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

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, PsycIN...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Linbo Peng, Kexin Wang, Yi Zeng, Yuangang Wu, Haibo Si, Bin Shen
Formato: article
Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://doaj.org/article/d2af958f41364b108fe071fe25fe3d5a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d2af958f41364b108fe071fe25fe3d5a
record_format dspace
spelling oai:doaj.org-article:d2af958f41364b108fe071fe25fe3d5a2021-12-03T04:40:13ZEffect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials2296-858X10.3389/fmed.2021.779019https://doaj.org/article/d2af958f41364b108fe071fe25fe3d5a2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.779019/fullhttps://doaj.org/toc/2296-858XBackground: 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.Linbo PengKexin WangYi ZengYuangang WuHaibo SiBin ShenFrontiers Media S.A.articletotal knee arthroplastyneuromuscular electrical stimulationquadriceps muscle strengthpainfunctionsystematic reviewMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic total knee arthroplasty
neuromuscular electrical stimulation
quadriceps muscle strength
pain
function
systematic review
Medicine (General)
R5-920
spellingShingle total knee arthroplasty
neuromuscular electrical stimulation
quadriceps muscle strength
pain
function
systematic review
Medicine (General)
R5-920
Linbo Peng
Kexin Wang
Yi Zeng
Yuangang Wu
Haibo Si
Bin Shen
Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
description 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.
format article
author Linbo Peng
Kexin Wang
Yi Zeng
Yuangang Wu
Haibo Si
Bin Shen
author_facet Linbo Peng
Kexin Wang
Yi Zeng
Yuangang Wu
Haibo Si
Bin Shen
author_sort Linbo Peng
title Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_short Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_fullStr Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Effect of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_sort effect of neuromuscular electrical stimulation after total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/d2af958f41364b108fe071fe25fe3d5a
work_keys_str_mv AT linbopeng effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT kexinwang effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT yizeng effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT yuangangwu effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT haibosi effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT binshen effectofneuromuscularelectricalstimulationaftertotalkneearthroplastyasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
_version_ 1718373956910579712