Treating muscle weakness in knee osteoarthritis and surgical patients
The Challenges of Muscle Weakness
Muscle weakness is considered one of the most prevalent clinical conditions associated with knee osteoarthritis and the rehabilitation challenges facing patients recovering from knee procedures.
- Patients can lose over 60% of their quadriceps strength after knee surgery, and clinic physical therapy programs alone may not always be successful in restoring critical muscle activation strength1.
- In patients with pre-operative knee osteoarthritis, upper leg muscle strength is reported to be approximately 20–40% lower compared with healthy age-matched controls2. Muscle weakness in knee OA is strongly related to the patient-reported outcomes pain, activity limitations and falls, and has been linked to symptomatic progression of the disease.
CyMedica NMES is Clinically Proven
NMES therapy has been demonstrated to be clinically effective by increasing muscle strength post-surgery, during pre-hab and rehab. Designed to overcome the comfort and convenience barrier of traditional NMES, our advanced NMES solutions empower patients to be engaged in therapy at home and keep track of their progress.
A recent study from Cleveland Clinic shows the use of CyMedica e-vive NMES System following total knee replacement surgery for quadriceps strengthening allowed an earlier return to function in patients3:
We invest heavily in research to show the positive impact of muscle strengthening.
Neuromuscular Electrical Stimulation Use after Total Knee Arthroplasty Improves Early Return to Function: A Randomized Trial
Economically Validated
Patients with significant muscle atrophy can cost up to $4,200 more for post-surgery rehabilitation than those who do not suffer with significant muscle loss4. This reinforces the need for solutions that engage patients in their rehabilitation in order to minimize complications that could lead to readmission.
Patient Engagement from Home
We partner with healthcare providers to engage patients in strengthening their muscles from home to minimize pre- and postsurgical atrophy.
Supporting research has shown that consistent NMES therapy and patient engagement post- knee surgery may help patients attain and exceed their preoperative activity levels. The use of NMES in addition to progressive strengthening exercises has shown promising results and should be provided to attenuate the early loss of quadriceps strength after TKA5.
Making Patients stronger.
The e-vive system has been optimized to help clinicians encourage patients to be proactive in their rehabilitation. Data such as range of motion, activity level, pain level, and more, are collected and wirelessly sent to our provider portal.
Remotely Monitor Patients in Real-Time
The CyMedica cloud-based provider portal is a secure platform built to connect patients with their providers. Exclusive data capture technology transmits key data points of patient progress directly from the e-vive app. This allows healthcare providers to have real-time access to their patients’ information so they can monitor and motivate patients between visits.
Clinical Research
See how muscle strengthening can positively impact patient progress and return to activity.
Reimbursement & Coding Information
| Reimbursement Code + | Description |
|---|---|
| HCPCS | |
|
L1833
|
Adjustable knee joint (hinge)
|
|
E0731
|
Form fitting conductive garment
|
|
E0745
|
Neuromuscular electrical stimulation (NMES)
|
|
E0730
|
TENS
|
| CPT | |
|
99453
|
Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment.
|
|
99457
|
Remote patient monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.
|