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IJPR.2018.152

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Type of Article:  Original Research

Volume 6; Issue 6 (December 2018)

Page No.: 2914-2921

DOI: https://dx.doi.org/10.16965/ijpr.2018.152

TO STUDY THE EFFECTIVENESS OF ELECTRICAL MUSCLE STIMULATION TO QUADRICEPS ON PAIN, ISOMETRIC CONTRACTION, FUNCTIONAL MOBILITY AND QUALITY OF LIFE IN POST OPERATIVE REHABILITATION IN TOTAL KNEE ARTHROPLASTY

Chetna Varma 1, Sanket Nagarale *2, Ashok Shyam 3, Parag Sancheti 4.

1 Bachelor student, Sancheti Institute College of Physiotherapy, Pune, India.

*2 Associate professor, Sancheti Institute College of Physiotherapy, Pune, India.

3 MS ORTHO; Research officer, Sancheti Institute of Orthopaedic and Rehabilitation, Pune, India.

4 MS ORTHO; Chairman, Sancheti Institute of Orthopaedic and Rehabilitation, Pune, India.

Corresponding Author: Dr. Sanket Nagarale, Associate professor, Sancheti Institute College of Physiotherapy, Sancheti Healthcare Academy,11/12 Thube Park,16, Shivajinagar, Pune, Maharashtra 411005, India. E-Mail: nagralesanket@gmail.com

ABSTRACT

Background: Total Knee Arthroplasty alleviates pain from osteoarthritis, but deficits persist in quadriceps strength post replacement. This causes decline in the functional status of an individual. Thus, we aim to evaluate the efficacy of Electrical stimulation on quadriceps muscle for pain, maximum voluntary isometric contraction, knee range of motion, functional mobility and quality of life along with rehabilitation protocol Total Knee Arthroplasty

Design: Randomized, single blinded, parallel group, active controlled trial

Setting: Inpatient department in tertiary joint replacement care center

Participants: Patients who underwent Total Knee Arthroplasty

Main Outcome measures: Maximum Voluntary Isometric Contraction of quadriceps, knee range of motion, pain, Functional performance measure by 30 second sit to stand test and quality of life by SF-12 questionnaire.

Results: At 4 weeks, there was significant association between ES and quadriceps strength (p=0.00), knee range (p=0.00), 30 second sit to stand (p=0.00). There was no significant difference seen in pain between the group (p<0.05) but difference in the groups (p=0.00) was seen. Quality of life (p<0.05) had no significant difference post Total Knee Arthroplasty

Conclusion: Electrical stimulation combined with exercises is effective in improving pain, knee range of motion, quadriceps strength andfunctional performance post Total Knee Arthroplasty

KEY WORDS: Electrical muscle stimulation, Quadriceps, functional mobility, quality of life, total knee arthroplasty.

