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Neuromuscular stimulation of the quadriceps muscle after hip fracture : a randomized controlled trial
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Lamb, S. E. (Sallie E.), Oldham, Jacqueline A., Morse, Rhian E. and Evans, John Grimley (2002) Neuromuscular stimulation of the quadriceps muscle after hip fracture : a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 83 (8). pp. 1087-1092. doi:10.1053/apmr.2002.33645 ISSN 0003-9993.
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Official URL: http://dx.doi.org/10.1053/apmr.2002.33645
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. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Archives of Physical Medicine and Rehabilitation | ||||
Publisher: | W B Saunders co-Elsevier Inc. | ||||
ISSN: | 0003-9993 | ||||
Official Date: | 1 August 2002 | ||||
Dates: |
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Volume: | 83 | ||||
Number: | 8 | ||||
Page Range: | pp. 1087-1092 | ||||
DOI: | 10.1053/apmr.2002.33645 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access | ||||
Date of first compliant deposit: | 26 July 2018 |
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