scholarly journals Preoperative Quadriceps Muscle Strength and Functional Ability Predict Performance-Based Outcomes 6 Months After Total Knee Arthroplasty: A Systematic Review

2018 ◽  
Vol 99 (1) ◽  
pp. 46-61 ◽  
Author(s):  
Niveditha Devasenapathy ◽  
Ralph Maddison ◽  
Rajesh Malhotra ◽  
Sanjay Zodepy ◽  
Saket Sharma ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Knee Arthroplasty ◽  
Functional Ability ◽  
Quadriceps Muscle ◽  
Quadriceps Muscle Strength ◽  
Total Knee

scholarly journals Relationship Between Intensity of Quadriceps Muscle Neuromuscular Electrical Stimulation and Strength Recovery After Total Knee Arthroplasty

2012 ◽  
Vol 92 (9) ◽  
pp. 1187-1196 ◽  
Author(s):  
Jennifer E. Stevens-Lapsley ◽  
Jaclyn E. Balter ◽  
Pamela Wolfe ◽  
Donald G. Eckhoff ◽  
Robert S. Schwartz ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Electrical Stimulation ◽  
Muscle Strength ◽  
Muscle Fatigue ◽  
Knee Arthroplasty ◽  
Neuromuscular Electrical Stimulation ◽  
Quadriceps Muscle ◽  
Training Intensity ◽  
Quadriceps Muscle Strength ◽  
Total Knee

BackgroundNeuromuscular electrical stimulation (NMES) can facilitate the recovery of quadriceps muscle strength after total knee arthroplasty (TKA), yet the optimal intensity (dosage) of NMES and its effect on strength after TKA have yet to be determined.ObjectiveThe primary objective of this study was to determine whether the intensity of NMES application was related to the recovery of quadriceps muscle strength early after TKA. A secondary objective was to quantify quadriceps muscle fatigue and activation immediately after NMES to guide decisions about the timing of NMES during rehabilitation sessions.DesignThis study was an observational experimental investigation.MethodsData were collected from 30 people who were 50 to 85 years of age and who received NMES after TKA. These people participated in a randomized controlled trial in which they received either standard rehabilitation or standard rehabilitation plus NMES to the quadriceps muscle to mitigate strength loss. For the NMES intervention group, NMES was applied 2 times per day at the maximal tolerable intensity for 15 contractions beginning 48 hours after surgery over the first 6 weeks after TKA. Neuromuscular electrical stimulation training intensity and quadriceps muscle strength and activation were assessed before surgery and 3.5 and 6.5 weeks after TKA.ResultsAt 3.5 weeks, there was a significant association between NMES training intensity and a change in quadriceps muscle strength (R2=.68) and activation (R2=.22). At 6.5 weeks, NMES training intensity was related to a change in strength (R2=.25) but not to a change in activation (R2=.00). Furthermore, quadriceps muscle fatigue occurred during NMES sessions at 3.5 and 6.5 weeks, whereas quadriceps muscle activation did not change.LimitationsSome participants reached the maximal stimulator output during at least 1 treatment session and might have tolerated more stimulation.ConclusionsHigher NMES training intensities were associated with greater quadriceps muscle strength and activation after TKA.

scholarly journals Improvement in hamstring and quadriceps muscle strength following cruciate-retaining single radius total knee arthroplasty

2017 ◽  
Vol 5 (S3) ◽  
pp. S27-S27
Author(s):  
Jennifer Kurowicki ◽  
Anton Khlopas ◽  
Assem A. Sultan ◽  
Nipun Sodhi ◽  
Linsen T. Samuel ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Knee Arthroplasty ◽  
Quadriceps Muscle ◽  
Cruciate Retaining ◽  
Quadriceps Muscle Strength ◽  
Total Knee ◽  
Single Radius

scholarly journals Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Vol 8 ◽  
Author(s):  
Linbo Peng ◽  
Kexin Wang ◽  
Yi Zeng ◽  
Yuangang Wu ◽  
Haibo Si ◽  
...  
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Meta Analysis ◽  
Neuromuscular Electrical Stimulation ◽  
Quadriceps Muscle ◽  
Controlled Trials ◽  
Quadriceps Muscle Strength ◽  
Randomized Controlled ◽  
Total Knee

