Electrical stimulation effect on extensor lag and length of hospital stay after total knee arthroplasty
- PMID: 8085929
Electrical stimulation effect on extensor lag and length of hospital stay after total knee arthroplasty
Abstract
The effects of electrical stimulation in conjunction with traditional physical therapy, on knee extensor lag and length of hospital stay among patients recovering from total knee arthroplasty were assessed. Forty patients who underwent total knee replacement (TKR) were randomly assigned to either an electrical stimulation group (16 females, 5 males), or a control group (15 females, 4 males). Both groups received conventional physical therapy including continuous passive motion (CPM) to the affected limb, ambulation training, range of motion exercises, and activities of daily living (ADL) training. The experimental group additionally received electrical stimulation during CPM treatment. Experimental group subjects reduced their extensor lag from 7.5 to 5.7 degrees, whereas control group extensor lag increased from 5.3 to 8.3 degrees. These trends were significantly different (p < .01). Rehabilitation discharge criteria were reached in 6.7 days in the experimental group and 7.4 days in the control group. These differences were also significant (p < .05). The results of this study indicate that the application of electrical stimulation during recovery from TKR can effectively reduce extensor lag and decrease the length of hospital stay.
Similar articles
-
Efficacy of neuromuscular stimulation of the quadriceps femoris during continuous passive motion following total knee arthroplasty.Arch Phys Med Rehabil. 1988 Jun;69(6):423-4. Arch Phys Med Rehabil. 1988. PMID: 3259866
-
[The effects of two different continuous passive motion protocols on knee range of motion after total knee arthroplasty: a prospective analysis].Acta Orthop Traumatol Turc. 2009 Nov-Dec;43(5):412-8. doi: 10.3944/AOTT.2009.412. Acta Orthop Traumatol Turc. 2009. PMID: 19881322 Clinical Trial. Turkish.
-
Effectiveness of prolonged use of continuous passive motion (CPM) as an adjunct to physiotherapy following total knee arthroplasty: design of a randomised controlled trial [ISRCTN85759656].BMC Musculoskelet Disord. 2006 Feb 23;7:15. doi: 10.1186/1471-2474-7-15. BMC Musculoskelet Disord. 2006. PMID: 16504087 Free PMC article.
-
Continuous passive motion after total knee arthroplasty. Analysis of cost and benefits.Clin Orthop Relat Res. 1995 Dec;(321):208-15. Clin Orthop Relat Res. 1995. PMID: 7497671 Clinical Trial.
-
Exercise combined with continuous passive motion or slider board therapy compared with exercise only: a randomized controlled trial of patients following total knee arthroplasty.Phys Ther. 2001 Apr;81(4):1029-37. Phys Ther. 2001. PMID: 11296803 Clinical Trial.
Cited by
-
Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement.Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD007177. doi: 10.1002/14651858.CD007177.pub2. Cochrane Database Syst Rev. 2010. PMID: 20091621 Free PMC article. Review.
-
Femoral quadriceps neuromuscular electrical stimulation after total knee arthroplasty: a systematic review.Einstein (Sao Paulo). 2016 Jan-Mar;14(1):77-98. doi: 10.1590/S1679-45082015RW3140. Epub 2015 Oct 30. Einstein (Sao Paulo). 2016. PMID: 26537511 Free PMC article. Review.
-
Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice.Physiother Can. 2017;69(5):1-76. doi: 10.3138/ptc.2015-88. Physiother Can. 2017. PMID: 29162949 Free PMC article.
-
The effect of neuromuscular electrical stimulation on functional status and quality of life after knee arthroplasty: a randomized controlled study.J Phys Ther Sci. 2015 Aug;27(8):2501-6. doi: 10.1589/jpts.27.2501. Epub 2015 Aug 21. J Phys Ther Sci. 2015. PMID: 26355656 Free PMC article.
-
Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Front Med (Lausanne). 2021 Dec 3;8:779019. doi: 10.3389/fmed.2021.779019. eCollection 2021. Front Med (Lausanne). 2021. PMID: 34926522 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources