About this trial
Patients experience dramatic quadriceps strength loss after total knee replacement, which contributes to persistent weakness and reduced long-term function after surgery. Neuromuscular electrical stimulation (NMES) reduces quadriceps weakness and improves patient function after knee replacement, but it is drastically underused in rehabilitation practice. This randomized trial will examine the effectiveness and feasibility of a comprehensive strategy for implementing neuromuscular electrical stimulation after knee replacement in two large healthcare organizations.
Eligibility criteria
Qualifiers
Underwent primary unilateral TKA
Attended outpatient rehabilitation at a participating clinic within 5 days after TKA
Attended at least 3 total outpatient physical therapy visits in total
Disqualifiers
NMES Contraindications [Patients with implanted cardiovascular cardiovertedefibrillator (ICD), active cancer, post-operative diagnosed deep vein thrombosis (DVT) in involved lower extremity]
Previous lower extremity arthroplasty less than 12 weeks prior to scheduled TKA surgical date
Trial design
Treatments tested in this trial
- NMES
- Usual Care
Treatment groups
Sponsors and collaborators
University of Colorado, Denver
Lead sponsor
University of Colorado Health
Collaborator
Intermountain Health Care, Inc.
Collaborator
National Institute on Aging (NIA)
Collaborator