Surface electrical stimulation of the quadriceps femoris in patients affected by haemophilia A

Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia A, while ten healthy subjects constituted the control group. The isometric strength, the electromyographic activity and the diameter of the re...

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Published inHaemophilia : the official journal of the World Federation of Hemophilia Vol. 12; no. 6; pp. 629 - 632
Main Authors QUEROL, F., GALLACH, J. E., TOCA-HERRERA, J. L., GOMIS, M., GONZALEZ, L-M.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.11.2006
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Abstract Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia A, while ten healthy subjects constituted the control group. The isometric strength, the electromyographic activity and the diameter of the rectus femoris were measured in both legs before and after a six‐week treatment period. After the treatment, the people affected by haemophilia showed a gain in strength by 13.8% in the stimulated leg and by 17.1% in the non‐stimulated one. No changes were detected in the electromyographic activity. On the contrary, the diameter of the rectus femoris of the stimulated leg increased in 24.34%, while no significant change was found in the nonelectrically stimulated leg. These results show for the first time that the application of electrical stimulation in haemophilic patients contributes to the gain and development of strength and trophism. The results also show that the surface electrical stimulation does not represent a threat to the patients' health, and that can be used for therapeutic purposes.
AbstractList Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia A, while ten healthy subjects constituted the control group. The isometric strength, the electromyographic activity and the diameter of the rectus femoris were measured in both legs before and after a six‐week treatment period. After the treatment, the people affected by haemophilia showed a gain in strength by 13.8% in the stimulated leg and by 17.1% in the non‐stimulated one. No changes were detected in the electromyographic activity. On the contrary, the diameter of the rectus femoris of the stimulated leg increased in 24.34%, while no significant change was found in the nonelectrically stimulated leg. These results show for the first time that the application of electrical stimulation in haemophilic patients contributes to the gain and development of strength and trophism. The results also show that the surface electrical stimulation does not represent a threat to the patients' health, and that can be used for therapeutic purposes.
Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia A, while ten healthy subjects constituted the control group. The isometric strength, the electromyographic activity and the diameter of the rectus femoris were measured in both legs before and after a six-week treatment period. After the treatment, the people affected by haemophilia showed a gain in strength by 13.8% in the stimulated leg and by 17.1% in the non-stimulated one. No changes were detected in the electromyographic activity. On the contrary, the diameter of the rectus femoris of the stimulated leg increased in 24.34%, while no significant change was found in the nonelectrically stimulated leg. These results show for the first time that the application of electrical stimulation in haemophilic patients contributes to the gain and development of strength and trophism. The results also show that the surface electrical stimulation does not represent a threat to the patients' health, and that can be used for therapeutic purposes.Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia A, while ten healthy subjects constituted the control group. The isometric strength, the electromyographic activity and the diameter of the rectus femoris were measured in both legs before and after a six-week treatment period. After the treatment, the people affected by haemophilia showed a gain in strength by 13.8% in the stimulated leg and by 17.1% in the non-stimulated one. No changes were detected in the electromyographic activity. On the contrary, the diameter of the rectus femoris of the stimulated leg increased in 24.34%, while no significant change was found in the nonelectrically stimulated leg. These results show for the first time that the application of electrical stimulation in haemophilic patients contributes to the gain and development of strength and trophism. The results also show that the surface electrical stimulation does not represent a threat to the patients' health, and that can be used for therapeutic purposes.
Author TOCA-HERRERA, J. L.
QUEROL, F.
GOMIS, M.
GALLACH, J. E.
GONZALEZ, L-M.
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References Wallny T, Lahaye L, Brackmann HH, Heß L, Seuser A, Kraft CN. Clinical and radiographic scores in haemophilic arthropathies: how well do these correlate to subjective pain status and daily activities? Haemophilia 2002; 8: 802-8.
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Pelletier JR, Findley TW, Gemma SA. Isometric exercise for an individual with hemophilic arthropathy. Phys Ther 1987; 67: 1359-64.
Hilberg T, Herbsleb M, Gabriel HHW, Jeschke D, Schramm W. Propioception and isometric muscular strength in haemophilic subjects. Haemophilia 2001; 7: 582-8.
Hortobágyi T, Scott K, Lambert J, Hamilton G, Tracy J. Cross-education is greater with stimulated than voluntary contractions. Motor Control 1999; 3: 205-19.
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– reference: Hilberg T, Herbsleb M, Puta C, Gabriel HHW, Schramm W. Physical training increases isometric muscular strength and proprioceptive performance in haemophilic subjects. Haemophilia 2003; 9: 86-93.
– reference: Hilberg T, Herbsleb M, Gabriel HHW, Jeschke D, Schramm W. Propioception and isometric muscular strength in haemophilic subjects. Haemophilia 2001; 7: 582-8.
– reference: Wallny T, Lahaye L, Brackmann HH, Heß L, Seuser A, Kraft CN. Clinical and radiographic scores in haemophilic arthropathies: how well do these correlate to subjective pain status and daily activities? Haemophilia 2002; 8: 802-8.
– reference: Hortobágyi T, Scott K, Lambert J, Hamilton G, Tracy J. Cross-education is greater with stimulated than voluntary contractions. Motor Control 1999; 3: 205-19.
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  start-page: 86
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  article-title: Physical training increases isometric muscular strength and proprioceptive performance in haemophilic subjects
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  article-title: Clinical and radiographic scores in haemophilic arthropathies: how well do these correlate to subjective pain status and daily activities?
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  article-title: Cross‐education is greater with stimulated than voluntary contractions
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Snippet Eighteen sessions of surface electrical stimulation was applied to the quadriceps femoris of the left leg of ten male subjects affected by severe haemophilia...
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SubjectTerms Adolescent
Adult
Case-Control Studies
computerized axial tomography
Electric Stimulation Therapy - methods
electrical stimulation
haemophilia A
Hemophilia A - therapy
Humans
Isometric Contraction - physiology
isometric strength
Male
Middle Aged
Quadriceps Muscle - physiology
rectus femoris
rehabilitation
Title Surface electrical stimulation of the quadriceps femoris in patients affected by haemophilia A
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