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Critical Reviews™ in Biomedical Engineering

Published 6 issues per year

ISSN Print: 0278-940X

ISSN Online: 1943-619X

SJR: 0.262 SNIP: 0.372 CiteScore™:: 2.2 H-Index: 56

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Targeting Quadriceps Inhibition with Electromyographic Biofeedback: A Neuroplastic Approach

Volume 41, Issue 2, 2013, pp. 125-135
DOI: 10.1615/CritRevBiomedEng.2013008373
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ABSTRACT

Weakness of the quadriceps is a common occurrence in patients after knee injury or surgery; this weakness is due to a natural mechanism known as arthrogenic muscle inhibition. If inhibition of the quadriceps persists, it can become detrimental to a patient's function and lead to additional pathologies. A number of therapeutic interventions have be used in the rehabilitation of these patients, but few have proven to be successful. Electromyographic biofeedback is one modality that has demonstrated positive outcomes in patients by restoring quadriceps function. However, the reason for the effectiveness of this modality has yet to be fully explained in the area of rehabilitation. Neuroplasticity is a phenomenon that has gained much attention in rehabilitation, and its potential continues to grow. After an injury, the brain has the ability to enhance recovery by strengthening its neural circuitry. Through rehabilitation, clinicians can use attentional strategies to foster neuroplasticity and promote the recovery of their patients. In this article we provide reasoning for the effectiveness of electromyographic biofeedback using the evidence of neuroplasticity. With this information, we hope to provide clinicians a rationale for using this tool in the rehabilitation of patients with persistent quadriceps inhibition.

CITED BY
  1. Gadsden Jeff, Enhanced Recovery for Orthopedic Surgery, International Anesthesiology Clinics, 55, 4, 2017. Crossref

  2. Kotani Naoya, Morishita Takashi, Yatsugi Aya, Fujioka Shinsuke, Kamada Satoshi, Shiota Etsuji, Tsuboi Yoshio, Inoue Tooru, Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease, Frontiers in Neurology, 11, 2020. Crossref

  3. Supinski Gerald S., Valentine Emily N., Netzel Paul F., Schroder Elizabeth A., Wang Lin, Callahan Leigh Ann, Does Standard Physical Therapy Increase Quadriceps Strength in Chronically Ventilated Patients? A Pilot Study*, Critical Care Medicine, 48, 11, 2020. Crossref

  4. Panayiotou Charalambous Charalambos, Knee Physiotherapy: A Surgeon’s Perspective, in The Knee Made Easy, 2022. Crossref

  5. De la Fuente Carlos, Stoelben Karine J.V., Silvestre Rony, Yañez Roberto, Cheyre Jorge, Guadagnin Eliane C., Carpes Felipe P., Steadiness training improves the quadriceps strength and self-reported outcomes in persistent quadriceps weakness following nine months of anterior cruciate ligament reconstruction and failed conventional physiotherapy, Clinical Biomechanics, 92, 2022. Crossref

  6. Achens Jeslin T., Victor Vijay S. Raj, Joseph Jakson K., Early Activation of Quadriceps With Pressure Biofeedback for the Prevention of Arthrogenic Muscle Inhibition Following Lower Limb Orthopedic Surgeries: A Proof of Concept Clinical Trial, Journal of Chiropractic Medicine, 2022. Crossref

  7. Norte Grant, Rush Justin, Sherman David, Arthrogenic Muscle Inhibition: Best Evidence, Mechanisms, and Theory for Treating the Unseen in Clinical Rehabilitation, Journal of Sport Rehabilitation, 31, 6, 2022. Crossref

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