Neuromuscular electrical stimulation for muscle strengthening in elderly with knee osteoarthritis – A systematic review

2013 ◽  
Vol 19 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Mônica de Oliveira Melo ◽  
Fernando Amâncio Aragão ◽  
Marco Aurélio Vaz
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Knee Osteoarthritis ◽  
Neuromuscular Electrical Stimulation ◽  
Muscle Strengthening

scholarly journals Adherence to Neuromuscular Electrical Stimulation Interventions for Muscle Impairment in Hip and Knee Osteoarthritis: A Systematic Review

2021 ◽  
Vol 14 ◽  
pp. 117954412110287
Author(s):  
Louise C Burgess ◽  
Paul Taylor ◽  
Thomas W Wainwright ◽  
Shayan Bahadori ◽  
Ian D Swain
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Knee Osteoarthritis ◽  
Neuromuscular Electrical Stimulation ◽  
Voluntary Exercise ◽  
Cochrane Library ◽  
Control Groups ◽  
Joint Replacement Surgery ◽  
Patient Tolerance ◽  
Muscle Impairment

Background: Neuromuscular electrical stimulation (NMES) provides a promising approach to counteract muscle impairment in hip and knee osteoarthritis, and to expedite recovery from joint replacement surgery. Nonetheless, application into clinical orthopaedic practice remains limited, partly due to concerns regarding patient tolerance. Objectives: This systematic review aimed to quantify levels of adherence to NMES interventions for muscle impairment in hip and knee osteoarthritis and identify strategies to increase compliance. Data Sources: Randomised controlled trials (RCTs) were identified in a web-based literature review, completed in December 2020. The databases sourced included the Cochrane Library, CINAHL Complete, Medline Complete and PubMed. Eligibility Criteria: Studies were included if they were: (i) conducted in cohorts of adults with hip or knee osteoarthritis; (ii) a protocol of electrical muscle stimulation prescribed to treat muscle impairment; and (iii) reported intervention adherence or attrition rate. Data were extracted on adherence rate, reasons for non-adherence and potential strategies to increase adherence. Risk of bias was assessed using the Physiotherapy Evidence Database (PEDro) scale. Results: The search yielded 120 articles, of which 15 studies were considered eligible and included in the analysis (n = 922). All NMES treatment was applied to the quadriceps, with 1 study targeting the quadriceps and calves. The mean PEDRO score of the included studies was 6.80 out of a possible 10 (range 6-8). Mean adherence did not differ between groups receiving treatment with NMES (85% ± 12%) and control groups receiving voluntary exercise or education (84% ± 9%) ( P = .97). Reasons for non-adherence or attrition included a dislike of the device, dizziness, pain and discomfort. Strategies to increase adherence included NMES education, a familiarisation period, supervision, setting thresholds based upon patient tolerance, monitoring pain levels during stimulation and using built-in adherence trackers. Conclusions: This systematic review indicates that adherence to NMES interventions for muscle impairment in hip and knee osteoarthritis in clinical trials does not differ to control groups receiving education or voluntary exercise, and hence should not be a barrier to application in clinical practice.

Training-induced changes in muscle contraction patterns enhance exercise performance after short-term neuromuscular electrical stimulation

2020 ◽  
Vol 28 (4) ◽  
pp. 339-350
Author(s):  
Gökhan Umutlu ◽  
Nevzat Demirci ◽  
Nasuh Evrim Acar
Keyword(s):  
Electrical Stimulation ◽  
Muscle Contraction ◽  
Exercise Performance ◽  
Controlled Trial ◽  
Dynamic Control ◽  
Neuromuscular Electrical Stimulation ◽  
Interval Training ◽  
Time To Exhaustion ◽  
Muscle Strengthening ◽  
The Individual