Background: This systematic review and meta-analysis aimed to evaluate the effect of neuromuscular electrical stimulation (NMES) on quadriceps muscle strength, pain, and function outcomes following total knee arthroplasty (TKA).Methods: PubMed/Medline, Embase, Web of Science, CENTRAL, Scopus, PsycINFO, PEDro, CINAHL, CNKI, and Wanfang were systematically searched for randomized controlled trials (RCTs) from their inception to 18 June 2021.Results: Nine RCTs that involving 691 patients were included in the meta-analysis. Our pooled analysis showed that NMES improved quadriceps muscle strength after TKA within 1 months [standardized mean difference (SMD): 0.81; 95% CI: 0.51–1.11], 1–2 months (SMD: 0.55; 95% CI: 0.13–0.97), 3–4 months (SMD: 0.42; 95% CI: 0.18–0.66), and 12–13 months (SMD: 0.46; 95% CI: 0.18–0.74), pain between 1 and 2 months [mean difference (MD): −0.62; 95% CI: −1.04 to −0.19], pain between 3 and 6 months (MD: −0.44; 95% CI: −0.74 to −0.14) Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) between 3 and 4 months (MD: −0.43; 95% CI: −0.82 to −0.05), timed up and go test (TUG) within 1 month (MD: −2.23; 95% CI: −3.40 to −1.07), 3 minutes walk test between 3 and 6 months (MD: 28.35; 95% CI: 14.55–42.15), and SF-36 MCS between 3 and 6 months after TKA (MD: 4.20, 95% CI: 2.41–5.98).Conclusion: As a supplementary treatment after TKA, postoperative NMES could improve the short-term to long-term quadriceps muscle strength, mid-term pain, and mid-term function following TKA. However, many outcomes failed to achieve statistically meaningful changes and minimal clinically important difference (MCID), thus the clinical benefits remained to be confirmed.Level of Evidence: Therapeutic level I.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021265609.

scholarly journals Patella Eversion Reduces Early Knee Range of Motion and Muscle Torque Recovery after Total Knee Arthroplasty: Comparison between Minimally Invasive Total Knee Arthroplasty and Conventional Total Knee Arthroplasty

Arthritis ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Tokifumi Majima ◽  
Osamu Nishiike ◽  
Naohiro Sawaguchi ◽  
Kouichi Susuda ◽  
Akio Minami
Keyword(s):  
Total Knee Arthroplasty ◽  
Postoperative Pain ◽  
Muscle Strength ◽  
Minimally Invasive ◽  
Knee Arthroplasty ◽  
Quadriceps Muscle ◽  
Skin Incision ◽  
Strength Recovery ◽  
Total Knee ◽  
Postoperative Improvement

We hypothesized that patella eversion during total knee arthroplasty (TKA) reduces early return of active knee extension and flexion, quadriceps muscle strength, and postoperative pain. In 100 conventional TKA knees and 100 minimally invasive TKA (MIS TKA) knees, we compared knee range of motion (ROM), postoperative pain, and quadriceps muscle strength at 1 day, 4 days, 1 week, 2 weeks, 3 weeks, 4 weeks, 12 weeks, 1 year, and 5 years after surgery. The differences of surgical approach between MIS TKA and conventional TKA of this study are length of skin incision with subcutaneal flap and patella eversion. In MIS TKA, skin incision is shorter than conventional TKA. Furthermore, patella is not everted in MIS TKA procedure. There were no significant differences in preoperative factors. Postoperative improvement of ROM, postoperative muscle strength recovery, and postoperative improvement of visual analog scale were faster in patients with MIS TKA when compared to that in patients with conventional TKA. On the other hand, no significant difference was observed in complication, 5-year clinical results of subjective knee function score, and the postoperative component angle and lower leg alignment. These results indicate that patella eversion may affect muscle strength recovery and postoperative pain.

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