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Effects of Rehabilitation Exercise Combined with Electrical Muscle Stimulation on Pain, Muscle Strength, and Function in Soldiers Undergoing Knee Meniscectomy

  • Yong-Jun Yu (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Won-Seob Shin (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
  • 투고 : 2023.06.07
  • 심사 : 2023.06.23
  • 발행 : 2023.06.30

초록

Objective: Meniscal injuries are a common and high-risk condition among military personnel, leading to difficulties in performing missions.The objective of this study is to investigate the effects of combining electrical muscle stimulation therapy with exercise therapy during rehabilitation on pain, muscle strength, and function in patients after meniscectomy. Design: A two-group pretest-posttest design Methods: A total of 30 subjects were included in this study. They were randomly assigned to either the experimental group (n=15), which received knee extensor strengthening exercise along with electrical muscle stimulation, or the control group (n=15), which received only knee extensor strengthening exercise. Pre-test was conducted prior to the intervention, which consisted of 30 minutes of treatment five times a week for a total of 20 sessions. Post-test was performed after a 4-week period. Pain, strength, and function were assessed before and after the intervention. Results: The results of the study showed that there was a significant difference in pain reduction and muscle strength improvement in the experimental group, and a significant difference was also found between the experimental group and the control group in terms of functional evaluation. Conclusions: The combination of exercise therapy and electrical muscle stimulation therapy resulted in greater improvements in pain, strength, and function assessment, contributing to improved overall function.

