Association between psychosocial factors and dose of neuromuscular electrical stimulation in subjects with rheumatoid arthritis.
BACKGROUND: The therapeutic effect of neuromuscular electrical stimulation (NMES) on muscle strengthening and hypertrophy depends on its dose. Patients must tolerate high doses of NMES to maximize gains in muscle function. It is unknown why some patients are able to achieve high NMES dose while othe...
| Publicado en: | Physiotherapy Practice & Research Vol. 34; no. 2; pp. 57 - 67 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128049252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128049252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22130683 FTHV jtl: Physiotherapy Practice & Research issn: 22130683 maglogo: N pubinfo: dt: 2013 vid: 34 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 128049252 128049252 128049252 10.3233/PPR-130020 128049252 ppf: 57 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Association between psychosocial factors and dose of neuromuscular electrical stimulation in subjects with rheumatoid arthritis. aug: au: Piva, Sara R. Lasinski, Stephanie Almeida, Gustavo J. M. Fitzgerald, G. Kelley Delitto, Anthony affil: Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA sug: subj: Arthritis, Rheumatoid Therapy Electrical Stimulation, Neuromuscular Psychosocial Factors Electrical Stimulation, Neuromuscular Standards Severity of Disability Pain Threshold Anxiety Depression Coping Human Cross Sectional Studies Quadriceps Muscles Odds Ratio Confidence Intervals Descriptive Statistics Prospective Studies Pennsylvania Colleges and Universities Questionnaires Coping Strategies Questionnaire Center for Epidemiological Studies Depression Scale Intraclass Correlation Coefficient T-Tests Regression Mann-Whitney U Test Chi Square Test Data Analysis Software P-Value Female Male Aged Middle Age Funding Source Aged: 65+ years Middle Aged: 45-64 years Female Male ab: BACKGROUND: The therapeutic effect of neuromuscular electrical stimulation (NMES) on muscle strengthening and hypertrophy depends on its dose. Patients must tolerate high doses of NMES to maximize gains in muscle function. It is unknown why some patients are able to achieve high NMES dose while others are not. Disability and psychological attributes may play a role in a patient's tolerance of NMES dose. PURPOSE: To explore if disability and psychological attributes associate with the ability to achieve high doses of NMES in patients with rheumatoid arthritis (RA). METHODS: Cross-sectional study. Forty subjects with RA participated in 2 sessions of NMES intervention to the quadriceps muscles. The highest NMES dose achieved by each subject was recorded. Dose was defined as the torque produced by the NMES as a percentage of the torque produced during a maximum voluntary isometric contraction. Subjects were then grouped in high or low NMES dose. Variables investigated in this study included disability, pain coping strategies, pain acceptance, sense of mastery or control, anxiety, and depression. Correlations were sought between these factors and NMES dose. MAIN RESULTS: In unadjusted models, disability, coping self-statements, catastrophizing, and anxiety were predictors of NMES dose. In adjusted models only disability (OR = 0.17 [95% CI: 0.04, 0.77]) and catastrophizing (OR = 0.85 [95% CI: 0.72, 0.99]) predicted NMES dose. CONCLUSION: Patients with RA with lower disability and lower catastrophising achieve higher doses of NMES. Identifying factors associated with achieving high NMES dose may guide strategies to improve effectiveness of this intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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