title: Importance of attenuating quadriceps activation deficits after total knee arthroplasty.
abstract: Total knee arthroplasty (TKA) is associated with persistent quadriceps dysfunction. Because quadriceps dysfunction impairs functional performance, minimizing quadriceps dysfunction by attenuating central activation deficits early after surgery may improve function later in life. Rehabilitation strategies incorporating neuromuscular electrical stimulation and early, aggressive quadriceps strengthening may prove beneficial. Furthermore, surgical approaches, such as minimally invasive TKA, may minimize postoperative quadriceps dysfunction.
authors.affiliation: Physical Therapy Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
authors.forename: Abbey C
authors.initials: AC
authors.lastname: Thomas
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Stevens-Lapsley
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000534:rehabilitation*; D004558:Electric Stimulation / Q000379:methods*; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D018908:Muscle Weakness / Q000534:rehabilitation*; D011183:Postoperative Complications / Q000534:rehabilitation*; D052097:Quadriceps Muscle / Q000503:physiopathology* / Q000601:surgery