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Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2424  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2465  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2506  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2547  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2588  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2632  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2673  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2711  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2793  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2834  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2875  
Permanent link to this record
 

 
Author Yue, C.; Zhang, X.; Zhu, Y.; Jia, Y.; Wang, H.; Liu, Y. url  doi
openurl 
  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  
  Publisher
  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 2916  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2425  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2466  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2507  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2548  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2589  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2631  
Permanent link to this record
 

 
Author Badiee Aval, S.; Ravanshad, Y.; Azarfar, A.; Mehrad-Majd, H.; Torabi, S.; Ravanshad, S. url  openurl
  Title A Systematic Review and Meta-analysis of Using Acupuncture and Acupressure for Uremic Pruritus Type of Study Journal Article
  Year 2018 Publication Iranian Journal of Kidney Diseases Abbreviated Journal Iran J Kidney Dis  
  Volume 12 Issue 2 Pages 78-83  
  Keywords  
  Abstract INTRODUCTION: Uremic pruritus is characterized by an uncomfortable and unlimited sensation which leads to scratch, which strongly reduces the quality of life. Pruritus is a common symptom in patients with end-stage renal disease. Various clinical trial studies have examined the effects of acupuncture and acupressure on treatment of uremic pruritus. This systematic review meta-analysis aimed to evaluate the effectiveness based on published studies. MATERIALS AND METHODS: An electronic literature search was conducted to identify appropriate trial studies. The results for continuous outcomes were presented as weighted mean difference, with 95% confidence intervals. RESULTS: A total of 5 articles, including 6 trials, were enrolled in this systematic review. Only 3 of the six trial studies used a visual analogue scale score for assessing pruritus and acupressure for intervention regime, which were considered for meta-analysis. The combined results showed that acupuncture or acupressure was effective in treatment of uremic pruritus (pooled mean difference, -1.994; 95% confidence interval, -2.544 to -1.445). CONCLUSIONS: This study confirms that using acupuncture and acupressure is effective in treatment of uremic pruritus. However, further vigorous studies are needed to verify these findings.  
  Address Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran. ravanshady@mums.ac.ir  
  Publisher
  Language English Number of Treatments  
  Treatment Follow-up Frequency Number of Participants  
  Time in Treatment Condition
  Disease Category OCSI Score  
  Notes PMID:29507269 Approved no  
  Call Number OCOM @ refbase @ Serial 2672  
Permanent link to this record
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