Abstract
Study Design: Systematic Literature review. Objective: To perform a systematic review of randomized controlled trials assessing the effects of neuromuscular electrical stimulation (NMES) on quadriceps strength, functional performance, and self-reported function after anterior cruciate ligament reconstruction. Background: Conflicting evidence exists regarding the effectiveness of NMES following anterior cruciate ligament reconstruction. Methods: Searches were performed for randomized controlled trials using electronic databases from 1966 through October 2008. Methodological quality was assessed using the Physiotherapy Evidence Database Scale. Between- group effect sizes and 95% confidence intervals (CIs) were calculated. Results: Eight randomized controlled trials were included. The average Physiotherapy Evidence Database Scale score was 4 out of possible maximum 10. The effect sizes for quadriceps strength measures (isometric or isokinetic torque) from 7 studies ranged from -0.74 to 3.81 at approximately 6 weeks postoperatively; 6 of 11 comparisons were statistically significant, with strength benefits favoring NMES treatment. The effect sizes for functional performance measures from 1 study ranged from 0.07 to 0.64 at 6 weeks postoperatively; none of 3 comparisons were statistically significant, and the effect sizes for self-reported function measures from 1 study were 0.66 and 0.72 at 12 to 16 weeks postoperatively; both comparisons were statistically significant, with benefits favoring NMES treatment. Conclusion: NMES combined with exercise may be more effective in improving quadriceps strength than exercise alone, whereas its effect on functional performance and patient-oriented outcomes is inconclusive. Inconsistencies were noted in the NMES parameters and application of NMES.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 383-391 |
| Number of pages | 9 |
| Journal | Journal of Orthopaedic and Sports Physical Therapy |
| Volume | 40 |
| Issue number | 7 |
| DOIs | |
| State | Published - Jan 1 2010 |
| Externally published | Yes |
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Keywords
- ACL
- Electromodality
- Postsurgical knee rehabilitation
- Randomized clinical trials
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Effects of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction on quadriceps strength, function, and patient-oriented outcomes : A systematic review. / Kim, Min; Croy, Ted; Hertel, Jay; Saliba, Susan.
In: Journal of Orthopaedic and Sports Physical Therapy, Vol. 40, No. 7, 01.01.2010, p. 383-391.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Effects of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction on quadriceps strength, function, and patient-oriented outcomes
T2 - A systematic review
AU - Kim, Min
AU - Croy, Ted
AU - Hertel, Jay
AU - Saliba, Susan
PY - 2010/1/1
Y1 - 2010/1/1
N2 - Study Design: Systematic Literature review. Objective: To perform a systematic review of randomized controlled trials assessing the effects of neuromuscular electrical stimulation (NMES) on quadriceps strength, functional performance, and self-reported function after anterior cruciate ligament reconstruction. Background: Conflicting evidence exists regarding the effectiveness of NMES following anterior cruciate ligament reconstruction. Methods: Searches were performed for randomized controlled trials using electronic databases from 1966 through October 2008. Methodological quality was assessed using the Physiotherapy Evidence Database Scale. Between- group effect sizes and 95% confidence intervals (CIs) were calculated. Results: Eight randomized controlled trials were included. The average Physiotherapy Evidence Database Scale score was 4 out of possible maximum 10. The effect sizes for quadriceps strength measures (isometric or isokinetic torque) from 7 studies ranged from -0.74 to 3.81 at approximately 6 weeks postoperatively; 6 of 11 comparisons were statistically significant, with strength benefits favoring NMES treatment. The effect sizes for functional performance measures from 1 study ranged from 0.07 to 0.64 at 6 weeks postoperatively; none of 3 comparisons were statistically significant, and the effect sizes for self-reported function measures from 1 study were 0.66 and 0.72 at 12 to 16 weeks postoperatively; both comparisons were statistically significant, with benefits favoring NMES treatment. Conclusion: NMES combined with exercise may be more effective in improving quadriceps strength than exercise alone, whereas its effect on functional performance and patient-oriented outcomes is inconclusive. Inconsistencies were noted in the NMES parameters and application of NMES.
AB - Study Design: Systematic Literature review. Objective: To perform a systematic review of randomized controlled trials assessing the effects of neuromuscular electrical stimulation (NMES) on quadriceps strength, functional performance, and self-reported function after anterior cruciate ligament reconstruction. Background: Conflicting evidence exists regarding the effectiveness of NMES following anterior cruciate ligament reconstruction. Methods: Searches were performed for randomized controlled trials using electronic databases from 1966 through October 2008. Methodological quality was assessed using the Physiotherapy Evidence Database Scale. Between- group effect sizes and 95% confidence intervals (CIs) were calculated. Results: Eight randomized controlled trials were included. The average Physiotherapy Evidence Database Scale score was 4 out of possible maximum 10. The effect sizes for quadriceps strength measures (isometric or isokinetic torque) from 7 studies ranged from -0.74 to 3.81 at approximately 6 weeks postoperatively; 6 of 11 comparisons were statistically significant, with strength benefits favoring NMES treatment. The effect sizes for functional performance measures from 1 study ranged from 0.07 to 0.64 at 6 weeks postoperatively; none of 3 comparisons were statistically significant, and the effect sizes for self-reported function measures from 1 study were 0.66 and 0.72 at 12 to 16 weeks postoperatively; both comparisons were statistically significant, with benefits favoring NMES treatment. Conclusion: NMES combined with exercise may be more effective in improving quadriceps strength than exercise alone, whereas its effect on functional performance and patient-oriented outcomes is inconclusive. Inconsistencies were noted in the NMES parameters and application of NMES.
KW - ACL
KW - Electromodality
KW - Postsurgical knee rehabilitation
KW - Randomized clinical trials
UR - http://www.scopus.com/inward/record.url?scp=84925548183&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84925548183&partnerID=8YFLogxK
U2 - 10.2519/jospt.2010.3184
DO - 10.2519/jospt.2010.3184
M3 - Review article
C2 - 20592480
AN - SCOPUS:84925548183
VL - 40
SP - 383
EP - 391
JO - Journal of Orthopaedic and Sports Physical Therapy
JF - Journal of Orthopaedic and Sports Physical Therapy
SN - 0190-6011
IS - 7
ER -