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Dhillon, M. S.
- A Study of Efficacy of Neuromuscular Electrical Stimulation in Post Anterior Cruciate Ligament Reconstruction
Authors
1 Department of Physiotherapy, P.G.I.M.E.R., Chandigarh, PIN-160012, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 21-23Abstract
Introduction & Purpose of the StudySurgical reconstruction with the bone patellar tendon bone graft is most commonly performed surgery for Anterior cruciate ligament(ACL) injury, patient with ACL reconstruction have been reported to demonstrate a disproportionate loss of strength of quadriceps muscle, but commonly used knee extensor muscle strengthening strategies are contraindicated initially. The purpose of this study is to study the effect of neuromuscular electric stimulation with exercise protocol in rehabilitation of post ACL reconstruction.
Material & MethodsThe study design is experimental. The samples were taken from Department of Physiotherapy, PGIMER; Chandigarh .The patients with ACL reconstruction with bone patellar tendon bone graft were selected. For outcome four scales were used (Cincinnati knee rating system, Lysholm knee score, Lower extremity functional scale &Visual analogue scale). Also girth measurement, muscle power and ROM were taken to assess the progress of the patient. A number of 20 subjects, age group18-40years, were randomly selected for this study. Subjects were divided in two groups, one group (Group A) combined with neuromuscular electrical stimulation (NMES, interrupted direct current) & exercise while other (Group B) with exercise protocol only. For electrical stimulation Ionostim muscle stimulator (Physiomed electronic, Chennai, India) was used. The intensity was up to tolerable limit and surge was used. Neuromuscular electric stimulation for 15 min daily 6 days a week was given. The exercise time is of a one hour/day for six days a week. The duration of exercise was increased according to protocol with time interval. The entire patient (both groups) underwent 12 week rehabilitation program and assessed with specific scales at 8th and 12th week interval.The statistical analysis was done by using student’s t-test.
ResultsInter group analysis shows non significant result (p>0.05).
ConclusionOn the basis of the present study, it can be concluded that both the conventional treatment and conventional rehabilitation protocol with neuromuscular electrical stimulation are equally effective to regain the functional skills in post ACL reconstruction rehabilitation.
Keywords
Anterior Cruciate Ligament, Rehabilitation, Neuromuscular Electrical Stimulation
- Rehabilitation Techniques after Anterior Cruciate Ligament (ACL) Reconstruction the Indian Approach
Authors
1 Sports Physiotherapy Clinic, Department of Prm (Physiotherapy), P. G. I. M. E. R., Chandigarh, IN
2 Deptt. of Orthopedics & PRM (Physiotherapy), PGIMER, Chandigarh, IN
3 Deptt. of Physiotherapy, GMSH, Chandigarh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 2 (2014), Pagination: 236-243Abstract
Evolution of rehabilitation techniques after ACL reconstruction has been one of the principal reasons for the success of this procedure. Protocols are goal oriented, with finely tuned timing of interventions, and the main challenge is prevention of complications. The ideal rehabilitation protocol is started before surgery (prehabilitation), and appropriately timed interventions are the keys to early successful return to full activities. The special considerations for rehabilitation after ACL reconstruction are pain and stiffness control, regaining range of movement, graduated weight bearing, preventing muscle atrophy prevention, kinetic chain exercises, regaining proprioception, functional movements and agility work. Some issues related to cost, brace availability, patient education and physiotherapy expertise lack may be factors that influence outcomes in Indian patients.