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Fayez, Eman S. M.
- Neuromuscular Training Versus Neuromuscular Electrical Stimulation on Balance in Knee Osteoarthritis Patients
Abstract Views :434 |
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Authors
Affiliations
1 Basic Science Department, Faculty of Physical Therapy, Cairo University, EG
2 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, EG
1 Basic Science Department, Faculty of Physical Therapy, Cairo University, EG
2 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, EG
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 2 (2013), Pagination: 59-64Abstract
Background: Balance disturbance is one of the most common complications of knee osteoarthritis (KOA).Purpose: This study was conducted to investigate the impact of neuromuscular training and neuromuscular electrical stimulation (NMES) on balance in KOA.
Subjects: 45 patients with unilateral KOA and they were assigned randomly into three equal groups.
Method: Group A received neuromuscular training in addition to ultrasound (US) and moist heat, group B received NMES plus US and moist heat, group C received US and moist heat. Balance was assessed using the Biodex system and pain intensity was assessed by using the visual analogue scale for each patient before and after treatment.
Results: There was a significant difference in balance between all groups with highly significant improvement for group A and there was a significant difference for pain intensity with highly significant improvement for group A.
Conclusion: Neuromuscular training has a higher beneficial effect for treatment of patients with KOA than neuromuscular electrical stimulation .
References
- Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 2001; 60: 612-618.
- Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis. Rheum Dis Clin North Am 2008; 34:531-539.
- Martel-Pelletier J. Pathophysiology of osteoarthritis. Osteoarthritis Cartilage 1998; 6: 374-376.
- Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg. Br 1991; 73: 53-56
- Marks R, Quinney HA, Wessel J. Proprioceptive sensibility in women with normal and osteoarthritic knee joints. Clin Rheumatol 1993; 12: 170-175.
- Pandya NK, Draganich LF, Mauer A, Piotrowski GA,Pottenger L. Osteoarthritis of the knees increases the propensity to trip on an obstacle. Clin Orthop Relat Res 2005; 431: 150-156
- Lephart S, Fu F. Proprioception and neuromuscular control in joint stability. 1st ed., Human kinetics; 2000.p. 439.
- Hee-Sang Kim, Dong Hwan Yun, Seung Don Yoo, et al. Balance Control and Knee Osteoarthritis Severity. Ann Rehabil Med 2011; 35: 701-709.
- Shields RK, Madhavan S, Cole KR, Brostad JD, et al. Proprioceptive coordination of movement sequences in humans. Clin Neurophysiol 2005;116:87-92.
- Laura Wegener, Carolyn Kisner ,and Deborah Nichols, Static and Dynamic Balance Responses in Persons With Bilateral Knee Osteoarthritis. JOSPT 1997 ; 23 :13-18.
- Sharma L, Pai Y-C, Holtkamp K, Rymer WZ. Is knee joint proprioception worse in the arthritic knee versus the unaffected knee in unilateral knee osteoarthritis? Arthritis Rheum.1997; 40:1518–25.
- Giggins OM Fullen,Pm and Coughlann GF .Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis Clin. Rehabil. 2012 ;26: 867-881.
- Matthew WR , Nauris T,et al. Knee Osteoarthritis and the Efficacy of Kinesthesia, Balance & Agility Exercise Training: A Pilot Study. Int J Exerc Sci. 2011; 4: 124-132.
- Altman R, Asch E, Bloch D, Bole B, Borenstein D and Brandt K. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee. Arthritis Rheum. 1986; 29: 1039-1049.
- Mark J and Anthony: Strength response in human quadrecips femoris muscle during 2 neuromuscular electrical programs. J.Orth and Sports Physic ther .2003; 719- 720.
- Rutjes, Levent, Ebru: Clinical effect of therapeutic ultrasound in knee osteoarthritis. 2009; 35: 44-45.
- Nevitt, et al, “Risk Factors for Injurious Falls: A Prospective Study.” Journal of Gerontology: Medical Sciences. 1991; 5: 164-170.
- Peter, et al., Physiotherapy in hip and knee osteoarthritis: development of a practice guide line concerning initial assessment, treatment and evaluation .Acta Reumatológica Portuguesa: 2011, 36; 268-281
- John L et al: Electrical stimulation of thigh muscles after reconstruction of the anterior cruciate ligament; Effect of electrically elicited contraction of the quadriceps femoris and hamstring muscles on gait and on strength of the thigh muscles. J Bone Joint Surg Am. 2002; 73: 1025-1036.