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참고문헌

  1. Han S, Oh T, Oh M. A review of the Korean traditional medicine treatment for meniscus injury. J Korean Med. 2022;43:151-67. https://doi.org/10.13048/jkm.22012
  2. Beals CT, Magnussen RA, Graham WC, Flanigan DC. The prevalence of meniscal pathology in asymptomatic athletes. Sports Med. 2016;46:1517-24. https://doi.org/10.1007/s40279-016-0540-y
  3. Lauder TD, Baker SP, Smith GS, Lincoln AE. Sports and physical training injury hospitalizations in the army. Am J Prev Med. 2000;18:118-8. https://doi.org/10.1016/S0749-3797(99)00174-9
  4. Hwang TH, Park KB, Kim DH. Arthroscopic Findings of Isolated Meniscal Tears in Soldiers Younger Than 30 Years of Age. Korean J Sports Med. 2016;34:43-7. https://doi.org/10.5763/kjsm.2016.34.1.43
  5. Klimkiewicz JJ, Shaffer B. Meniscal surgery 2002 update: indications and techniques for resection, re- pair, regeneration, and replacement. Arthrosc. 2002;18:14-25. https://doi.org/10.1053/jars.2002.36505
  6. Johnson B, Heaver C, Gilbert R, Roberts A. Anterior meniscopexy: a meniscal sparing technique for the treatment of locking but intact discoid later- al meniscus. Knee Surg Sports Traumatol Arthrosc. 2018;26:1158-63. https://doi.org/10.1007/s00167-017-4546-2
  7. Sihvonen R, Paavola M, Malmivaara M, Itala A, Joukainen A, Kalske J, et al. Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. Br J Sports Med. 2020;54:1332-9. https://doi.org/10.1136/bjsports-2020-102813
  8. McLeod MM, Gribble P, Pfile KR, Brian G. Effects of Arthroscopic Partial Meniscectomy on Quadriceps Strength: A Systematic Review. J Sport Rehabil. 2012;21:285-95. https://doi.org/10.1123/jsr.21.3.285
  9. Choi DY, Shin WS. Effect of electrical muscle stimulation belt for abdominal muscles activation. Phys Ther Rehabil Sci. 2021;10:444-9. https://doi.org/10.14474/ptrs.2021.10.4.444
  10. Coghlan S, Crowe L, McCarthyPerssonU, Minogue C, Caulfield B. Electrical muscle stimulation for deep stabilizing muscles in abdominal wall. Conf Proc IEEE Eng Med Biol Soc.2008;2:2756-9.
  11. Vitzel KF, Fortes MA, Marzuca-Nassr GN, Servino VM, Pinheiro CH, Silveira LR, Curi R. In vivo electrical stimulation for the assessment of skeletal muscle contractile function in murine models. Methods Mol Biol. 2018;17:381-95. https://doi.org/10.1007/978-1-4939-7614-0_26
  12. Han HI, Jeong YJ, Sin HY, Lee DY, Hong JH, Kim JS, et al. Effects of Squats Exercise with EMS on Muscle Strength, Endurance, and Body Function. Bio-inspired Neurocomputing. 2020;90:259-71.
  13. Mikkelsen C, Werner S, Eriksson E. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surg Sports Traumatol Arthrosc. 2000;8:337-42. https://doi.org/10.1007/s001670000143
  14. Kim GJ, Oh HJ, Lee SY, Lee KS, Kim KY. Effects of resistance exercise using the elastic band on the pain and function of patients with degenerative knee arthritis. J Phys Ther Sci. 2020;32:52-4. https://doi.org/10.1589/jpts.32.52
  15. Frizziero A, Ferrari R, Giannotti E, Ferroni C, Poli P, Masiero S. The meniscus tear: state of the art of rehabilitation protocols related to surgical procedures. Muscles Ligaments Tendons J. 2012;2:295-301.
  16. Song JE, Choi HS, Shin WS. Effect of applying resistance in various directions on lower extremity muscle activity and balance during squat exercise. Phys TherRehabil Sci. 2019;8:61-6. https://doi.org/10.14474/ptrs.2019.8.2.61
  17. Filipovic A, Kleinoeder H, Doermann U, Mester J. Electromyostimulation - a systematic review of the influence of training regimens and stimulation parameters on effectiveness in electromyostimulation training of selected strength parameters. J Strength Cond Res. 2011;25:3218-38. https://doi.org/10.1519/JSC.0b013e318212e3ce
  18. Alghadir AH, Anwer S, Iqbal ZA. The psychometric properties of an Arabic numeric pain rating scale for measuring osteoarthritis knee pain. Disability and rehabilitation DisabilRehabil. 2016;38:2392-7. https://doi.org/10.3109/09638288.2015.1129441
  19. Kovaleski JE, Ingersoll CD, Knight KL, Colleen MP. Reliability of the BTE Dynatrac isotonic dynamometer. IsokinetExerc Sci. 1996;6:41-3. https://doi.org/10.3233/IES-1996-6107
  20. Yoon JG. The Correlation between Power Error and Velocity Error according to the Condition and Frequency of Self-Controlled Feedback during Knee Extension. J Int Acad Phys Ther Res. 2018;9:1602-7. https://doi.org/10.20540/JIAPTR.2018.9.4.1602
  21. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis Cartilage. 2001;9:746-50. https://doi.org/10.1053/joca.2001.0471
  22. Jeong HJ, Lee SH, Ko CS. Meniscectomy. Knee Surg Relat Res. 2012;24:129-36. https://doi.org/10.5792/ksrr.2012.24.3.129
  23. Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004;8:283-91. https://doi.org/10.1016/j.ejpain.2003.09.004
  24. Imoto AM, Peccin S, Almeida GJM, Saconato H, Atallah AN. Effectiveness of electrical stimulation on rehabilitation after ligament and meniscal injuries: a systematic review. Sao Paulo Med J. 2011;12:414-23. https://doi.org/10.1590/S1516-31802011000600008
  25. Kim DH, Jung HB. The Effects of Isokinetic Exercise on Knee Joint Combined Russian Current Stimulation. J Korean Phys Ther. 2015;27;51-5. https://doi.org/10.18857/jkpt.2015.27.5.351
  26. Bellamy N: Pain assessment in osteoarthritis: experience with the WOMAC osteoarthritis index. Semin Arthritis Reum. 1989;18:14-7. https://doi.org/10.1016/0049-0172(89)90010-3
  27. Palmieri-Smith RM, Thomas AC, Karvonen-Gutierrez C, Sowers M. A clinical trial of neuromuscular electrical stimulation in improving quadriceps muscle strength and activation among women with mild and moderate osteoarthritis. Phys ther. 2010;90:1441-52. https://doi.org/10.2522/ptj.20090330
  28. Angst F, Aeschlimann A, Stucki G. Smallest detect- able and minimal clinically important differences of rehabilitation intervention with their implications for required sample sizes using WOMAC and SF-36 quality of life measurement instruments in patients with osteoarthritis of the lower extremities. Arthritis Rheum. 2001;45:384-91. https://doi.org/10.1002/1529-0131(200108)45:4<384::AID-ART352>3.0.CO;2-0