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Author (up) Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
  Title Systematic Review of Three Electrical Stimulation Techniques for Rehabilitation After Total Knee Arthroplasty Type of Study Journal Article
  Year 2018 Publication The Journal of Arthroplasty Abbreviated Journal J Arthroplasty  
  Volume Issue Pages  
  Keywords Ea; Nmes; Tens; Tka; rehabilitation  
  Abstract BACKGROUND: The comparative effectiveness of neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and electroacupuncture (EA) for improving patient rehabilitation following total knee arthroplasty (TKA) is controversial. Therefore we conducted this systematic review to assess the available evidence. METHODS: The PubMed, OVID, and ScienceDirect databases were comprehensively searched and studies were selected and analyzed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Data were extracted and qualitatively synthesized for several outcomes. RESULTS: Data were analyzed from 17 randomized controlled trials involving 1285 procedures: 8 NMES studies (608 procedures), 7 TENS studies (560 procedures), and 2 EA studies (117 procedures). Qualitative analysis suggested that NMES was associated with higher quadriceps strength and functional recovery after TKA. Recovery benefits were maximal when the stimulation was performed once or twice a day for 4-6 weeks at an intensity of 100-120 mA and frequency of 30-100 Hz. The electrode should be sufficiently large (100-200 cm(2)) to reduce discomfort. TENS at an intensity of 15-40 mA and frequency of 70-150 Hz provided effective analgesia after TKA. EA at an intensity of 2 mA and frequency of 2 Hz may also provide postoperative analgesia of TKA. CONCLUSION: As adjunct modalities, NMES and TENS can effectively improve rehabilitation after TKA without triggering significant intolerance, and maximal benefits depend on optimized parameters and intervention protocols. EA may be an effective adjunct modality for analgesia after TKA.  
  Address Department of Orthopedic Surgery, Luoyang Orthopedic Hospital of Henan Province, Luoyang, Henan Province, People's Republic of China  
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29530519 Approved no  
  Call Number OCOM @ refbase @ Serial 2752  
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