Neuromuscular stimulation of the quadriceps muscle after hip fracture: a randomized controlled trial.

Conference item

OBJECTIVE: To study the feasibility and effect of neuromuscular stimulation on recovery of mobility after surgical fixation for hip fracture. DESIGN: Double-blind study with stratified randomization. SETTING: Home-based rehabilitation program. PARTICIPANTS: Twenty-four women over the age of 75 years with hip fracture. INTERVENTIONS: Neuromuscular or placebo stimulation of the quadriceps muscle of the fractured leg, applied for 3 hours a day, for 6 weeks, commencing 1 week after surgery. MAIN OUTCOME MEASURES: Recovery of walking speed and ability, postural stability, lower-limb muscle power, and pain at 7 and 13 weeks after surgery. RESULTS: Women in the neuromuscular stimulation group showed faster recovery of mobility. Of the women receiving stimulation, 9 of 12 recovered their prior levels of indoor mobility ability by 13 weeks compared with 3 of 12 in the placebo group (Fisher exact test, P=.046). There were no differences in recovery of walking speed in the first 7 weeks, but women in the stimulation group had greater recovery between 7 and 13 weeks (mean difference=-.13m/s; 95% confidence interval, -.23 to -.01). CONCLUSIONS: Neuromuscular stimulation at home is feasible and may be effective in speeding recovery of mobility after surgical fixation of hip fracture.

Authors: Lamb, S; Oldham, J; Morse, R; Evans, J

• Publication status: Published
• Host title: Archives of physical medicine and rehabilitation
• Volume: 83
• Issue: 8
• Pages: 1087-1092
• Publication date: 2002-08-01
• Event location: United States
• DOI: 10.1053/apmr.2002.33645
• EISSN: 1532-821X
• ISSN: 0003-9993
• Keywords: Muscle, Skeletal; Aged; Hip Fractures; Electric Stimulation Therapy; Feasibility Studies; Double-Blind Method; Humans