- Fritz M, Lrgang j and Harner D. Rehabilitation following all graft meniscal transplantation, J Ortho Sports Phys Ther. 1996;7: 24-35.
- Rogind H, Bibow-Nielsen B, et al. The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil. 1998; 79: 1421–7.
- Thomas Mohr, et al. Comparison of Isometric Exercise and High Volt Galvanic Stimulation on Quadriceps Femoris Muscle Strength. PHYS THER. 1985; 65:606-609.
- Eva Ageberg, Anne Link, and Ewa M Roos: Feasibility of neuromuscular training in patients with severe hip or knee OA: The individualized goal-based NEMEX-TJR training program. BMC Musculoskelet Disord. 2010; 11: 126.
- Demirhan D ,Resa A et al.Effect of kinesthesia and balance exercises in knee osteoarthritis.J Clin Rheumatol.2005;11:303-310.
- Hurley M and Scott L. Improvement in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. British J Rheum. 1998; 37:1181-1187.
- O’Reilly S, Muir K and Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee. Annals of the Rheumatic Diseases. 1999;58:15-19.
- Robert T, Woollays, et al.: The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch phys Med Rehabil. 2002; 83: 1187-1195.
- Fatih Tok, Koray Aydemir,et al: The effects of electrical stimulation combined with continuous passive motion versus isometric exercise on symptoms, functional capacity, quality of life and balance in knee osteoarthritis: randomized clinical trial.2009;29:56-78.
- Delitto A and Synder-Mackler:Tow theories of muscle strength augmentation using percutaneous electrical stimulation. Phys.Ther .2002; 70:158-164.
- Neuromuscular Electrical Stimulation Versus Intermittent Pneumatic Compression on Hand Edema in Stroke Patients
Abstract Views :421 |
PDF Views:0
Authors
Affiliations
1 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, IN
2 Department of Cardiopulmonary Rehabilitation and Geriatrics. Faculty of Physical Therapy, Cairo University, IN
1 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, IN
2 Department of Cardiopulmonary Rehabilitation and Geriatrics. Faculty of Physical Therapy, Cairo University, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 1 (2013), Pagination: 81-86Abstract
Objective: the purpose of this study was to evaluate and compare between the effect of application of neuromuscular electrical stimulation and intermittent pneumatic compression on reducing hand edema in stroke patients.Subjects: Thirty stroke patients of both sexes (18 females and 12 males).They assigned randomly into 2 study groups each one composed of 15 patients. Method: Group I received intermittent pneumatic compression therapy and group II received neuromuscular electrical stimulation three times per week for twelve weeks. The patients were assessed for hand volume by using the volumetric measurement and by hand held dynamometer to measure hand grip strength before and after the end of treatment period.
Results : The results of this study revealed that application of intermittent pneumatic compression therapy had a significant effect on reducing hand edema in stroke patients than receiving neuromuscular electrical stimulation .While hand function measured by hand grip strength was improved more significantly with receiving neuromuscular electrical stimulation than the group who received intermittent compression therapy.
Conclusion: Application of intermittent pneumatic compression therapy was more effective in reducing hand edema than neuromuscular electrical stimulation while application of neuromuscular electrical stimulation resulting in greater improvement in hand grip strength and hand function.
Keywords
Stroke, Hand Edema, Hand Function, Neuromuscular Electrical Stimulation and Intermittent Pneumatic Compression TherapyReferences
- Roper TA, et al. Intermittent compression for the treatment of the edematous hand in hemiplegic stroke: a randomized controlled trial, Age and aging; 1999; 28:9-13.
- Boomkamp k., et al: post stroke hand swelling and edema: prevalence and relationship with impairment and disability. Clinical rehabililtation; 2005; 19:552-559.
- Wang JS, et al: Neuromuscular electric stimulation enhances endothelial vascular control and hemodynamic function in paretic upper extremities of patients with stroke. Arch Phys Med Rehabil; 2004; 85:1112-1116.
- Leibovitz A, et al. Edema of the paretic hand in elderly poststroke nursing patients. Arch Gerontol Geriatr. ; 2007; 44:37-42.
- Faghri PD, The effects of neuromuscular stimulation-induced muscle contraction versus elevation on hand edema in CVA patients. J Hand Ther; 1997; 10:29-34.
