Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial.
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 year...
Auteurs principaux: | , , , |
---|---|
Format: | Conference item |
Publié: |
2002
|
_version_ | 1826265246206001152 |
---|---|
author | Lamb, S Oldham, J Morse, R Evans, J |
author_facet | Lamb, S Oldham, J Morse, R Evans, J |
author_sort | Lamb, S |
collection | OXFORD |
description | 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. |
first_indexed | 2024-03-06T20:20:39Z |
format | Conference item |
id | oxford-uuid:2dac9e00-b616-45f2-9036-63ff09268006 |
institution | University of Oxford |
last_indexed | 2024-03-06T20:20:39Z |
publishDate | 2002 |
record_format | dspace |
spelling | oxford-uuid:2dac9e00-b616-45f2-9036-63ff092680062022-03-26T12:44:28ZNeuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial.Conference itemhttp://purl.org/coar/resource_type/c_5794uuid:2dac9e00-b616-45f2-9036-63ff09268006Symplectic Elements at Oxford2002Lamb, SOldham, JMorse, REvans, J 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. |
spellingShingle | Lamb, S Oldham, J Morse, R Evans, J Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title | Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title_full | Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title_fullStr | Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title_full_unstemmed | Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title_short | Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial. |
title_sort | neuromuscular stimulation of the quadriceps muscle after hip fracture a randomized controlled trial |
work_keys_str_mv | AT lambs neuromuscularstimulationofthequadricepsmuscleafterhipfracturearandomizedcontrolledtrial AT oldhamj neuromuscularstimulationofthequadricepsmuscleafterhipfracturearandomizedcontrolledtrial AT morser neuromuscularstimulationofthequadricepsmuscleafterhipfracturearandomizedcontrolledtrial AT evansj neuromuscularstimulationofthequadricepsmuscleafterhipfracturearandomizedcontrolledtrial |