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Gatewood 2016.
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Gatewood CT, Tran AA, Dragoo JL. The efficacy of post-operative devices following knee arthroscopic surgery: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):501-516.
Design: Systematic review
Methods: A systematic search was performed on: PubMed; Scopus; MEDLINE; EMBASE; PEDro; SportDiscus; and CINAHL databases (1995-2015) for clinical trials using device modalities following arthroscopic knee surgery: cryotherapy, continuous passive motion (CPM), neuromuscular electrical stimulation (NMES), surface electromyographic (sEMG) biofeedback and shockwave therapy (ESWT). Outcomes included: Muscle strength, ROM, swelling, blood loss, pain relief & narcotic use, knee function, patient satisfaction, length of stay.
Key message: Cryotherapy application in post-operative protocols for knee arthroscopy can effectively mitigate pain and decrease narcotic consumption, while sEMG and NMES can both serve as useful adjuncts to recover quadriceps muscle function and improve knee function.
Results:
• 25 studies were included in this systematic review, 19 of which found a significant difference in outcomes. • For alleviating pain and decreasing narcotic consumption following arthroscopic knee surgery, cryo-compression devices are more effective than traditional icing alone, though not more than compression alone. • sEMG biofeedback and NMES improve quadriceps strength and overall knee functional outcomes following knee surgery.
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Pubmed
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Pubmed
• There is limited evidence regarding the effects of ESWT.
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