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Electronically
stimulating muscles at home can improve the ability of people
with knee osteoarthritis to function, according to a study reported
in the July issue of the Journal of Rheumatology.
Dr.
Laura Talbot, of the Johns Hopkins University School of Nursing, and her colleagues
found that home-based neuromuscular electrical stimulation (NMES) applied to the
quadriceps muscle increases strength, physical activity and physical performance
in older adults with knee osteoarthritis. The
study involved 34 adults over the age of 60 with osteoarthritis of the knee. All
of the participants received standard arthritis education, but some also stimulated
their quadriceps muscle with a portable electric muscle stimulator three days
a week.
Patients receiving
the electrical stimulation had better knee extension, while those
receiving just the arthritis education experienced a loss of knee
extension. It took people in both groups less time to rise from
their chairs, but those in the electrical stimulation group did
better. Patients in both groups similarly improved the the amount
of time it took them to talk 100 feet. The severity of pain reported
following intervention did not differ between groups.
"In
older adults with knee osteoarthritis, a home-based NMES protocol appears to be
a promising therapy for increasing quadriceps femoris strength in adults with
knee osteoarthritis without exacerbating painful symptoms.
Other
sources: Journal of Rheumatology 2003;30:1571-8
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