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Evaluation of Electromyographic Biofeedback for the Quadriceps Femoris: A Systematic Review

机译:Quadriceps股骨肌电复印生物反馈的评估:系统评价

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Objective: To critically review evidence for the effectiveness of electromyographic biofeedback (EMGB) of the quadriceps femoris muscle in treating various knee conditions.Data Sources: Databases used to locate randomized controlled trials included PubMed (1980-2010), Cumulative Index of Nursing and Allied Health Literature (CINAHL, 1995-2007), Web of Science (1986-2010), SPORTDiscus (1990-2007), and Physiotherapy Evidence Database (PEDro). Key words were knee and biofeedback.Study Selection: The criteria for selection were clinical randomized controlled trials in which EMGB of the quadriceps femoris was used for various knee conditions of musculoskeletal origin. Trials were excluded because of research designs other than randomized controlled trials, articles published in a non-English language, inclusion of healthy research participants, inability to identify EMGB as the source of clinical improvement, and lack of pain, functional outcome, or quadriceps torque as outcome measures.Data Extraction: Twenty specific data points were abstracted from each clinical trial under the broad categories of attributes of the patient and injury, treatment variables for the EMGB group, treatment variables for the control group, and attributes of the research design.Data Synthesis: Eight trials yielded a total of 319 participants with patellofemoral pain syndrome (n = 86), anterior cruciate ligament reconstruction (n = 52), arthroscopic surgery (n = 91), or osteoarthritis (n = 90). The average methodologic score of the included studies was 4.6/10 based on PEDro criteria. Pooled analyses demonstrated heterogeneity of the included studies, rendering the interpretation of the pooled data inappropriate. The EMGB appeared to benefit short-term postsurgical pain or quadriceps strength in 3 of 4 postsurgical investigations but was ineffective for chronic knee conditions such as patellofemoral pain and osteoarthritis in all 4 studies. Because the findings are based on limited data, cau...
机译:目的:在治疗各种膝关节条件时,对Quadriceps股骨肌肉的肌电复印生物反馈(EMGB)的有效性的证明审查证据.DATA来源:用于定位随机对照试验的数据库包括Pubmed(1980-2010),护理累计指数健康文学(Cinahl,1995-2007),科学网(1986-2010),跑道(1990-2007)和物理治疗证据数据库(PEDRO)。关键词是膝关节和生物反馈.Study选择:选择标准是临床随机对照试验,其中Quadriceps股骨的EMGB用于肌肉骨骼起源的各种膝关节。由于随机对照试验之外的研究设计,以非英语出版的研究,含有健康研究参与者,无法识别EMGB作为临床改善的来源,并且缺乏疼痛,功能结果或Quadriceps扭矩的来源作为结果测量。提取:在患者和伤害的广泛类别的各种临床试验中抽象了20个特定的数据点,对照组的治疗变量,对照组的处理变量以及研究设计的属性。数据合成:八项试验总共319名与髌果疼痛综合征(n = 86),前十字韧带重建(n = 52),关节镜手术(n = 91),或骨关节炎(n = 90)。包括的研究的平均方法得分为4.6 / 10,基于佩德罗标准。汇总分析显示了所包含的研究的异质性,渲染汇总数据不合适的解释。 EMGB似乎在4个后勤调查中的3个中受益于短期后疼痛或Quadriceps强度,但对所有4项研究中的慢性膝关节疼痛和骨关节炎等慢性膝关节和骨关节炎无效。因为调查结果基于有限的数据,CAU ......

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