Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study
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...
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2018-01-01
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doaj-90a6db7e08754fb1b28d20ca722cdd502020-11-24T23:20:56ZengHindawi LimitedCritical Care Research and Practice2090-13052090-13132018-01-01201810.1155/2018/42985834298583Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot StudyMarcela Aparecida Leite0Erica Fernanda Osaku1Jaqueline Albert2Claudia Rejane Lima de Macedo Costa3Alessandra Madalena Garcia4Francieli do Nascimento Czapiesvski5Suely Mariko Ogasawara6Gladson Ricardo Flor Bertolini7Amaury Cezar Jorge8Péricles Almeida Delfino Duarte9Intensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilWestern Parana State University, Rua Universitária 2069, Jardim Universitário, 85819-110 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilIntensive Care Unit, Western Parana State University Hospital, Avenida Tancredo Neves 3224, Santo Onofre, 85806-470 Cascavel, PR, BrazilBackground. 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.http://dx.doi.org/10.1155/2018/4298583 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcela Aparecida Leite Erica Fernanda Osaku Jaqueline Albert Claudia Rejane Lima de Macedo Costa Alessandra Madalena Garcia Francieli do Nascimento Czapiesvski Suely Mariko Ogasawara Gladson Ricardo Flor Bertolini Amaury Cezar Jorge Péricles Almeida Delfino Duarte |
spellingShingle |
Marcela Aparecida Leite Erica Fernanda Osaku Jaqueline Albert Claudia Rejane Lima de Macedo Costa Alessandra Madalena Garcia Francieli do Nascimento Czapiesvski Suely Mariko Ogasawara Gladson Ricardo Flor Bertolini Amaury Cezar Jorge Péricles Almeida Delfino Duarte Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study Critical Care Research and Practice |
author_facet |
Marcela Aparecida Leite Erica Fernanda Osaku Jaqueline Albert Claudia Rejane Lima de Macedo Costa Alessandra Madalena Garcia Francieli do Nascimento Czapiesvski Suely Mariko Ogasawara Gladson Ricardo Flor Bertolini Amaury Cezar Jorge Péricles Almeida Delfino Duarte |
author_sort |
Marcela Aparecida Leite |
title |
Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study |
title_short |
Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study |
title_full |
Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study |
title_fullStr |
Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study |
title_full_unstemmed |
Effects of Neuromuscular Electrical Stimulation of the Quadriceps and Diaphragm in Critically Ill Patients: A Pilot Study |
title_sort |
effects of neuromuscular electrical stimulation of the quadriceps and diaphragm in critically ill patients: a pilot study |
publisher |
Hindawi Limited |
series |
Critical Care Research and Practice |
issn |
2090-1305 2090-1313 |
publishDate |
2018-01-01 |
description |
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. |
url |
http://dx.doi.org/10.1155/2018/4298583 |
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