Electrostimulation in Anterior Cruciate Ligament Reconstruction
Cuvinte cheie
Abstract
Descriere
Participants Twenty-two patients that submitted to ACL surgical reconstruction with flexor grafts less than 15 days previously will be included in the study, both genders, between 18-45 years old. Individuals with previous knee lesions, other ligament injuries, osteochondritis or associated menisci repair and complications during surgery will not be included in the study. Patients that carried out complimentary therapies to the proposed treatment will be excluded.
The participants will be randomized into two groups: control and electrical stimulation group
. Intervention All the subjects will be submitted to physiotherapy sessions three times a week, following a 12 weeks criterion based reahabilitation, carried out in line with the objectives proposed for each rehabilitation phase (immediate post-operative, early post-operativeand late post-operative). A group of trained physiotherapists will design the exercises and determinate their evolution, including range of motion improvement, muscular control and strength, gait training with progression in weight bearing and sensory-motor control training, according to the established guidelines.
The patients from the electrical stimulation group will receive, in addition, NMES application in the first six weeks of treatment, using an electrical stimulator with a carrier frequency of 47 Hz with symmetrical, biphasic and pyramidal waves, with pulse duration of 150 µs and duty cycle of 1,5 sec on and 1,8 sec off.
Evaluation It will be evaluated the pre intervention quadriceps muscle extension force by means of a manual dynamometer, and the joint swelling through the perimeter. This procedure will be repeated after six weeks of intervention.
Datele
| Ultima verificare: | 06/30/2015 |
| Primul depus: | 07/02/2012 |
| Inscriere estimată trimisă: | 07/02/2012 |
| Prima postare: | 07/03/2012 |
| Ultima actualizare trimisă: | 07/15/2015 |
| Ultima actualizare postată: | 07/19/2015 |
| Data actuală de începere a studiului: | 05/31/2015 |
| Data estimată de finalizare primară: | 06/30/2015 |
| Data estimată de finalizare a studiului: | 06/30/2015 |
Stare sau boală
Intervenție / tratament
Other: Electrical stimulation
Other: physical therapy exercises
Fază
Grupuri de brațe
| Braţ | Intervenție / tratament |
|---|---|
| Experimental: Electrical stimulation The subjects on this group will be submitted to a conventional rehabilitation (ROM increase, strength recovery, functional training) associated with electrostimulation. | Other: Electrical stimulation Intervention group that will be submitted to physical therapy exercises plus electrical stimulation (low frequency device with a current of 47 Hz with symmetrical, biphasic and pyramidal waveforms, with pulse duration of 1.5 s and interval of 1.8 s) |
| Active Comparator: Physical therapy exercises The subjects on this group will be submitted to a conventional rehabilitation (ROM increase, strength recovery, functional training). |
Criterii de eligibilitate
| Vârste eligibile pentru studiu | 18 Years La 18 Years |
| Sexe eligibile pentru studiu | All |
| Acceptă voluntari sănătoși | da |
| Criterii | Inclusion Criteria: - Subjects between 18 e 45 years old, submitted in the last 15 days to the ACL reconstruction surgery, being the first knee lesion episode. Exclusion Criteria: - Patients cannot present any constrains regarding the physical activity practice according to the Sports Medicine American College. - cartilage degeneration with a degree higher than 2 according to the cartilage Repair International Society - Presence of other ligamentary lesions associated to the ACL reconstruction. - Utilization of complementary therapies parallel to the treatment. |
