From the Department of Physical Therapy, City University of New York - College of Staten Island, New York City, New York (SN, GG, ZZ, GC, J-PB); New York Centre for Biomedical Engineering, City University of New York - City College of New York, New York City, New York (J-PB); and Nanosciences Initiative, City University of New York - Advance Science Research Center, New York City, New York (J-PB).
Am J Phys Med Rehabil. 2020 Aug;99(8):682-688. doi: 10.1097/PHM.0000000000001409.
The goal of this systematic review was to provide guidelines for treatment parameters regarding electrical stimulation by investigating its efficacy in improving muscle strength and decreasing pain in patients with knee osteoarthritis.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standard, three electronic databases (CINAHL, PubMed, and PEDro) and gray literature were used. Randomized control trials comparing electrical stimulation and conservative physical therapy were critically appraised using the 2005 University of Oxford standard.
Nine randomized control trials were included in our review. First, our review confirmed that neuromuscular electrical stimulation is the most effective electrical stimulation treatment in the management of knee OA, and its efficiency is higher when combined with a strengthening program. Second, frequency of at least 50 Hz and no more than 75 Hz with a pulse duration between 200 and 400 μs and a treatment duration of 20 mins is necessary for successful treatment.
For the first time, our review provides standardized clinical treatment parameters for neuromuscular electrical stimulation to be included in a strengthening program for the adult patient with knee OA.
Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this article, the reader should be able to: (1) Recall the impact of quadriceps femoris weakness on joint stability; (2) Summarize the mechanism of action of neuromuscular electrical stimulation (NMES) on reducing pain and increasing muscle strength; and (3) Plan the clinical treatment parameters of NMES to be included in a strengthening program for an adult patient with knee osteoarthritis.
Advanced.
The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
本系统评价旨在通过调查电刺激在改善膝骨关节炎患者肌肉力量和减轻疼痛方面的疗效，为电刺激治疗参数提供指南。
按照系统评价和荟萃分析的首选报告项目标准，使用三个电子数据库（CINAHL、PubMed 和 PEDro）和灰色文献。使用 2005 年牛津大学标准对比较电刺激和保守物理治疗的随机对照试验进行批判性评价。
我们的综述共纳入 9 项随机对照试验。首先，我们的综述证实神经肌肉电刺激是膝骨关节炎管理中最有效的电刺激治疗方法，当与强化方案结合使用时，其效率更高。其次，需要使用频率至少为 50Hz 且不超过 75Hz、脉冲持续时间为 200 至 400μs 且治疗时间为 20 分钟的电刺激治疗方案。
我们的综述首次为包含在膝骨关节炎成年患者强化方案中的神经肌肉电刺激提供了标准化的临床治疗参数。
要获得 CME 学分：请在 http://www.physiatry.org/JournalCME 上完成自我评估活动和在线评估。CME 目标：完成本文后，读者应能够：（1）回忆股四头肌无力对关节稳定性的影响；（2）总结神经肌肉电刺激（NMES）减轻疼痛和增加肌肉力量的作用机制；（3）计划将 NMES 的临床治疗参数纳入膝骨关节炎成年患者的强化方案中。
高级。
学术物理治疗医师协会经继续医学教育认可委员会认可，可为医师提供继续医学教育。学术物理治疗医师协会将这项基于期刊的 CME 活动指定为最多 1.0 个 AMA PRA 类别 1 学分。医师应仅就其参与活动的程度申报学分。