BACKGROUND: Neuromuscular electrical stimulation (NMES) is a complementary tool for therapeutic exercise for muscle strengthening and may potentially enhance exercise performance. OBJECTIVE: To determine whether high-intensity interval training (HIIT) and continuous aerobic training (CA) coupled with NMES enhance the changes in the eccentric/concentric muscle contraction patterns of hamstring and quadriceps. METHODS: Forty-five healthy sedentary male participants performed cycling training 3 times per week for 8 weeks combined with/without NMES performed at a load equivalent to 65% and 120% of IVO2max (intensity associated with the achievement of maximal oxygen uptake). Anthropometrics, blood lactate measurements, IVO2max, TLimVO2max (time-to-exhaustion) and isokinetic strength parameters were measured at baseline and post-training using a randomized controlled trial. RESULTS: The conventional hamstring-to-quadriceps-ratio (HQR: Hcon/Qcon) at 60∘/s and the Dynamic Control Ratio (DCR: Hecc/Qcon) at 180∘/s significantly increased both in the dominant (D) and non-dominant (ND) limb in the HIIT + NMES group (p< 0.05). There was a positive significant correlation between the individual changes in D HQR at 60∘/s and IVO2max (r= 0.94, p= 0.005) and the DCR at 180∘/s and TLimVO2max (r= 0.90, p= 0.015), respectively. CONCLUSIONS: The increases in the eccentric muscle contraction and DCR following HIIT + NMES seem to improve fatigue tolerance, cause less fatigue and oxidative stress on the lower limb during pedaling at high intensities.

scholarly journals Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis

2015 ◽  
Vol 23 (2) ◽  
pp. 189-202 ◽  
Author(s):  
C. Zeng ◽  
H. li ◽  
T. Yang ◽  
Z.-h. Deng ◽  
Y. Yang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Pain Relief ◽  
Knee Osteoarthritis ◽  
Meta Analysis

scholarly journals Electromyogram-Related Neuromuscular Electrical Stimulation for Restoring Wrist and Hand Movement in Poststroke Hemiplegia: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 33 (2) ◽  
pp. 96-111 ◽  
Author(s):  
Katia Monte-Silva ◽  
Daniele Piscitelli ◽  
Nahid Norouzi-Gheidari ◽  
Marc Aureli Pique Batalla ◽  
Philippe Archambault ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Electrical Stimulation ◽  
Meta Analysis ◽  
Neuromuscular Electrical Stimulation ◽  
Structure And Function ◽  
Motor Recovery ◽  
Body Structure ◽  
Short Term ◽  
And Function

Background. Clinical trials have demonstrated some benefits of electromyogram-triggered/controlled neuromuscular electrical stimulation (EMG-NMES) on motor recovery of upper limb (UL) function in patients with stroke. However, EMG-NMES use in clinical practice is limited due to a lack of evidence supporting its effectiveness. Objective. To perform a systematic review and meta-analysis to determine the effects of EMG-NMES on stroke UL recovery based on each of the International Classification of Functioning, Disability, and Health (ICF) domains. Methods. Database searches identified clinical trials comparing the effect of EMG-NMES versus no treatment or another treatment on stroke upper extremity motor recovery. A meta-analysis was done for outcomes at each ICF domain (Body Structure and Function, Activity and Participation) at posttest (short-term) and follow-up periods. Subgroup analyses were conducted based on stroke chronicity (acute/subacute, chronic phases). Sensitivity analysis was done by removing studies rated as poor or fair quality (PEDro score <6). Results. Twenty-six studies (782 patients) met the inclusion criteria. Fifty percent of them were considered to be of high quality. The meta-analysis showed that EMG-NMES has a robust short-term effect on improving UL motor impairment in the Body Structure and Function domain. No evidence was found in favor of EMG-NMES for the Activity and Participation domain. EMG-NMES had a stronger effect for each ICF domain in chronic (≥3 months) compared to acute/subacute phases. Conclusion. EMG-NMES is effective in the short term in improving UL impairment in individuals with chronic stroke.

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