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dc.contributor.authorLabanca, Luciana
dc.contributor.authorRocchi, Jacopo Emanuele
dc.contributor.authorLaudani, Luca
dc.contributor.authorGuitaldi, Rita
dc.contributor.authorVirgulti, Alessandro
dc.contributor.authorMariani, Pier Paolo
dc.contributor.authorMacaluso, Andrea
dc.date.accessioned2017-11-15T16:22:16Z
dc.date.available2017-11-15T16:22:16Z
dc.date.issued2017-10-20
dc.identifierhttps://repository.cardiffmet.ac.uk/bitstream/id/29015/Neuromuscular%20Electrical%20Stimulation%20Superimposed%20on%20Movement%20Early%20after%20ACL%20Surgery.pdf
dc.identifier.citationLananca, L., Rocchi, J.E., Laudani, L., Guitaldi, R., Virgulti, A., Mariani, P.P. and Macaluso, A. (2017) 'Neuromuscular Electrical Stimulation Superimposed on Movement Early after ACL Surgery' Medicine and Science in Sports and Exercise, Epub ahead of print DOI 10.1249/MSS.0000000000001462en_US
dc.identifier.issn1530-0315 (ESSN)
dc.identifier.urihttp://hdl.handle.net/10369/9041
dc.descriptionThis article was published in Medicine and Science in Sports and Exercise on 20 October 2017, available at https://doi.org/10.1249/MSS.0000000000001462en_US
dc.description.abstractPURPOSE = Quadriceps weakness and asymmetrical loading of lower limbs are two major issues following anterior cruciate ligament reconstruction (ACLR). The aim of this study was to evaluate the effectiveness of a 6-week training protocol involving neuromuscular electrical stimulations (NMES) of the quadriceps muscle superimposed on repeated sit-to-stand-to-sit exercises (STSTS), as an additional treatment to standard rehabilitation, from the 15th to the 60th day following ACLR. METHODS = Sixty-three ACLR patients were randomly allocated to one of the three treatment groups: NMES superimposed on STSTS (NMES+STSTS), STSTS only, or no additional treatment (NAT) to standard rehabilitation. Maximal isometric strength of knee extensor and flexor muscles was measured 60 and 180 days after surgery. Asymmetry in lower extremity loading was measured during a sit-to-stand movement at 15, 30, 60 and 180 days after surgery and during a countermovement jump 180 days after surgery by means of two adjacent force platforms placed under each foot. RESULTS = The NMES+STSTS participants showed higher muscle strength of the knee extensors, which was accompanied by lower perception of pain, and higher symmetry in lower extremity loading compared to STSTS-only and NAT participants after both 60 and 180 days from surgery. Participants in the STSTS-only treatment group showed higher symmetry in lower extremity loading compared to those in the NAT group 60 days post-surgery. CONCLUSION = These results suggest that an early intervention based on NMES superimposed to repeated STSTS exercises is effective for recovering quadriceps strength and symmetry in lower extremity loading by the time of return to sport.en_US
dc.language.isoenen_US
dc.publisherWolters Kluweren_US
dc.relation.ispartofseriesMedicine and Science in Sports and Exercise;
dc.subjectanterior cruciate ligament reconstruction (ACLR)en_US
dc.subjectQuadriceps weaknessen_US
dc.subjectasymmetrical loading of lower limben_US
dc.subjectsit-to-stand-to-sit exercises (STSTS)en_US
dc.titleNeuromuscular Electrical Stimulation Superimposed on Movement Early after ACL Surgeryen_US
dc.typeArticleen_US
dc.typeacceptedVersion
dcterms.dateAccepted2017-10-13
rioxxterms.versionAMen_US
rioxxterms.versionofrecordhttps://doi.org/10.1249/MSS.0000000000001462
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en_US
rioxxterms.licenseref.startdate2017-11-15
rioxxterms.publicationdate2017-10-20
dc.date.refFCD2017-11-15
rioxxterms.freetoread.startdate2018-04-13


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