Can I Use Electrical Stimulation to augment muscle strengthening for my patient?
Guidelines for surgical procedures, diagnosis, and co-morbidities. Tara Jo
Manal PT, OCS, SCS University of Delaware Physical Therapy Newark, DE
Tara Jo Manal PT, MPT, OCS, SCS
Clinic Director
Orthopedic Residency Director
University of Delaware Physical Therapy Department
Newark, DE 19711
Phone: (302)831-8893
Fax: (302)831-4468
Tarajo@udel.edu
www.udel.edu/PT/clinic
Description: This presentation will include a review of the literature on the
effectiveness of electrical stimulation for the clinical treatment of muscle
weakness. An emphasis will be placed on understanding the parameters and
guidelines for successful use in the clinical setting. All participants will be given
the tools necessary to return to their clinics and determine if their unit is capable
of generating the output needed to achieve clinically significant results. Specific
treatment protocols will be presented in the form of case presentations.
Objectives:
Upon completion of this course, the participant should be able to:
1.
Understand the common components of an electrical stimulation unit
and identify the characteristics of the electrical current that can be modified by
the treating therapist.
2.
Understand and apply the precautions and contraindications when using
electrical stimulation for muscle strengthening.
3.
Identify profiles of patients who may benefit from the use of electrical
stimulation for muscle strengthening and plan effective stimulation treatment
plans.
Muscle Strengthening
Babkin D, Timtsenko N (trs): Y M Kots PhD (USSR), lectures and laboratory periods. CanadianSoviet exchange symposium on electrostimulation of skeletal muscles. Concordia University,
Montreal, Quebec, Canada, December 6-15, 1977
Delitto A, Snyder-Mackler L: Two Theories of Muscle Strength Augmentation using Percutaneous
Electrical Stimulation. Phys. Ther., 70: 158-164, 1990
Maffiuletti N A, et al.: The effects of electromyostimulation training and basketball practice on
muscle strength and jumping ability. Int J Sports Med, 21 (6): 437-443, August 2000
Manal T J: Use of Electrical Stimulation to Supplement Lumbar Stabilization for a Figure Skater
Following Lumbar Fusion. Orthopaedic Practice, 14 (2): 30-32, 2002
Quittan M, et al.: Improvement of thigh muscles by neuromuscular electrical stimulation in
patients with refractory heart failure: a single-blind, randomized, controlled trail. Am J Phys Med
Rehabil, 80 (3): 206-214, March 2001
Snyder-Mackler L, Delitto A, Bailey SL, and Stralka SW: Strength of the Quadriceps Femoris
Muscle and Functional Recovery after Reconstruction of the Anterior Cruciate Ligament. J. Bone
and Joint Surg., 77-A (8): 1166-1173, August 1995
Snyder-Mackler L, Ladin Z, Schepsis AA, and Young JC: Electrical Stimulation of the Thigh
Muscles after Reconstruction of the Anterior Cruciate Ligament. J. Bone and Joint Surg., 73-A
(7): 1025-1036, August 1991
Fitzgerald GK, A Modified E-stim Protocol following ACLR JOSPT Sept 2003 33(9) 492-501