Effects of Repetitive Peripheral Magnetic Stimulation Over Vastus Lateralis in Patients After Hip Replacement Surgery
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on the vastus lateralis (VL) in the early stage after hip replacement surgery. Methods Twenty-two patients who underwent hip replacement after proximal femur fracture were included in this study. After hip surgery, the experimental group was applied with 15 sessions of 10 Hz rPMS over the VL 5 times per week for 3 weeks, while the control group took sham stimulation. All patients were also given conventional physical therapy. The VL strength was measured with the root mean square (RMS) value of the VL with surface electromyography technique. The ratio of RMS values between fractured and unfractured legs and tandem stand test were used to assess standing balance. Usual gait speed was measured to evaluate gait function. Pain in two groups was assessed with visual analog scale (VAS). Results Both RMS value of the VL and the ratio of RMS values after rPMS were significantly improved (p<0.05). Also, tandem standing time and usual gait speed in rPMS group were dramatically increased (p<0.05). However, no significant difference in VAS was found between the two groups after 3 weeks. Conclusion rPMS on the VL improved muscle strength, standing balance and gait function in the early stage after hip surgery. Therefore, rPMS could be applied to patients who cannot take electrical stimulation due to pain and an unhealed wound.
Abstract
Objective To investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on the vastus lateralis (VL) in the early stage after hip replacement surgery. Methods Twenty-two patients who underwent hip replacement after proximal femur fracture were included in this study. After hip surgery, the experimental group was applied with 15 sessions of 10 Hz rPMS over the VL 5 times per week for 3 weeks, while the control group took sham stimulation. All patients were also given conventional physical therapy. The VL strength was measured with the root mean square (RMS) value of the VL with surface electromyography technique. The ratio of RMS values between fractured and unfractured legs and tandem stand test were used to assess standing balance. Usual gait speed was measured to evaluate gait function. Pain in two groups was assessed with visual analog scale (VAS). Results Both RMS value of the VL and the ratio of RMS values after rPMS were significantly improved (p<0.05). Also, tandem standing time and usual gait speed in rPMS group were dramatically increased (p<0.05). However, no significant difference in VAS was found between the two groups after 3 weeks. Conclusion rPMS on the VL improved muscle strength, standing balance and gait function in the early stage after hip surgery. Therefore, rPMS could be applied to patients who cannot take electrical stimulation due to pain and an unhealed wound.
참고문헌 (30)
- Kannus P, "Prevention of hip fracture with hip protectors", Age Ageing, 35(Suppl 2), pp.ii51~ii54 (2006)[DOI]
- Peeters CM, "Quality of life after hip fracture in the elderly: a systematic literature review", Injury, 47, pp.1369~1382 (2016)[DOI]
- Jae Lim Kim, "Prediction of Ambulatory Status After Hip Fracture Surgery in Patients Over 60 Years Old", Annals of Rehabilitation Medicine, 40(4), pp.666~674 (2016), 대한재활의학회
- Mitchell SL, "Randomized controlled trial of quadriceps training after proximal femoral fracture", Clin Rehabil, 15, pp.282~290 (2001)[DOI]
- Aniansson A, "Impaired muscle function with aging: a background factor in the incidence of fractures of the proximal end of the femur", Clin Orthop Relat Res, (191), pp.193~201 (1984)
- Lamb SE, "Mobility after proximal femoral fracture: the relevance of leg extensor power, postural sway and other factors", Age Ageing, 24, pp.308~314 (1995)[DOI]
