UNSPECIFIED (2002) Neuromuscular stimulation of the quadriceps muscle after hip fracture: A randomized controlled trial. In: Meeting of the British-Orthopaedic-Research-Society, CARDIFF, WALES, 1998. Published in: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 83 (8). pp. 1087-1092.

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Abstract

Objective: To study the feasibility and effect of neuromuscular stimulation on recovery of mobility after surgical fixation for hip fracture. Design: Double-blind study with stratified randomization. Setting: Home-based rehabilitation program. Participants: Twenty-four women over the age of 75 years with hip fracture. Interventions: Neuromuscular or placebo stimulation of the quadriceps muscle of the fractured leg, applied for 3 hours a day, for 6 weeks, commencing 1 week after surgery. Main Outcome Measures: Recovery of walking speed and ability, postural stability, lower-limb muscle power, and pain at 7 and 13 weeks after surgery. Results: Women in the neuromuscular stimulation group showed faster recovery of mobility. Of the women receiving stimulation, 9 of 12 recovered their prior levels of indoor mobility ability by 13 weeks compared with 3 of 12 in the placebo group (Fisher exact test, P=.046). There were no differences in recovery of walking speed in the first 7 weeks, but women in the stimulation group had greater recovery between 7 and 13 weeks (mean difference=-.13m/s; 95% confidence interval, -.23 to -.01). Conclusions: Neuromuscular stimulation at home is feasible and may be effective in speeding recovery of mobility after surgical fixation of hip fracture.

Item Type:	Conference Item (UNSPECIFIED)
Subjects:	R Medicine > RM Therapeutics. Pharmacology G Geography. Anthropology. Recreation > GV Recreation Leisure
Journal or Publication Title:	ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Publisher:	W B SAUNDERS CO
ISSN:	0003-9993
Date:	August 2002
Volume:	83
Number:	8
Number of Pages:	6
Page Range:	pp. 1087-1092
Identification Number:	10.1053/apmr.2002.33645
Publication Status:	Published
Title of Event:	Meeting of the British-Orthopaedic-Research-Society
Location of Event:	CARDIFF, WALES
Date(s) of Event:	1998
URI:	http://wrap.warwick.ac.uk/id/eprint/10698

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