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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Etat: Public
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ID Serval
serval:BIB_5F082A1A4FEB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Low-frequency electric muscle stimulation combined with physical therapy after total hip arthroplasty for hip osteoarthritis in elderly patients: a randomized controlled trial
Périodique
Arch Phys Med Rehabil
Auteur(s)
Gremeaux V., Renault J., Pardon L., Deley G., Lepers R., Casillas J. M.
ISSN
1532-821X (Electronic)
ISSN-L
0003-9993
Statut éditorial
Publié
Date de publication
12/2008
Volume
89
Numéro
12
Pages
2265-73
Langue
anglais
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.
Résumé
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.
Mots-clé
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
Création de la notice
26/11/2019 12:35
Dernière modification de la notice
06/05/2020 6:26
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