- Chae J. A critical review of neuromuscular electrical stimulation for treatment of motor dysfunction in hemiplegia. Asst Technol; 2000; 12: 33-49.
- Maram J, et al. Neuromuscular stimulation after stroke: from technology to clinical deployment. Expert. Rev. Neurother, 2009; 4-9.
- Ashworth MS and Tardieu .Their Clinical Relevance for Measuring Spasticity in Adult and Pediatric Neurological Populations. Physical Therapy Reviews; 2002; 1: 53-62.
- Griffin JW, et al .Reduction of post traumatic hand edema: A comparison of high voltage pulsed current, intermittent pneumatic compression and placebo treatments. Phys Ther; 1996; 70; 5:279-285.
- Alan S. et al. Arm functions after Stroke .An evaluation of grip strength as a measure of recovery and a prognostic indicator. J Neurol, Neurosurg, and Psychiatry; 1989; 52:1267-1272.
- Vowden K .The use of intermittent pneumatic compression in venous ulceration. Br. J. Nurs. ; 2001; 10; 8: 491-509.
- Bemellen V, et al .Intermittent high-pressure compression in homeostasis. Arch Surg; 2001; 136:1280-1285.
- Ziling L and Tiebin Y.Long term effectiveness of neuromuscular electrical stimulation for promoting motor recovery of the upper extremity after stroke. J Rehabil Med; 2011; 43:506–510.
- Gad A.et al. A home based self administered stimulation program to improve selected hand functions of chronic stroke. Neuro Rehabilitation; 2003; 18:215–225.
- Chae J, Yu D. A criical review of neuromuscular electrical stimulation for treatment of motor dysfunction in hemiplegia. Asst Techno; 2000; 12: 33-49.
- Winsor T. et al .The effect of venous compression on the circulation of the extremities. Arch Phys Med Rehab; 1999; 34: 559-565.
- Armstrong DG, Nguyen HC .Improvement in healing with aggressive edema reduction after debridement of foot infection in persons with diabetes. Arch Surg.; 2001; 135:1405-1409.
- Boomkamp KH et al, Post stroke hand swelling and edema: prevalence and relationship with impairment and disability .Clinical Rehabilitation; 2005; 19:552-559.
- Wilkerson J External compression for control of traumatic edema. Phys Sports Med.; 2001; 13(6):97-106.
- Bettany JA,etal Influence of high voltage pulsed direct current on edema formation following impact injury. Phys Ther; 1990; 70(4):219-224.
- Neuromuscular Training Versus Neuromuscular Electrical Stimulation on Balance in Knee Osteoarthritis Patients
Abstract Views :381 |
PDF Views:0
Authors
Affiliations
1 Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University
1 Physical Therapy, Basic Science Department, Faculty of Physical Therapy, Cairo University
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 4 (2013), Pagination: 46-51Abstract
Background: Balance disturbance is one of the most common complications of knee osteoarthritis (KOA).Purpose: this study was conducted to investigate the impact of neuromuscular training and neuromuscular electrical stimulation (NMES) on balance in KOA. Subjects: 45 patients with unilateral KOA and they were assigned randomly into three equal groups.
Method: group A received neuromuscular training in addition to ultrasound (US) and moist heat, group B received NMES plus US and moist heat, group C received US and moist heat. Balance was assessed using the Biodex system and pain intensity was assessed by using the visual analogue scale for each patient before and after treatment.
Results: there was a significant difference in balance between all groups with highly significant improvement for group A, and there was a significant difference for pain intensity with highly significant improvement for group A. Conclusion: neuromuscular training has a higher beneficial effect for treatment of patients with KOA than neuromuscular electrical stimulation.
Keywords
Neuromuscular Training-- Neuromuscular Electrical Stimulation - Knee Osteoarthritis -Balance- PainReferences
- Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 2001; 60: 612-618.
- Brandt KD, Dieppe P, Radin EL. Etiopathogenesis of osteoarthritis. Rheum Dis Clin North Am 2008; 34:531-539.
- Martel-Pelletier J. Pathophysiology of osteoarthritis. Osteoarthritis Cartilage 1998; 6: 374-376.
- Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg. Br 1991; 73: 53-56
- Marks R, Quinney HA, Wessel J. Proprioceptive sensibility in women with normal and osteoarthritic knee joints. Clin Rheumatol 1993; 12: 170-175.
