Expenditure of early initiation of neuromuscle electrical stimulation after orthopedic surgeries on the hip and knee joints (literature review)

Authors

  • Nataliya Prytula Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Inga Fedotova Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0003-2069-7020

DOI:

https://doi.org/10.15674/0030-59872021267-72

Keywords:

Neuromuscular electrical stimulation, anterior cruciate ligament reconstruction, arthroplasty, hip joint, knee joint

Abstract

Every year the number of cases of anterior cruciate ligament reconstruction, total hip and knee arthroplasty increases. This leads to the improvement of rehabilitation protocols for patients after surgery to quickly restore normal range of motion and return to normal life. Objective. Provide physical therapists with an evidence-based resource that can guide clinical decision making, thereby enabling clinicians to make effective use of electrical stimulation to improve muscle function in patients after orthopedic operations and increase awareness of the range of applications for neuromuscular electrical stimulation (NMES). Metods. Electronic databases PMC, PUBMED and SCOPUS were used to search the relevant literature, which was published in the period from the creation of databases to December 2020. Additional articles were identified by analyzing bibliographies in systematic reviews. We have reviewed the full text of selected articles to confirm that all included studies meet the stated objectives of the review. Results. In patients after orthopedic surgery on the hip and knee joints, the inclusion of NMES in standard physical therapy significantly increases the strength of the quadriceps muscle compared to conventional physical therapy. Early activation can be helpful to avoid suppression of quadriceps function and atrophy, provide the patient with the most effective course of rehabilitation, and return to active life after anterior cruciate ligament reconstruction or knee arthroplasty. It is also advisable to use NMES as an alternative mechanical prevention of deep vein thrombosis and edema in the early period after hip arthroplasty. In the presented studies, patients tolerated NMES well even when it initiated on 1–2 postoperative days. However, no standardized NMES protocols  reported in the literature, so the choice of stimulation parameters is at the discretion of the physician and usually depends on the individual tolerability of the patients.

Author Biographies

Nataliya Prytula, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD

Inga Fedotova, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

DMSci

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How to Cite

Prytula, N. ., & Fedotova, I. . (2023). Expenditure of early initiation of neuromuscle electrical stimulation after orthopedic surgeries on the hip and knee joints (literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 67–72. https://doi.org/10.15674/0030-59872021267-72

Issue

No. 2 (2021)

Section

DIGESTS AND REVIEWS

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