The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/198262 |
Resumo: | We aimed to investigate the effects of neuromuscular electrical stimulation on muscle strength, pain relief and improvement in function in patients with knee osteoarthritis. Databases were searched from December 2017 to July 2020 and included PubMed, Embase, LILACS, and the Cochrane Central Register of Controlled Trials. A manual search was also performed by checking the reference lists of eligible articles. The PRISMA guidelines were followed. The studies selected compared NMES with an exercise program on isometric muscle strength as a primary outcome. The secondary outcomes were pain and function. The quality of the studies was assessed using the Risk of Bias assessment and PEDro scale, and the overall quality of the evidence was assessed using the GRADE approach. Eight studies were included in this systematic review. A total of 571 patients were analyzed. Neuromuscular electrical stimulation associated with exercise promoted an increase in isometric strength of the quadriceps muscle compared to the active control group, demonstrating heterogeneity and statistical difference (95% CI = 1.16 to 5.10, I2 = 97%, p = 0.002; very low-certainty evidence). NMES associated with exercise did not improve physical function (95% CI = -0.37 to 0.59, I2 = 0%, p = 0.67; low-certainty evidence) and showed controversial results for pain compared to an active control group (qualitative assessment). In conclusion, NMES induces an increase in muscle strength in patients with osteoarthritis compared to an active control group. No differences were found for physical function and pain outcomes. Further research is needed due to the uncertain level of evidence. |
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The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review Efectos de la electroestimulación neuromuscular sobre la fuerza, el dolor y la función en personas con osteoartritis de la rodilla: una revisión sistemática con metaanálisisEfeitos da estimulação elétrica neuromuscular na força, dor e função em indivíduos com osteoartrite de joelho: uma revisão sistemática com meta-análiseWe aimed to investigate the effects of neuromuscular electrical stimulation on muscle strength, pain relief and improvement in function in patients with knee osteoarthritis. Databases were searched from December 2017 to July 2020 and included PubMed, Embase, LILACS, and the Cochrane Central Register of Controlled Trials. A manual search was also performed by checking the reference lists of eligible articles. The PRISMA guidelines were followed. The studies selected compared NMES with an exercise program on isometric muscle strength as a primary outcome. The secondary outcomes were pain and function. The quality of the studies was assessed using the Risk of Bias assessment and PEDro scale, and the overall quality of the evidence was assessed using the GRADE approach. Eight studies were included in this systematic review. A total of 571 patients were analyzed. Neuromuscular electrical stimulation associated with exercise promoted an increase in isometric strength of the quadriceps muscle compared to the active control group, demonstrating heterogeneity and statistical difference (95% CI = 1.16 to 5.10, I2 = 97%, p = 0.002; very low-certainty evidence). NMES associated with exercise did not improve physical function (95% CI = -0.37 to 0.59, I2 = 0%, p = 0.67; low-certainty evidence) and showed controversial results for pain compared to an active control group (qualitative assessment). In conclusion, NMES induces an increase in muscle strength in patients with osteoarthritis compared to an active control group. No differences were found for physical function and pain outcomes. Further research is needed due to the uncertain level of evidence.Universidade de São Paulo. Faculdade de Medicina2023-02-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/19826210.1590/1809-2950/20028528042021 Fisioterapia e Pesquisa; Vol. 28 No. 4 (2021); 416-426Fisioterapia e Pesquisa; Vol. 28 Núm. 4 (2021); 416-426Fisioterapia e Pesquisa; v. 28 n. 4 (2021); 416-4262316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/fpusp/article/view/198262/182399Copyright (c) 2021 Bispo VA, Bastos JAI, Almeida CC, Modesto KAG, Cipriano Junior G, Durigan JLQhttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessBispo, Vinícius AraújoBastos, Júlia Aguillar IvoAlmeida, Camila Cadena deModesto, Karenina Arrais Guida Dantas, Lucas OguraCipriano Júnior, Gerson Durigan, Joao Luiz Quagliotti2023-05-26T14:55:54Zoai:revistas.usp.br:article/198262Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T14:55:54Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review Efectos de la electroestimulación neuromuscular sobre la fuerza, el dolor y la función en personas con osteoartritis de la rodilla: una revisión sistemática con metaanálisis Efeitos da estimulação elétrica neuromuscular na força, dor e função em indivíduos com osteoartrite de joelho: uma revisão sistemática com meta-análise |
title |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
spellingShingle |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review Bispo, Vinícius Araújo |
title_short |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
title_full |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
title_fullStr |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
title_full_unstemmed |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
title_sort |
The effects of neuromuscular electrical stimulation on strength, pain, and function in individuals with knee osteoarthritis: a systematic review |
author |
Bispo, Vinícius Araújo |
author_facet |
Bispo, Vinícius Araújo Bastos, Júlia Aguillar Ivo Almeida, Camila Cadena de Modesto, Karenina Arrais Guida Dantas, Lucas Ogura Cipriano Júnior, Gerson Durigan, Joao Luiz Quagliotti |
author_role |
author |
author2 |
Bastos, Júlia Aguillar Ivo Almeida, Camila Cadena de Modesto, Karenina Arrais Guida Dantas, Lucas Ogura Cipriano Júnior, Gerson Durigan, Joao Luiz Quagliotti |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Bispo, Vinícius Araújo Bastos, Júlia Aguillar Ivo Almeida, Camila Cadena de Modesto, Karenina Arrais Guida Dantas, Lucas Ogura Cipriano Júnior, Gerson Durigan, Joao Luiz Quagliotti |
description |
We aimed to investigate the effects of neuromuscular electrical stimulation on muscle strength, pain relief and improvement in function in patients with knee osteoarthritis. Databases were searched from December 2017 to July 2020 and included PubMed, Embase, LILACS, and the Cochrane Central Register of Controlled Trials. A manual search was also performed by checking the reference lists of eligible articles. The PRISMA guidelines were followed. The studies selected compared NMES with an exercise program on isometric muscle strength as a primary outcome. The secondary outcomes were pain and function. The quality of the studies was assessed using the Risk of Bias assessment and PEDro scale, and the overall quality of the evidence was assessed using the GRADE approach. Eight studies were included in this systematic review. A total of 571 patients were analyzed. Neuromuscular electrical stimulation associated with exercise promoted an increase in isometric strength of the quadriceps muscle compared to the active control group, demonstrating heterogeneity and statistical difference (95% CI = 1.16 to 5.10, I2 = 97%, p = 0.002; very low-certainty evidence). NMES associated with exercise did not improve physical function (95% CI = -0.37 to 0.59, I2 = 0%, p = 0.67; low-certainty evidence) and showed controversial results for pain compared to an active control group (qualitative assessment). In conclusion, NMES induces an increase in muscle strength in patients with osteoarthritis compared to an active control group. No differences were found for physical function and pain outcomes. Further research is needed due to the uncertain level of evidence. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-02-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/198262 10.1590/1809-2950/20028528042021 |
url |
https://www.revistas.usp.br/fpusp/article/view/198262 |
identifier_str_mv |
10.1590/1809-2950/20028528042021 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/198262/182399 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Bispo VA, Bastos JAI, Almeida CC, Modesto KAG, Cipriano Junior G, Durigan JLQ https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Bispo VA, Bastos JAI, Almeida CC, Modesto KAG, Cipriano Junior G, Durigan JLQ https://creativecommons.org/licenses/by-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 28 No. 4 (2021); 416-426 Fisioterapia e Pesquisa; Vol. 28 Núm. 4 (2021); 416-426 Fisioterapia e Pesquisa; v. 28 n. 4 (2021); 416-426 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713740727123968 |