Neuromuscular electrical stimulation after ACL reconstruction скачать в хорошем качестве

Neuromuscular electrical stimulation after ACL reconstruction

Feil S, Newell J, Minogue C, Paessler HH. The effectiveness of supplementing a standard rehabilitation program with superimposed neuromuscular electrical stimulation after anterior cruciate ligament reconstruction: a prospective, randomized, single-blind study. Am J Sports Med. 2011;39(6):1238-47. Level of evidence: Level 1 Target Population: post ACL reconstruction Type of electro therapy used: NMES Parameters: Frequency: 50Hz, Amps: 0-70mA, on/off: 5s/10s, ramp up/down: 2s/1s, total time: 20 minutes Location: Protocol: 3 times a day, 5 days a week, for 12 weeks. Patients were instructed to contract at the same time the NMES was on. Outcome found: Extensor strength of the Kneehab group at speeds of 90 and 180 deg/s increased by 30.2% and 27.8%, respectively, between the preoperative measurements and the 6-month follow-up point in the injured leg compared to just 5-6% in the other two groups. The Kneehab group also improved 50% on single limb hop compared to just 26% in the other groups. Opinion/recommendation: While the time frame that is required is quite extensive and not realistic for the general population, it could be effective for the athletic population who has access and time for this commitment. I would still use this protocol even if they are unable to complete it to the exact amount of time as I would expect similar benefits just to a lesser degree.