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2011, Number 3

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Acta Med 2011; 9 (3)

Differences in quadriceps isometric strength using electrical stimulation plus isometrics versus single isometrics in patients with osteoarthritis of knee

Domínguez CLG, Arellano AJG, Leos-Zierold H, Domínguez GLG

Language: Spanish
References: 45
Page: 124-130
PDF size: 65.29 Kb.


ABSTRACT

Objective: Evaluation of 12 weeks program of quadriceps muscle-strengthening with isometric plus electrical stimulations versus isometric singles in patients with knee osteoarthritis in a prospective and blind study. Material and methods: Seventy eight female with mean age of 63.9 years (range 50-78) with osteoarthritis of knee; measures: initial and final quadriceps isometric strength with dynamometer, divided in groups Alpha and Beta and classified by age in three subgroups: 50-59 years (n = 26); 60-69 (n = 34) and › 70 years (n = 18). Intervention: Group Alpha realized isometric strengthening for quadriceps muscle with 5 sec/contraction in blocks of 10 movements against 90% of maximal resistance. Group Beta similar program but at the beginning of each contraction a 5 sec electrical biphasic current with 2,500 Hz frequency, modulated at 90 Hz was applied. Results: Isometric quadriceps strength increased 30% on Beta group and 20% on Alpha related with initial evaluation (p = 0.05); persistent difference of strength was observed at the three groups of ages on both evaluations; Beta group was superior 10% in isometric strength than Alpha in 1 and 2 subgroups and 15% at subgroup 3. Conclusions: Isometric strengthening reinforced by electrical stimulation is more effective than isometric single exercise.


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