Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study
Joint Authors
Leite, Marcela Aparecida
Albert, Jaqueline
Costa, Claudia Rejane Lima de Macedo
Garcia, Alessandra Madalena
Czapiesvski, Francieli do Nascimento
Jorge, Amaury Cezar
Duarte, Péricles Almeida Delfino
Osaku, Erica Fernanda
Bertolini, Gladson Ricardo Flor
Ogasawara, Suely Mariko
Source
Critical Care Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Deep and respiratory muscle disorders are commonly observed in critically ill patients.
Neuromuscular electrical stimulation (NMES) is an alternative to mobilize and to exercise that does not require active patient participation and can be used on bedridden patients.
Objective.
Evaluate the effectiveness of the NMES therapy in quadriceps versus diaphragm subjects in mechanical ventilation (MV).
Methods.
Sixty-seven subjects in MV were included, divided into 3 groups: (a) control group (CG, n=26), (b) stimulation of quadriceps (quadriceps group–QG, n=24), and (c) stimulation of diaphragm (diaphragm group–DG, n=17).
The QG and DG patients received consecutive daily electrical stimulation sessions at specific points from the first day of randomization until ICU discharge.
Respiratory and peripheral muscle strength, MV time, length of hospitalization, and functional independence score (the Functional Status Score-ICU) were recorded.
Results.
There were studied n=24 (QG), n=17 (DG), and n=26 (CG) patients.
Peripheral muscle strength improved significantly in the QG (p=0.030).
Functional independence at ICU discharge was significantly better in QG (p=0.013), and the QG presented a better Barthel Index compared to DG and CG (p=0.0049) and also presented better FSS compared to CG (p=0.001).
Conclusions.
Electrical stimulation of quadriceps had best outcomes for peripheral muscle strength compared with controls or electrical stimulation of diaphragm among mechanically ventilated critically ill subjects and promoted functional independence and decreased length of hospitalization.
American Psychological Association (APA)
Leite, Marcela Aparecida& Osaku, Erica Fernanda& Albert, Jaqueline& Costa, Claudia Rejane Lima de Macedo& Garcia, Alessandra Madalena& Czapiesvski, Francieli do Nascimento…[et al.]. 2018. Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1130432
Modern Language Association (MLA)
Leite, Marcela Aparecida…[et al.]. Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study. Critical Care Research and Practice No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1130432
American Medical Association (AMA)
Leite, Marcela Aparecida& Osaku, Erica Fernanda& Albert, Jaqueline& Costa, Claudia Rejane Lima de Macedo& Garcia, Alessandra Madalena& Czapiesvski, Francieli do Nascimento…[et al.]. Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1130432
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130432