Paper
Effectiveness of neuromuscular electrical stimulation in the functional knee rehabilitation in soldiers
Published 2015 · R. C. Lozano
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Abstract
espanolAntecedentes: La versatilidad de la practica de la fisioterapia militar nos permite no solo el diagnostico de lesiones de rodilla sino tambien para proporcionar una amplia gama de atencion especifica y rehabilitacion, reduciendo la necesidad de una evacuacion costosa. El objetivo de este estudio fue comparar la eficacia de las intervenciones de estimulacion electrica neuromuscular (NMES) en la rehabilitacion de rodilla funcional en soldados y describir los principales predictores y determinantes en cada intervencion. Metodos: Se realizo una busqueda sistematica de la literatura sobre la NMES en fisioterapia utilizando las siguientes bases de datos electronicas: Web of Science, PubMed, Cochrane, Fisioterapia Evidence Database (PEDro) y CINAHL. La estrategia de busqueda fue: "neuromuscular electrical stimulation" and "physical therapy" and "strengthening" and "knee". Se seleccionaron articulos originales publicados y revisados por pares entre 2004-2015, centrandonos en las intervenciones de fisioterapia mediante NMES en sujetos mayores de 18 anos. Un total resultante de 46 estudios se incluyeron en el estudio. Resultados: Los resultados muestran la evidencia sobre la eficacia de los propositos terapeuticos y preventivos de la NMES en rodilla; y la importancia de la fisioterapia en el ejercito. Conclusion: La fisioterapia mediante su metodo NMES de rehabilitacion de la rodilla resulta eficaz en el logro de los objetivos terapeuticos / preventivas en los soldados. Nivel de Evidencia: II. Revision sistematica de ensayos clinicos aleatorizados, con homogeneidad. EnglishBackground: The versatility of military physical therapist practice enables them not only to diagnose knee injuries but also to provide a wide range of definitive care and rehabilitation, reducing the need for costly evacuation. The aim this study was to evaluate the effectiveness of interventions by Neuromuscular Electrical Stimulation (NMES) in the functional knee rehabilitation in soldiers and describe the main predictors and determinants in each intervention. Methods: A systematic search of the literature about NMES in physiotherapy was performed using the following electronic databases: Web of Science, PubMed, Cochrane, Physiotherapy Evidence Database (PEDro) and CINAHL. The search strategy was: "neuromuscular electrical stimulation" and "physical therapy" and "strengthening" and "knee". Inclusion criteria were: original articles published and peer reviewed between 2004-2015, focusing on physiotherapy interventions by NMES on subjects older than 18 years. A total resulting from 46 studies was included in the study. Results: The results show the evidence on the effectiveness of NMES therapeutic/preventive purposes in the muscular system; and the importance of physical therapy in the army. Conclusion: As a method of functional knee rehabilitation, NMES proves effective in achieving the therapeutic/preventive objectives in soldiers. Level of Evidence: II. Systematic review of randomized clinical trials with homogeneity.
Neuromuscular electrical stimulation (NMES) is effective in functional knee rehabilitation for soldiers, reducing the need for costly evacuation.
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