Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis

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Title: Neuromuscular electrical stimulation in the treatment of knee osteoarthritis: a systematic review and meta-analysis
Authors: Giggins, Oonagh M.
Fullen, Brona M.
Coughlan, Garrett
Permanent link: http://hdl.handle.net/10197/7500
Date: Oct-2012
Abstract: Objective: To assess the effectiveness of surface neuromuscular electrical stimulation in the treatment of knee osteoarthritis. Design: Systematic review and meta-analysis of randomized controlled and controlled clinical trials Methods: Studies were identified from databases (MEDLINE, EMBASE, CINAHL, Sports Discus, PEDro and the Cochrane Library) searched to January 2011 using a battery of keywords. Two reviewers selected studies meeting inclusion criteria. The methodological quality of the included studies was assessed using the Thomas Test and the strength of the evidence was then graded using the Agency for Health Care Policy and Research guidelines. Data were pooled and meta-analyses were performed. Results: Nine randomized controlled trials and one controlled clinical trial, studying a total of 409 participants (n = 395 for randomized controlled trials, and n = 14 for controlled trial) with a diagnosis of osteoarthritis were included. Inconsistent evidence (level D) was found that neuromuscular electrical stimulation has a significant impact on measures of pain, function and quadriceps femoris muscle strength in knee osteoarthritis. Conclusion: The role of neuromuscular electrical stimulation in the treatment of knee osteoarthritis is ambiguous. Therefore, future work is needed in this field to clearly establish the role of neuromuscular electrical stimulation in this population.
Type of material: Journal Article
Publisher: Sage Publications
Copyright (published version): 2012 the Authors
Keywords: Electrical stimulationKnee osteoarthritisRehabilitation interventions
DOI: 10.1177/0269215511431902
Language: en
Status of Item: Peer reviewed
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection

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