The Arpwave system is a combination of a proprietary electrical device and carefully designed protocols which target injury at the source, eliminate inflammation and dramatically accelerate the recovery of all soft tissue injury often eliminating the need for surgery. ARP embraces the concept of neurological rehabilitation and treatment for all soft tissue injuries and post-surgery rehab.
ARP finds the neurological origin of the physiological symptom and treats the problem at the source, enabling you to fully recover faster and live your life pain-free. ARP protocols can also be specifically used with the ARP to accelerate muscle rehabilitation of the following:. What is the ARPwave system? Knee Ankle Foot Cervical and Lumbar spine. Comments, Requests, Questions, or Suggestions.
First Name. Last Name. Respond to me via: Email. Hawaii J Health Soc Welf. Anne R. Wright , MD, Andrew B. Richardson , MD, Christian K. Kikuchi , MD, Daniel B. Goldberg , MD, Jay M. Marumoto , MD, and Darryl M. Kan , MD. Author information Copyright and License information Disclaimer. Division of Orthopaedic Surgery, John A. Wright MD; Lusitana St. This article has been cited by other articles in PMC. Abstract Atrophy and protracted recovery of normal function of the ipsilateral quadriceps femoris muscle following anterior cruciate ligament reconstruction surgery is well documented.
Introduction Disuse atrophy is a well-established phenomenon that follows disease, trauma or surgery of the affected limb. Methods Twenty-five patients from a single orthopedic sports medicine group with an isolated ACL injury and subsequent surgical reconstruction with autograft or allograft were included in this study and randomly assigned to either the experimental or control protocol group based on birth year.
Open in a separate window. Figure 1. Table 1. Table 2. Results Comparison of the overall mean circumferential gains in thigh circumference of the involved leg demonstrated approximately percent greater gains in the ARP cohort over the control cohort.
Figure 2. Figure 3. Discussion Our study demonstrates that an accepted isometric rehabilitation program augmented with the ARP trainer protocol is superior to an isometric rehabilitation protocol alone in correcting disuse atrophy of the QF after ACL reconstruction.
Conflicts of Interest None of the authors identify any conflicts of interest. Disclosure Statement Dr. References 1. Thigh muscle size and strength after anterior cruciate ligament reconstruction and rehabilitation. J Orthop Sports Phys Ther. The lower-extremity musculature in chronic symptomatic instability of the anterior cruciate ligament.
J Bone Joint Surg Am. Quadriceps weakness, atrophy, and activation failure in predicted noncopers after anterior cruciate ligament injury. Am J Sports Med. Rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind comparison of programs administered over 2 different time intervals.
Transcutaneous muscle stimulation as a method to retard disuse atrophy. Clin Orthop Relat Res. Strength changes in the normal quadriceps femoris muscle as a result of electrical stimulation.
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A prospective, randomized clinical trial of electrical stimulation. Effects of reconstruction of the anterior cruciate ligament on voluntary activation of quadriceps femoris a prospective twitch interpolation study. J Bone Joint Surg Br. A prospective analysis of incidence and severity of quadriceps inhibition in a consecutive sample of patients with complete acute anterior cruciate ligament rupture.
J Orthop Res. Gamma loop dysfunction in quadriceps on the contralateral side in patients with ruptured ACL. Gamma loop dysfunction in the quadriceps femoris of patients who underwent anterior cruciate ligament reconstruction remains bilaterally. Scand J Med Sci Sports. Mechanism of quadriceps femoris muscle weakness in patients with anterior cruciate ligament reconstruction.
High-frequency submaximal stimulation over muscle evokes centrally generated forces in human upper limb skeletal muscles. J Appl Physiol ; 2 — Turning on the central contribution to contractions evoked by neuromuscular electrical stimulation. J Appl Physiol ; 1 — Powers RK. Recruitment patterns in human skeletal muscle during electrical stimulation.
Transcutaneous neural stimulation use in postoperative knee rehabilitation. Athletes sustaining grade II hamstring injuries cm soft-tissue defect with associated ecchymosis and inability to walk without limp treated also with 6 to 10 ARP sessions, without other modalities, had an average recovery rate and return to play at 8 to 12 days post-injury. These accelerated recovery rates also extrapolated to the more severe grade III injuries, as well as chronic soft tissue tendinopathies. In many cases of chronic tendinopathy, all other conservative measures were exhausted, without relief of symptoms, before ARP treatment was initiated.
The ARP experience has produced a sense of astonishment among both the practitioner and the patient. Undoubtedly, prospective data will be required to corroborate these retrospective findings, but it is certainly clear that the rate of acceleration in healing has been dramatic. ARP is the culmination of an immense body of research comprising the science behind the technology: 1. The effect of electrostatic fields on macromolecular synthesis by fibroblasts in vitro. J Cell Biol, 9, Bioelectricity and regeneration.
Large currents leave the stumps of regenerating newt limbs. Liss, pp , Electrical stimulation of human fibroblasts cause an increase in calcium influx and the exposure of additional insulin receptors. J Cellular Physiology, , Brighton CT.
Current concepts review: The treatment of nonunions with electricity. J Bone Joint Surg, 62A: , Cheng N, et al. The effect of electrocurrents on ATP generation protein synthesis, and membrane transport in rat skin. Clinical Orthopedics, , Perpendicular orientation and directional migration of amphibian neural crest cells in DC electric fields.
Cooper MS, Schliwa M. Electrical and ionic controls of tissue cell locomotion in DC electric fields. Neurosci Res, , Direct current stimulation in spinal fusion. Med J Aust, 1: , Embryonic cell motility can be guided by physiological electric fields.
J Cell Biol, , Friedenberg ZB, Kohanim M. The effect of direct current on bone. Surg Gynecol Obstet, , Bone reaction to varying amounts of direct current, Surg Gynecol Obstet, , Healing of nonunion of medial malleolus by means of direct current: a case report. J Trauma, , Stimulation of fracture healing by direct current in the rabbit fibula.
J Bone Joint Surg, 53A: , Effects of electrical stimulation on biomechanical properties of fracture healing in rabbits. Clin Orthop, , Measurement of electrical currents emerging during the regeneration of amputated finger tips in children.
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