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Category: Volume 07 Issue 10 October 2019
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Title: To compare the effectiveness of Neuromuscular electrical stimulation and Electromyography biofeedback in individuals following Total Hip arthroplasty

Authors: Dr Krupa M. Soni, Dr Reji.K. Samuel

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.06

Abstract

  

Background: The most common complication after Total Hip Arthroplasty is reflex inhibition of quadriceps muscle leading to reduced function. The aim of the study was to compare the effectiveness of NMES and EMG biofeedback along with Conventional exercise program and Conventional exercise program alone in the recovery of Quadriceps muscle strength and hip function in the early phases of rehabilitation following total hip arthroplasty. 

Methods: In a 4-week intervention study, 36 patients following total hip arthroplasty were studied. They were divided in to three groups by convenience sampling, Group A: (n=12) Conventional exercise program, Group B: (n=12) NMES along with Conventional exercise program and Group C: (n=12) EMG biofeedback along with Conventional exercise program was applied. For all 3 groups, treatment consisted of 1 session/day, 5 days/week for 4 weeks. Data was collected and analyzed using SPSS16.0.

Results: A significant improvement in the strength of quadriceps muscle (p< 0.05), and increase in hip function (p < 0.05) between pre & post treatment stages in all three groups with no statistically significant (p>0.00) difference between NMES group and EMG biofeedback group were found.

Conclusion: In the experimental conditions used in this study, the use of NMES along with Conventional exercise program and EMG biofeedback along with Conventional exercise program was effective when compared to Conventional exercise program alone; NMES and EMG biofeedback was equally effective in the early phases of rehabilitation following Total hip arthroplasty.

Keywords: Total Hip Arthroplasty, Quadriceps Muscle Strength, Harris Hip Score, NMES, EMG Biofeedback.

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Corresponding Author

Dr Krupa M. Soni

Assistant Professor, Nootan College of Physiotherapy, Sankalchand Patel University, Visnagar-384315.Gujarat