RESUMO
BACKGROUND: The versatility of military physical therapist practice enables them not only to diagnose knee injuries but also to provide a wide range of definitive care and rehabilitation, reducing the need for costly evacuation. The aim this study was to evaluate the effectiveness of interventions by Neuromuscular Electrical Stimulation (NMES) in the functional knee rehabilitation in soldiers and describe the main predictors and determinants in each intervention. METHODS: A systematic search of the literature about NMES in physiotherapy was performed using the following electronic databases: Web of Science, PubMed, Cochrane, Physiotherapy Evidence Database (PEDro) and CINAHL. The search strategy was: 'neuromuscular electrical stimulation' and 'physical therapy' and 'strengthening' and 'knee'. Inclusion criteria were: original articles published and peer reviewed between 2004-2015, focusing on physiotherapy interventions by NMES on subjects older than 18 years. A total resulting from 46 studies was included in the study. RESULTS: The results show the evidence on the effectiveness of NMES therapeutic/preventive purposes in the muscular system; and the importance of physical therapy in the army. CONCLUSION: As a method of functional knee rehabilitation, NMES proves effective in achieving the therapeutic/preventive objectives in soldiers. Level of Evidence: II. Systematic review of randomized clinical trials with homogeneity
ANTECEDENTES: La versatilidad de la práctica de la fisioterapia militar nos permite no sólo el diagnóstico de lesiones de rodilla sino también para proporcionar una amplia gama de atención específica y rehabilitación, reduciendo la necesidad de una evacuación costosa. El objetivo de este estudio fue comparar la eficacia de las intervenciones de estimulación eléctrica neuromuscular (NMES) en la rehabilitación de rodilla funcional en soldados y describir los principales predictores y determinantes en cada intervención. MÉTODOS: Se realizó una búsqueda sistemática de la literatura sobre la NMES en fisioterapia utilizando las siguientes bases de datos electrónicas: Web of Science, PubMed, Cochrane, Fisioterapia Evidence Database (PEDro) y CINAHL. La estrategia de búsqueda fue: 'neuromuscular electrical stimulation' and 'physical therapy' and 'strengthening' and 'knee'. Se seleccionaron artículos originales publicados y revisados por pares entre 2004-2015, centrándonos en las intervenciones de fisioterapia mediante NMES en sujetos mayores de 18 años. Un total resultante de 46 estudios se incluyeron en el estudio. RESULTADOS: Los resultados muestran la evidencia sobre la eficacia de los propósitos terapéuticos y preventivos de la NMES en rodilla; y la importancia de la fisioterapia en el ejército. CONCLUSIÓN: La fisioterapia mediante su método NMES de rehabilitación de la rodilla resulta eficaz en el logro de los objetivos terapéuticos / preventivas en los soldados. Nivel de Evidencia: II. Revisión sistemática de ensayos clínicos aleatorizados, con homogeneidad
Assuntos
Adulto , Humanos , Masculino , Estimulação Elétrica/instrumentação , Estimulação Elétrica/métodos , Traumatismos do Joelho/economia , Traumatismos do Joelho/reabilitação , Traumatismos do Joelho/terapia , Monitoração Neuromuscular/métodos , Monitoração Neuromuscular/tendências , Modalidades de Fisioterapia/instrumentação , Eletrodos , Técnicas Biossensoriais/métodos , Avaliação de Eficácia-Efetividade de Intervenções , 50303 , Militares/classificaçãoRESUMO
BACKGROUND: To improve hamstring extensibility some methods have been analyzed and compared for determining their acute and chronic effectiveness. OBJECTIVE: To compare the immediate effect of electrical muscle elongation (EME) versus Kinesio tape (KT) in hamstring muscle extensibility. METHODS: One hundred and twenty adult amateur athletes with hamstring shortness (straight leg raise test angle <80â¦) were randomly assigned to a group: group 1 (EME session of 4 KHz interferential current, bipolar technique and AMF = 100 Hz, n = 40), group 2 (KT, n = 40) or group 3 (control group, no intervention, n = 40). Hamstring extensibility was assessed before and after the intervention through the active knee extension test. Results: Significant improvements were found in both EME and KT groups whereas no changes were detected in the control group. However, no significant differences between both techniques were detected. The EME group showed large effect size (d = 0.843) while the KT group reached medium effect size (d = 0.431). CONCLUSIONS: Both electrical muscle elongation and Kinesio tape are effective techniques in the short-term in amateur athletes with decreased hamstring extensibility. The higher increase of hamstring extensibility, with a better clinical effect was achieved with the application of electrical muscle elongation. However, no significant differences were found when comparing the effectiveness of both techniques.
