Who's Afraid of Electrical Stimulation? Let's Revisit the Application of NMES at the Knee

: Restoring quadriceps strength is essential for successful rehabilitation of knee injuries, but many athletes return to their previous activity with persisting muscle weakness. Strong evidence supports using neuromuscular electrical stimulation (NMES) to improve quadriceps strength; however, there...

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Bibliographic Details
Published inThe journal of orthopaedic and sports physical therapy Vol. 54; no. 2; p. 1
Main Authors Arhos, Elanna K, Ito, Naoaki, Hunter-Giordano, Airelle, Nolan, Thomas P, Snyder-Mackler, Lynn, Silbernagel, Karin Grävare
Format Journal Article
LanguageEnglish
Published United States 01.02.2024
Subjects
Anterior Cruciate Ligament Injuries - rehabilitation
Electric Stimulation
Electric Stimulation Therapy
Humans
Knee
Knee Joint
Muscle Strength - physiology
Quadriceps Muscle - physiology
rehabilitation
anterior cruciate ligament
inhibition
quadriceps strength
physical therapy
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Summary:: Restoring quadriceps strength is essential for successful rehabilitation of knee injuries, but many athletes return to their previous activity with persisting muscle weakness. Strong evidence supports using neuromuscular electrical stimulation (NMES) to improve quadriceps strength; however, there is a lack of widespread clinical implementation. We believe there is a critical need to provide clinical approaches that promote using NMES to improve patients' quadriceps strength and ensuring clinicians provide high-value rehabilitation care. : What is best practice when using NMES to facilitate strength after injury, what are barriers to its use, and how can they be addressed? : We discuss the low clinical implementation of NMES, perceived barriers to using NMES, and provide recommendations for setup and dosage parameters for effective use of NMES. : We aim for this commentary, with accompanying videos, to serve as a resource for clinicians who are using commercially available NMES units in clinical practice. .
ISSN:1938-1344