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Question In healthy young adult population does combining electrical stimulation to resistive training program leads to more increase in muscle strength comparing to just strengthening exercisesSearch strategy and justification of paper selection The search was conducted through Medline via OvidSP database using the following terms electrotherapy OR EMS OR electrical muscle stimulation OR faradic stimulation AND muscle strength OR power OR strength AND Resistance OR resistive training OR strengthening exercise AND adult young OR men OR women Four records were returned two have been found to not be relevant to the search area and two were randomized controlled trails preformed by Herrero et al in two parts Short-term effect of strength training with and without superimposed electrical stimulation on muscle strength and anaerobic performance A randomized controlled trial The most specific to the questions was the first part trail that has been published in 2010 in the Journal of Strength Conditioning Research 2461609-15Brief overviewTwenty-eight subjects were randomly allocated to one of three groups resistive knee extension exercise group VOL n8 resistive knee extension and EMS group ES n10 or control group CG n10 The session was carried out in 4 days per week for 4 weeks First assessment has been taken before starting training sessions and two follow-ups after 3-4 days and 2 weeks after the end of training sessions The outcome measured through the following tests maximal voluntary contraction of quadriceps squat jump countermovement jump countermovement jump with free arms and 20-m sprint Quality of evidence The trial was randomized but not concealed There was lack of information regarding method of randomization and wither there was any dropouts or intension to treat The study was not blinded as the subjects were familiarized with the training and testing protocols prior allocation Based on the given information this study doesnt meet the validity criteria and count as weak evidence Effects of exercise therapyThe testing measure to be taking into consideration here is the maximal voluntary
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