The use of transcutaneous neural stimulation and isokinetic testing in arthroscopic knee surgery

Author:

Jensen Jack E.1,Conn Richard R.2,Hazelrigg Gary3,Hewett John E.4

Affiliation:

1. Columbia Orthopaedic Group, Columbia, Missouri, University of Missouri-Columbia, Columbia, Missouri

2. Columbia Sports Medicine Center

3. Columbia Sports Medicine Center, Columbia, Missouri

4. University of Missouri-Columbia, Columbia, Missouri

Abstract

A prospective study of the use of transcutaneous neural stimulation (TNS) in 90 arthroscopic knee surgery pa tients was performed to determine: (1) if TNS is as effective as traditional pain medication in treating post operative knee pain; and (2) if patients that had received TNS regain preoperative motion and strength quicker than the control population. The patients were divided into three equal groups. Group I consisted of patients with no TNS unit, Group II had a "placebo" unit, and Group III had a "live" unit. Preoperatively, each patient received an isokinetic muscle examination, orientation to the TNS unit, leg circumference measurements, and exercise instruction. An isokinetic muscle examination and leg circumference measurements were repeated at 1, 3, and 7 weeks postoperatively. Additionally, the amount of pain and medication required was analyzed. The results of the study indicated that the use of a TNS unit is an effective adjunct in decreasing postoperative pain in 93% of patients. The amount of pain and total pain medication required was greatest in the control group, less in the placebo, and markedly reduced in the TNS group. A comparison among the three groups revealed that the TNS group regained the following preoperative values 1 month sooner than the other two groups (3 as opposed to seven weeks postoperatively): isokinetic power in flexion and extension (P < 0.05), range of motion (P < 0.02), and leg volume (P < 0.05). There was no correlation between the pain and irregular wave forms on the isokinetic graph. The only compli cation noted was skin irritation at the electrode sites. TNS has been shown to be a significant benefit in the treatment of postoperative knee pain and in hastening recovery of muscular function through a full range of motion.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference24 articles.

1. Evaluation of transcutaneous electrical nerve stimulation (TENS) in podiatric surgery

2. Use of transcutaneous electrical stimulation in the control of postoperative pain

3. Ersek RA Transcutaneous electrical neurostimulation Clin Orthop 128 314-324, 1977

4. Harvie KW A major advance in control of postoperative knee pain Orthopedic 2 26-27, 1979

5. Hymes AC, Raab DE, Yonehiro EG, et al Electrical surface stimulation for control of acute postoperative pain and prevention of ileus Surg Forum 24 447-449, 1973

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3