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谁害怕电刺激?让我们重新审视神经肌肉电刺激在膝关节的应用。

Who's Afraid of Electrical Stimulation? Let's Revisit the Application of NMES at the Knee.

作者信息

Arhos Elanna K, Ito Naoaki, Hunter-Giordano Airelle, Nolan Thomas P, Snyder-Mackler Lynn, Silbernagel Karin Grävare

出版信息

J Orthop Sports Phys Ther. 2024 Feb;54(2):101-106. doi: 10.2519/jospt.2023.12028.

Abstract

: Restoring quadriceps strength is essential for successful rehabilitation of knee injuries, but many athletes return to their previous activity with persisting muscle weakness. Strong evidence supports using neuromuscular electrical stimulation (NMES) to improve quadriceps strength; however, there is a lack of widespread clinical implementation. We believe there is a critical need to provide clinical approaches that promote using NMES to improve patients' quadriceps strength and ensuring clinicians provide high-value rehabilitation care. : What is best practice when using NMES to facilitate strength after injury, what are barriers to its use, and how can they be addressed? : We discuss the low clinical implementation of NMES, perceived barriers to using NMES, and provide recommendations for setup and dosage parameters for effective use of NMES. : We aim for this commentary, with accompanying videos, to serve as a resource for clinicians who are using commercially available NMES units in clinical practice. .

摘要

恢复股四头肌力量对于膝关节损伤的成功康复至关重要,但许多运动员在肌肉仍然无力的情况下就恢复了先前的活动。有力证据支持使用神经肌肉电刺激(NMES)来增强股四头肌力量;然而,在临床中其应用并不广泛。我们认为迫切需要提供临床方法,以促进使用NMES来增强患者的股四头肌力量,并确保临床医生提供高价值的康复护理。:使用NMES促进损伤后力量恢复的最佳实践是什么,其使用存在哪些障碍,以及如何解决这些障碍?:我们讨论了NMES在临床中应用较少的情况、使用NMES所感知到的障碍,并提供了有效使用NMES的设置和剂量参数建议。:我们希望这篇评论文章以及附带的视频,能为临床实践中使用市售NMES设备的临床医生提供参考资源。

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