Low-frequency electric muscle stimulation combined with physical therapy after total hip arthroplasty for hip osteoarthritis in elderly patients: a randomized controlled trial

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Serval ID
serval:BIB_5F082A1A4FEB
Type
Article: article from journal or magazin.
Collection
Publications
Title
Low-frequency electric muscle stimulation combined with physical therapy after total hip arthroplasty for hip osteoarthritis in elderly patients: a randomized controlled trial
Journal
Arch Phys Med Rehabil
Author(s)
Gremeaux V., Renault J., Pardon L., Deley G., Lepers R., Casillas J. M.
ISSN
1532-821X (Electronic)
ISSN-L
0003-9993
Publication state
Published
Issued date
12/2008
Volume
89
Number
12
Pages
2265-73
Language
english
Notes
Gremeaux, Vincent
Renault, Julien
Pardon, Laurent
Deley, Gaelle
Lepers, Romuald
Casillas, Jean-Marie
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Arch Phys Med Rehabil. 2008 Dec;89(12):2265-73. doi: 10.1016/j.apmr.2008.05.024.
Abstract
OBJECTIVE: To assess the effects of low-frequency electric muscle stimulation associated with usual physiotherapy on functional outcome after total hip arthroplasty (THA) for hip osteoarthritis (OA) in elderly subjects. DESIGN: Randomized controlled trial; pre- and posttreatment measurements. SETTING: Hospital rehabilitation department. PARTICIPANTS: Subjects (N=29) referred to the rehabilitation department after THA for hip OA. INTERVENTIONS: The intervention group (n=16; 78+/-8 y) received simultaneous low-frequency electric muscle stimulation of bilateral quadriceps and calf muscles (highest tolerated intensity, 1h session, 5 d/wk, for 5 weeks) associated with conventional physical therapy including resistance training. The control group (n=13; 76+/-10 y) received conventional physical therapy alone (25 sessions). MAIN OUTCOME MEASURES: Maximal isometric strength of knee extensors, FIM instrument, before and after; a six-minute walk test and a 200 m fast walk test, after; length of stay (LOS). RESULTS: Low-frequency electric muscle stimulation was well tolerated. It resulted in a greater improvement in strength of knee extensors on the operated side (77% vs 23%; P<.01), leading to a better balance of muscle strength between the operated and nonoperated limb. The low-frequency electric muscle stimulation group also showed a greater improvement in FIM scores, though improvements in the walk tests were similar for the 2 groups, as was LOS. CONCLUSIONS: Low-frequency electric muscle stimulation is a safe, well-tolerated therapy after THA for hip OA. It improves knee extensor strength, which is one of the factors leading to greater functional independence after THA.
Keywords
Aged, Analysis of Variance, Arthroplasty, Replacement, Hip/*rehabilitation, Biomechanical Phenomena, Combined Modality Therapy, *Electric Stimulation Therapy, Exercise Therapy, Feasibility Studies, Female, Humans, Isometric Contraction, Male, Muscle Strength, Osteoarthritis, Hip/*rehabilitation/*surgery, Prospective Studies, Quadriceps Muscle
Pubmed
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26/11/2019 12:35
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06/05/2020 6:26
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