Electrical stimulation versus voluntary exercise in strengthening thigh musculature after anterior cruciate ligament surgery

Phys Ther. 1988 May;68(5):660-3. doi: 10.1093/ptj/68.5.660.

Abstract

Twenty patients who had undergone anterior cruciate ligament reconstructive surgery were placed randomly and independently in an Electrical Stimulation Group (n = 10) or Voluntary Exercise Group (n = 10) to compare the effectiveness of these two muscle-strengthening protocols. Patients in both groups used simultaneous contraction of quadriceps femoris and hamstring muscles during a training regimen that consisted of either voluntary exercise or electrical stimulation trials five days a week for a three-week period within the first six postoperative weeks. After patients completed the training regimen, bilateral maximal isometric measurements of gravity-corrected knee extension and flexion torque were obtained for both groups and percentages were calculated. Results showed that patients in the Electrical Stimulation Group finished the three-week training regimen with higher percentages of both extension and flexion torque when compared with patients in the Voluntary Exercise Group (extension: t = 4.35, p less than .05; flexion; t = 6.64, p less than .05). These results indicate that patients in an electrical stimulation regimen can achieve higher individual thigh musculature strength gains than patients in a voluntary exercise regimen when simultaneous contraction of thigh muscles is prescribed during an early phase of postoperative rehabilitation.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Electric Stimulation Therapy*
  • Exercise Therapy*
  • Humans
  • Knee Injuries / physiopathology
  • Knee Injuries / rehabilitation*
  • Knee Injuries / surgery
  • Knee Joint / physiopathology
  • Knee Joint / surgery*
  • Ligaments, Articular / surgery*
  • Movement
  • Muscle Contraction
  • Muscles / physiopathology