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https://hdl.handle.net/11499/8668
Title: | Efficacy of electromyographic biofeedback and electrical stimulation following arthroscopic partial meniscectomy: A randomized controlled trial | Authors: | Akkaya, Nuray Ardıç, Füsun Ozgen, M. Akkaya, Semih Şahin, Füsun Kılıç, Alper |
Keywords: | electrical stimulation electromyographic biofeedback Meniscectomy rehabilitation adult aged arthroscopy article clinical trial comparative study controlled clinical trial controlled study convalescence electromyography electrostimulation female follow up hospitalization human injury joint characteristics and functions knee injury knee meniscus knee osteoarthritis male methodology middle aged muscle strength pain assessment pathophysiology physiology postoperative care prospective study psychophysiology radiography randomized controlled trial rehabilitation center risk assessment single blind procedure treatment outcome university hospital Adult Aged Arthroscopy Biofeedback, Psychology Electric Stimulation Electromyography Female Follow-Up Studies Hospitals, University Humans Knee Injuries Male Menisci, Tibial Middle Aged Muscle Strength Osteoarthritis, Knee Pain Measurement Postoperative Care Prospective Studies Range of Motion, Articular Recovery of Function Rehabilitation Centers Risk Assessment Severity of Illness Index Single-Blind Method Treatment Outcome |
Abstract: | Objective: To compare the effectiveness of electromyographic biofeedback training and electrical stimulation therapy for rehabilitation following arthroscopic partial meniscectomy. Design: Randomized, prospective, controlled single-blind trial. Setting: Department of physical medicine and rehabilitation, university hospital. Subjects: Forty-five patients who had undergone surgery for arthroscopic partial meniscectomy were randomly divided into three groups with 15 patients in each group. Interventions: The control group had home exercise, the second and third groups received electromyographic biofeedback training or electrical stimulation therapy to quadriceps muscle in addition to home exercise. Main measures: The patients were evaluated for: visual analogue scale, gait velocity (m/s), time using a walking aid after surgery, Lysholm Knee Scoring Scale score, knee flexion-extension angle, maximum and average contraction powers of vastus medialis obliquus and vastus lateralis muscles on the day before the operation and two and six weeks after. Results: The time using a walking aid was 8.3±8.0, 1.5±2.5 and 4.5±5.5 days, respectively, for the home exercise, electromyographic biofeedback training and electrical stimulation groups, and significantly shorter in the electromyographic biofeedback training than in the home exercise group (P<0.017). While significant progress was detected in Lysholm Knee Scoring Scale score in the second and sixth postoperative weeks compared to the preoperative within-group evaluation for each of the three groups (P<0.017), there was significant difference in Lysholm Knee Scoring Scale in the second postoperative week in favour of electromyographic biofeedback training compared to home exercise (P<0.017). There were significant differences in vastus medialis obliquus average and vastus lateralis maximum and average contractions in favour of electromyographic biofeedback compared to home exercise and electrical stimulation in the second postoperative week (P<0.017). Conclusions: The addition of electromyographic biofeedback training to a conventional exercise programme following arthroscopic partial meniscectomy helps to speed up the rehabilitation process. © 2011 SAGE Publications. | URI: | https://hdl.handle.net/11499/8668 https://doi.org/10.1177/0269215511419382 |
ISSN: | 0269-2155 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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