity, low-volume phase. ▸ Two evaluation sessions are also incorporated, with the first following 1 week of treatment to assess the responsiveness to NMES and the second after 3 weeks of treatment to assess whether voluntary activation failure has resolved. ▸ Practical guidelines for maximizing muscle response while minimizing discomfort and fatigue, including optimal pulse characteristics, electrode size and location, knee joint position, and patient instructions, are provided.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85015843215&origin=inward; http://dx.doi.org/10.2106/jbjs.16.00192; http://www.ncbi.nlm.nih.gov/pubmed/27926683; http://Insights.ovid.com/crossref?an=00004623-201612070-00010; https://journals.lww.com/00004623-201612070-00010; https://dx.doi.org/10.2106/jbjs.16.00192; https://journals.lww.com/jbjsjournal/Abstract/2016/12070/Neuromuscular_Electrical_Stimulation_Therapy_to.10.aspx
Ovid Technologies (Wolters Kluwer Health)
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