REFERENCES

  1. Petterson S, Snyder-Mackler L. The use of neuromuscular electrical stimulation to improve activation deficits in a patient with chronic quadriceps strength impairments following total knee arthroplasty. Journal of Orthopaedic& Sports Physical Therapy. 2006 Sep;36(9):678-85
  2. Demircioglu DT, Paker N, Erbil E, Bugdayci D, Emre TY. The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study. Journal of physical therapy science. 2015;27(8):2501-6.
  3. Bade MJ, Stevens-Lapsley JE. Restoration of physical function in patients following total knee arthroplasty: an update on rehabilitation practices. Current opinion in rheumatology. 2012 Mar 1;24(2):208-14.
  4. Furu M, Ito H, Nishikawa T, Nankaku M, Kuriyama S, Ishikawa M, Nakamura S,AzukizawaM,HamamotoY,MatsudaS.Quadricepsstrengthaffectspatient satisfaction after total knee arthroplasty. J Orthop Sci. 2016Jan;21(1):38-43
  5. Rainsford G. The use of neuromuscular electrical stimulation as an adjunctive therapy for muscle strengthening in knee rehabilitation. Physiotherapy Practice and Research. 2012 Jan 1;33(1):36-41.
  6. Mizner RL, Petterson SC, Snyder-Mackler L. Quadriceps strength and the time course of functional recovery after total knee arthroplasty. Journal of Orthopaedic& Sports Physical Therapy. 2005 Jul;35(7):424-36.
  7. Oldham JA, Howe TE. Reliability of isometric quadriceps muscle strength testing in young subjects and elderly osteo-arthritic subjects. Physiotherapy. 1995 Jul 1;81(7):399-404.
  8. Roos MR, Rice CL, Vandervoort AA. Age-related changes in motor unit function. Muscle Nerve.1997;20:679–690.
  9. LexellJ,TaylorCC,SjöströmM. What is the cause of the aging atrophy? Total number, size, and proportion of different fiber types studied in whole vastus lateralismusclefrom15-to83-year-oldmen. JNeurolSci.1988;84:275–294.
  10. Martin TP, Gunderson LA, Blevins FT, Coutts RD. The influence of functional electrical stimulation on the properties of Vastus lateralis fibres following total knee arthroplasty. Scand J Rehabil Med.1991;23:207–210.
  11. Nakamura T, Suzuki K. Neuromuscular changes in osteoarthritis of the hip and knee. J JpnOrthop Assoc.1992;66:467–475
  12. Teresa S.M. Yeung, Jean Wessel, PaaulStartford, Joy Macdermid. The timed up and go test for use on an in patient orthopedic rehabilitation ward. Journalof Orthopedic and sports physical therapy.2008;38(7).
  13. CharanJ,BiswasT. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013 Apr-Jun: 35(2):121-126
  14. Stevens-Lapsley JE, Balter JE, Wolfe P, Eckhoff DG, Kohrt WM. Early neuromuscular electrical stimulation to improve quadriceps muscle strength after total knee arthroplasty: a randomized controlled trial. Physical Therapy. 2012 Feb 1;92(2):210-26.
  15. org
  16. Walls RJ, McHugh G, O’Gorman DJ, Moyna NM, O’Byrne JM. Effects of preoperative neuromuscular electrical stimulation on quadriceps strength and functional recovery in total knee arthroplasty. A pilot study. BMC musculoskeletal disorders. 2010 Dec;11(1):119.
  17. R,Peter.M,Richard.R. GoniometricReliabilityinaClinicalSetting.Elbow and Knee Measurements. PhysTher.1983:63:1611:-1615.
  18. Asakawa Y, Jung JH, Koh SE. Neuromuscular electrical stimulation improves strength, pain and weight distribution on patients with knee instability post surgery. Physical Therapy Rehabilitation Science. 2014 Dec 31;3(2):112-8.
  19. Lewek M, Stevens J, Snyder-Mackler L. The use of electrical stimulation to increase quadriceps femoris muscle force in an elderly patient following a total knee arthroplasty. Physical therapy. 2001 Sep 1;81(9):1565-71.
  20. Stevens-Lapsley JE, Balter JE, Wolfe P, Eckhoff DG, Schwartz RS, Schenkman M, Kohrt WM. Relationship between intensity of quadriceps muscle neuromuscular electrical stimulation and strength recovery after total knee arthroplasty. Physical therapy. 2012 May 31;92(9):1187-96
  21. Silva RR, Santos AA, Júnior C, de Sampaio J, Matos MA. Quality of life after total knee arthroplasty: systematic review. Revistabrasileira de ortopedia. 2014 Oct;49(5):520-7.

Cite this article: Chetna Varma, Sanket Nagarale, Ashok Shyam, Parag Sancheti. TO STUDY THE EFFECTIVENESS OF ELECTRICAL MUSCLE STIMULATION TO QUADRICEPS ON PAIN, ISOMETRIC CONTRACTION, FUNCTIONAL MOBILITY AND QUALITY OF LIFE IN POST OPERATIVE REHABILITATION IN TOTAL KNEE ARTHROPLASTY. Int J Physiother Res 2018;6(6):2914-2930. DOI: 10.16965/ijpr.2018.152
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