- Pandya NK, Draganich LF, Mauer A, Piotrowski GA,Pottenger L. Osteoarthritis of the knees increases the propensity to trip on an obstacle. Clin Orthop Relat Res 2005; 431: 150-156
- Lephart S, Fu F. Proprioception and neuromuscular control in joint stability. 1st ed., Human kinetics; 2000.p. 439.
- Hee-Sang Kim, Dong Hwan Yun, Seung Don Yoo, et al. Balance Control and Knee Osteoarthritis Severity. Ann Rehabil Med 2011; 35: 701-709.
- Shields RK, Madhavan S, Cole KR, Brostad JD, et al. Proprioceptive coordination of movement sequences in humans. Clin Neurophysiol 2005;116:87-92.
- Laura Wegener, Carolyn Kisner, and Deborah Nichols, Static and Dynamic Balance Responses in Persons With Bilateral Knee Osteoarthritis. JOSPT 1997 ; 23 :13-18.
- Sharma L, Pai Y-C, Holtkamp K, Rymer WZ. Is knee joint proprioception worse in the arthritic knee versus the unaffected knee in unilateral knee osteoarthritis? Arthritis Rheum.1997; 40:1518–25.
- Giggins OM Fullen,Pm and Coughlann GF. Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis Clin. Rehabil. 2012 ;26: 867-881.
- Matthew WR, Nauris T,et al. Knee Osteoarthritis and the Efficacy of Kinesthesia, Balance & Agility Exercise Training: A Pilot Study. Int J Exerc Sci. 2011; 4: 124-132.
- Altman R, Asch E, Bloch D, Bole B, Borenstein D and Brandt K. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the knee. Arthritis Rheum. 1986; 29: 1039-1049.
- Mark J and Anthony: Strength response in human quadrecips femoris muscle during 2 neuromuscular electrical programs. J.Orth and Sports Physic ther. 2003; 719- 720.
- Rutjes, Levent, Ebru: Clinical effect of therapeutic ultrasound in knee osteoarthritis. 2009; 35: 44-45.
- Nevitt, et al, “Risk Factors for Injurious Falls: A Prospective Study.” Journal of Gerontology: Medical Sciences. 1991; 5: 164-170.
- Peter, et al., Physiotherapy in hip and knee osteoarthritis: development of a practice guide line concerning initial assessment, treatment and evaluation. Acta Reumatológica Portuguesa: 2011, 36; 268-281
- John L et al: Electrical stimulation of thigh muscles after reconstruction of the anterior cruciate ligament; Effect of electrically elicited contraction of the quadriceps femoris and hamstring muscles on gait and on strength of the thigh muscles. J Bone Joint Surg Am. 2002; 73: 1025-1036.
- Fritz M, Lrgang j and Harner D. Rehabilitation following all graft meniscal transplantation, J Ortho Sports Phys Ther. 1996;7: 24-35.
- Rogind H, Bibow-Nielsen B, et al. The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil. 1998; 79: 1421–7.
- Thomas Mohr, et al. Comparison of Isometric Exercise and High Volt Galvanic Stimulation on Quadriceps Femoris Muscle Strength. PHYS THER. 1985; 65:606-609.
- Eva Ageberg, Anne Link, and Ewa M Roos: Feasibility of neuromuscular training in patients with severe hip or knee OA: The individualized goal-based NEMEX-TJR training program. BMC Musculoskelet Disord. 2010; 11: 126.
- Demirhan D, Resa A et al.Effect of kinesthesia and balance exercises in knee osteoarthritis.J Clin Rheumatol.2005;11:303-310.
- Hurley M and Scott L. Improvement in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime. British J Rheum. 1998; 37:1181-1187.
- O’Reilly S, Muir K and Doherty M. Effectiveness of home exercise on pain and disability from osteoarthritis of the knee. Annals of the Rheumatic Diseases. 1999;58:15-19.
- Robert T, Woollays, et al.: The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch phys Med Rehabil. 2002; 83: 1187-1195.
- Fatih Tok, Koray Aydemir,et al: The effects of electrical stimulation combined with continuous passive motion versus isometric exercise on symptoms, functional capacity, quality of life and balance in knee osteoarthritis: randomized clinical trial.2009;29:56-78.
- Delitto A and Synder-Mackler:Tow theories of muscle strength augmentation using percutaneous electrical stimulation. Phys.Ther. 2002; 70:158-164.