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Os efeitos da eletroestimulação neuromuscular após artroplastia total do joelho na marcha e qualidade de vida: uma revisão da literatura
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Advisor(s)
Abstract(s)
A eletroestimulação neuromuscular (EENM) é uma técnica de eletroterapia capaz de causar uma contração muscular por meio de correntes elétricas através da aplicação transcutânea, provocando uma restauração da força muscular, função e diminuição da dor. Objetivo: Avaliar os efeitos da eletroestimulação neuromuscular após artroplastia total do joelho na marcha e qualidade de vida. Metodologia: Para formular o tema da investigação, utilizou-se o método PICO de Paciente, Intervenção, Comparação, e Outcome. Realizou-se uma pesquisa computorizada nas seguintes bases de dados: PubMed/Medline, Web of science, Cochrane Library CENTRAL, LiLacs, SciELO e PEDro (Physiotherapy Evidence Database). Tendo sido utilizada a combinação das seguintes palavras-chave: ((“Total Knee Artroplasty” OR “Total Knee Prosthesis”) AND (“Neuromuscular Eletrical Stimulation” OR “Funcional Eletrical Stimulation”)). A qualidade metodológica foi analisada através da escala de PEDro (Physiotherapy Evidence Database Scoring Scale). Resultados: Foram incluídos 5 estudos com uma classificação média de 6,6 na escala de PEDro, num total de 438 participantes. Conclusão: A EENM parece apresentar um efeito positivo ao nível da marcha.
Neuromuscular electrostimulation (NMES) is an electrotherapy technique capable of causing muscle contraction by means of electrical currents through transcutaneous application, causing a restoration of muscle strength, function, and pain reduction. Objective: Evaluate the effects of neuromuscular electrical stimulation after total knee arthroplasty on gait and quality of life. Methodology: To formulate the research topic, the PICO method of Patient, Intervention, Comparison e Outcome was used. A computerized search was performed in the following search engines and databases: PubMed/Medline, Web of science, Cochrane Library CENTRAL, LiLacs, SciELO and PEDro (Physiotherapy Evidence Database). The following keywords were combined: (("Total Knee Arthroplasty" OR "Total Knee Prosthesis") AND ("Neuromuscular Electrical Stimulation" OR "Functional Electrical Stimulation")). Methodological quality was analyzed using the PEDro scale (Physiotherapy Evidence Database Scoring Scale). Results: Five studies with a mean PEDro scale score of 6.6 were included, with a total of 438 participants. Conclusion: NMES seems to have a positive effect on gait.
Neuromuscular electrostimulation (NMES) is an electrotherapy technique capable of causing muscle contraction by means of electrical currents through transcutaneous application, causing a restoration of muscle strength, function, and pain reduction. Objective: Evaluate the effects of neuromuscular electrical stimulation after total knee arthroplasty on gait and quality of life. Methodology: To formulate the research topic, the PICO method of Patient, Intervention, Comparison e Outcome was used. A computerized search was performed in the following search engines and databases: PubMed/Medline, Web of science, Cochrane Library CENTRAL, LiLacs, SciELO and PEDro (Physiotherapy Evidence Database). The following keywords were combined: (("Total Knee Arthroplasty" OR "Total Knee Prosthesis") AND ("Neuromuscular Electrical Stimulation" OR "Functional Electrical Stimulation")). Methodological quality was analyzed using the PEDro scale (Physiotherapy Evidence Database Scoring Scale). Results: Five studies with a mean PEDro scale score of 6.6 were included, with a total of 438 participants. Conclusion: NMES seems to have a positive effect on gait.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Artroplastia total do joelho Prótese total do joelho Eletroestimulação neuromuscular Eletroestimulação funcional Total knee arthroplasty Total knee prosthesis Neuromuscular electrical stimulation Functional electrical stimulation