The efficacy of EMG-biofeedback training on quadriceps muscle strength in patients after arthroscopic meniscectomy.

AIMS In 40 patients, we attempted to investigate the efficacy of electromyography-biofeedback (EMG-B) on quadriceps muscle strength after arthroscopic meniscectomy. METHODS The patients were randomly divided into two groups each consisting of 20 subjects. For the control group, a classical exercise program was given (five sessions of EMG-B application for 2 weeks postoperatively). Range of motions, Lysholm knee score, EMG electrical activity values of vastus medialis obliques (VMO), and vastus lateralis (VL) were measured pre- and postoperatively on the 3rd and 14th day, and at the 6th week. RESULTS When the ranges of motion values were compared, a significant difference (for average values of knee flexion angle) was found on the 14th day and 6th week in favour of biofeedback group (p<0.05). When Lysholm knee scores on the 14th day and 6th week were compared in the control and biofeedback groups, and maximum contraction and average contraction values of VMO, VL muscles were compared with operated/non-operated %age ratios, there was a statistically significant difference in favour of the biofeedback group (p<0.05). CONCLUSIONS Our results showed that EMG-B was an effective treatment modality in improving quadriceps muscle strength after arthroscopic meniscectomy surgery.

[1]  M. Hurley,et al.  The effects of joint damage on muscle function, proprioception and rehabilitation. , 1997, Manual therapy.

[2]  M. Bodor Quadriceps protects the anterior cruciate ligament , 2001, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[3]  J. Bullock-Saxton,et al.  The relationship between knee strength and functional stability before and after anterior cruciate ligament reconstruction , 2003, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[4]  John V. Basmajian,et al.  Research foundations of EMG biofeedback in rehabilitation , 1988, Biofeedback and self-regulation.

[5]  M E Maitland,et al.  Quadriceps femoris and hamstring muscle function in a person with an unstable knee. , 1999, Physical therapy.

[6]  J. Beckham,et al.  Biofeedback as a means to alter electromyographic activity in a total knee replacement patient , 1991, Biofeedback and self-regulation.

[7]  Richard W. Bohannon,et al.  Relationship between knee extension force and stand-up performance in community-dwelling elderly women. , 2001, Archives of physical medicine and rehabilitation.

[8]  C. Ingersoll,et al.  Patellar location changes following EMG biofeedback or progressive resistive exercises. , 1991, Medicine and science in sports and exercise.

[9]  W. Herzog,et al.  Quadriceps inhibition following arthroscopy in patients with anterior knee pain. , 1998, Clinical biomechanics.

[10]  H. Stam,et al.  The long-term consequence of strength deficits after menisectomy. , 1993, Archives of physical medicine and rehabilitation.

[11]  R. Croce,et al.  The effects of EMG biofeedback on strength acquisition , 1986, Biofeedback and self-regulation.

[12]  E. Dursun,et al.  Electromyographic biofeedback-controlled exercise versus conservative care for patellofemoral pain syndrome. , 2001, Archives of physical medicine and rehabilitation.

[13]  J. Lysholm,et al.  Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale , 1982, The American journal of sports medicine.

[14]  M. Axe,et al.  The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. , 2002, Clinical biomechanics.

[15]  C D Ingersoll,et al.  Effect of knee joint effusion on quadriceps and soleus motoneuron pool excitability. , 2001, Medicine and science in sports and exercise.

[16]  J. Basmajian,et al.  Biofeedback in physical medicine and rehabilitation , 1978, Biofeedback and self-regulation.

[17]  D E Krebs,et al.  Quadriceps muscle strength and dynamic stability in elderly persons. , 1999, Gait & posture.

[18]  D. Krebs Clinical Electromyographic Feedback Following Meniscectomy , 1981 .

[19]  D. R. Keskula,et al.  Reliability of lower extremity functional performance tests. , 1997, The Journal of orthopaedic and sports physical therapy.

[20]  M. Torry,et al.  Intra-articular knee joint effusion induces quadriceps avoidance gait patterns. , 2000, Clinical biomechanics.

[21]  J A Lucca,et al.  Effect of electromyographic biofeedback on an isometric strengthening program. , 1983, Physical therapy.

[22]  V Draper,et al.  Electrical stimulation versus electromyographic biofeedback in the recovery of quadriceps femoris muscle function following anterior cruciate ligament surgery. , 1991, Physical therapy.

[23]  J. Bullock-Saxton,et al.  Muscle strength and function before and after anterior cruciate ligament reconstruction using semitendonosus and gracilis. , 2001, The Knee.

[24]  C. Richards,et al.  Effects of the type of meniscal lesion on knee function. , 1998, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[25]  V Draper,et al.  Electromyographic biofeedback and recovery of quadriceps femoris muscle function following anterior cruciate ligament reconstruction. , 1990, Physical therapy.

[26]  Paul W. Hodges,et al.  The test–retest reliability of the onset of concentric and eccentric vastus medialis obliquus and vastus lateralis electromyographic activity in a stair stepping task , 2000 .