Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis
Objectives: Neuromuscular electrical stimulation (NMES) has been posited to augment rehabilitation after shoulder surgery. NMES is able to facilitate muscle contraction and alleviate pain. This systematic review and meta-analysis evaluates the effectiveness of NMES in improving postoperative outcome...
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Elsevier
2025-04-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24002376 |
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| author | Edmund Jia Xi Zhang Gerald Joseph Zeng Denny Tjiauw Tjoen Lie |
| author_facet | Edmund Jia Xi Zhang Gerald Joseph Zeng Denny Tjiauw Tjoen Lie |
| author_sort | Edmund Jia Xi Zhang |
| collection | DOAJ |
| description | Objectives: Neuromuscular electrical stimulation (NMES) has been posited to augment rehabilitation after shoulder surgery. NMES is able to facilitate muscle contraction and alleviate pain. This systematic review and meta-analysis evaluates the effectiveness of NMES in improving postoperative outcomes for patients undergoing shoulder surgery. Data sources: Medline, Embase. Study selections: A systematic search adhering to PRISMA guidelines was conducted. Articles involving the use of NMES after shoulder surgery were included. Comparative meta-analysis was performed on articles reporting shoulder range of motion (ROM) and visual analogue scale (VAS) scores for NMES. Data synthesis: Three studies consisting of 120 participants were included in the analysis. NMES patients experienced significantly greater pain reduction (MD = −0.60, 95 % CI: −1.17 to −0.04, P = 0.04). However, improvements in shoulder flexion (MD = 5.15° (95 % CI: −2.88 to 13.17°, P = 0.21)), abduction (MD = 3.91° (95 % CI: −5.98 to 12.21°, P = 0.44)), and external rotation (MD = 5.78° (95 % CI: 0.10 to 11.46, P = 0.05)) were not statistically significant. Conclusions: NMES can be a valuable tool in multimodal rehabilitation for postoperative shoulder surgery patients, particularly for pain management. However, its implementation should be considered within the broader context of the patient's overall rehabilitation plan. Further research is needed to standardize NMES protocols and explore its effects on diverse postoperative outcomes. |
| format | Article |
| id | doaj-art-cf1d4689e2fd4e1b8b79b12ad65a0632 |
| institution | DOAJ |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj-art-cf1d4689e2fd4e1b8b79b12ad65a06322025-08-20T03:21:27ZengElsevierJournal of Orthopaedic Reports2773-157X2025-04-014110054210.1016/j.jorep.2024.100542Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysisEdmund Jia Xi Zhang0Gerald Joseph Zeng1Denny Tjiauw Tjoen Lie2Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Corresponding author.Department of Orthopaedic Surgery, Singapore General Hospital, SingaporeDepartment of Orthopaedic Surgery, Singapore General Hospital, SingaporeObjectives: Neuromuscular electrical stimulation (NMES) has been posited to augment rehabilitation after shoulder surgery. NMES is able to facilitate muscle contraction and alleviate pain. This systematic review and meta-analysis evaluates the effectiveness of NMES in improving postoperative outcomes for patients undergoing shoulder surgery. Data sources: Medline, Embase. Study selections: A systematic search adhering to PRISMA guidelines was conducted. Articles involving the use of NMES after shoulder surgery were included. Comparative meta-analysis was performed on articles reporting shoulder range of motion (ROM) and visual analogue scale (VAS) scores for NMES. Data synthesis: Three studies consisting of 120 participants were included in the analysis. NMES patients experienced significantly greater pain reduction (MD = −0.60, 95 % CI: −1.17 to −0.04, P = 0.04). However, improvements in shoulder flexion (MD = 5.15° (95 % CI: −2.88 to 13.17°, P = 0.21)), abduction (MD = 3.91° (95 % CI: −5.98 to 12.21°, P = 0.44)), and external rotation (MD = 5.78° (95 % CI: 0.10 to 11.46, P = 0.05)) were not statistically significant. Conclusions: NMES can be a valuable tool in multimodal rehabilitation for postoperative shoulder surgery patients, particularly for pain management. However, its implementation should be considered within the broader context of the patient's overall rehabilitation plan. Further research is needed to standardize NMES protocols and explore its effects on diverse postoperative outcomes.http://www.sciencedirect.com/science/article/pii/S2773157X24002376Neuromuscular electrical stimulationShoulder rehabilitation |
| spellingShingle | Edmund Jia Xi Zhang Gerald Joseph Zeng Denny Tjiauw Tjoen Lie Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis Journal of Orthopaedic Reports Neuromuscular electrical stimulation Shoulder rehabilitation |
| title | Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis |
| title_full | Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis |
| title_fullStr | Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis |
| title_full_unstemmed | Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis |
| title_short | Effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation: A systematic review and meta-analysis |
| title_sort | effect of neuromuscular electrical stimulation in postoperative shoulder rehabilitation a systematic review and meta analysis |
| topic | Neuromuscular electrical stimulation Shoulder rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24002376 |
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