- 이영희, "기능 회복을 위한 전기 자극", Annals of Rehabilitation Medicine, 25(1), pp.1~11 (2001), 대한재활의학회
- Chipchase LS, "Peripheral electrical stimulation to induce cortical plasticity: a systematic review of stimulus parameters", Clin Neurophysiol, 122, pp.456~463 (2011)[DOI]
- Schuhfried O, "Non-invasive neuromuscular electrical stimulation in patients with central nervous system lesions: an educational review", J Rehabil Med, 44, pp.99~105 (2012)[DOI]
- Braid V, "Randomised controlled trial of electrical stimulation of the quadriceps after proximal femoral fracture", Aging Clin Exp Res, 20, pp.62~66 (2008)[DOI]
- Struppler A, "Modulation of sensorimotor performances and cognition abilities induced by RPMS: clinical and experimental investigations", Suppl Clin Neurophysiol, 56, pp.358~367 (2003)
- Machetanz J, "Magnetically induced muscle contraction is caused by motor nerve stimulation and not by direct muscle activation", Muscle Nerve, 17, pp.1170~1175 (1994)[DOI]
- Zhu Y, "Magnetic stimulation of muscle evokes cerebral potentials", Muscle Nerve, 14, pp.721~732 (1991)[DOI]
- Zhu Y, "Magnetic stimulation of muscle evokes cerebral potentials by direct activation of nerve afferents: a study during muscle paralysis", Muscle Nerve, 19, pp.1570~1575 (1996)[DOI]
- Struppler A, "A fronto-parietal network is mediating improvement of motor function related to repetitive peripheral magnetic stimulation: a PETH2O15 study", Neuroimage, 36(Suppl 2), pp.T174~T186 (2007)[DOI]
- Gallasch E, "Modulation of sensorimotor cortex by repetitive peripheral magnetic stimulation", Front Hum Neurosci, 9, pp.407~ (2015)
- Han TR, "Magnetic stimulation of the quadriceps femoris muscle: comparison of pain with electrical stimulation", Am J Phys Med Rehabil, 85, pp.593~599 (2006)[DOI]
- Barker AT, "Magnetic stimulation of the human brain and peripheral nervous system: an introduction and the results of an initial clinical evaluation", Neurosurgery, 20, pp.100~109 (1987)
- Szecsi J, "A comparison of functional electrical and magnetic stimulation for propelled cycling of paretic patients", Arch Phys Med Rehabil, 90, pp.564~570 (2009)[DOI]
- Amassian VE, "Focal stimulation of human peripheral nerve with the magnetic coil: a comparison with electrical stimulation", Exp Neurol, 103, pp.282~289 (1989)[DOI]
- Bustamante V, "Muscle training with repetitive magnetic stimulation of the quadriceps in severe COPD patients", Respir Med, 104, pp.237~245 (2010)[DOI]
- Pujol J, "The effect of repetitive magnetic stimulation on localized musculoskeletal pain", Neuroreport, 9, pp.1745~1748 (1998)[DOI]
- Alkner BA, "Quadriceps EMG", force relationship in knee extension and leg press, 2000, pp.32, 459~463
- Guralnik JM, "A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission", J Gerontol, 49, pp.M85~M94 (1994)[DOI]
- Guralnik JM, "Assessing the building blocks of function: utilizing measures of functional limitation", Am J Prev Med, 25(3 Suppl 2), pp.112~121 (2003)
- Lamb SE, "Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial", Arch Phys Med Rehabil, 83, pp.1087~1092 (2002)[DOI]
- Fukuda TY, "Root mean square value of the electromyographic signal in the isometric torque of the quadriceps, hamstrings and brachial biceps muscles in female subjects", J Appl Res, 10, pp.32~39 (2010)
- Ferrucci L, "Departures from linearity in the relationship between measures of muscular strength and physical performance of the lower extremities: the Women's Health and Aging Study", J Gerontol A Biol Sci Med Sci, 52, pp.M275~M285 (1997)
- Buchner DM, "Evidence for a non-linear relationship between leg strength and gait speed", Age Ageing, 25, pp.386~391 (1996)[DOI]
- Khedr EM, "Therapeutic effects of peripheral magnetic stimulation on traumatic brachial plexopathy: clinical and neurophysiological study", Neurophysiol Clin, 42, pp.111~118 (2012)[DOI]