Effects of Electrical Muscle Stimulation in Subjects Undergoing Prolonged Mechanical Ventilation.
BACKGROUND: Muscle atrophy and deconditioning are common complications in patients on prolonged mechanical ventilation (PMV). There are few studies that reviewed the effects of electrical muscle stimulation in this population. The purpose of this study was to examine the effects of electrical muscle...
| Publicado en: | Respiratory Care Vol. 64; no. 3; pp. 262 - 272 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Mar2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135360566&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135360566 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Mar2019 vid: 64 iid: 3 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 135360566 135360566 135360566 10.4187/respcare.05921 135360566 ppf: 262 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Effects of Electrical Muscle Stimulation in Subjects Undergoing Prolonged Mechanical Ventilation. aug: au: Yen-Huey Chen Hsiu-Feng Hsiao Li-Fu Li Ning-Hung Chen Chung-Chi Huang affil: Department of Respiratory Therapy, College of Medicine, ChangGung University, Taoyuan, Taiwan sug: subj: Electric Stimulation Muscle, Skeletal Physiology Respiration, Artificial Treatment Outcomes Human Muscular Atrophy Functional Status Random Sample Randomized Controlled Trials Control Group Muscle Strength Leg Anatomy and Histology Scales Prospective Studies Taiwan Outcomes (Health Care) Hospitalization Data Analysis Software T-Tests Mann-Whitney U Test Wilcoxon Rank Sum Test Pearson's Correlation Coefficient Spearman's Rank Correlation Coefficient Chi Square Test Male Female Middle Age Aged Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Muscle atrophy and deconditioning are common complications in patients on prolonged mechanical ventilation (PMV). There are few studies that reviewed the effects of electrical muscle stimulation in this population. The purpose of this study was to examine the effects of electrical muscle stimulation on muscle function and hospitalization outcomes in subjects with PMV. METHODS: Subjects on mechanical ventilation for ≥21 d were randomly assigned to the electrical muscle stimulation group (n = 16) or the control group (n = 17). The electrical muscle stimulation group received daily muscle electrical stimulation for 30 min/session for 10 d. The measurement of muscle strength (by medical research council [MRC] scale), leg circumference, and physical functional status (by Functional Independence Measure [FIM] scores) were performed before and after completion of the study. The length of stay in respiratory care center of subjects were recorded. RESULTS: After electrical muscle stimulation, there was no difference in pulmonary function between the electrical muscle stimulation and control groups. Significantly increased in MRC points was found in the electrical muscle stimulation group after intervention (2 [1-7] points vs 2 [1-3.5] points, respectively, P = .034). No difference in MRC points was found between baseline and post-measurement in the control group (1[1-2] points vs 1[1-2.5] points, respectively, P > .99). At the end of the study, leg circumference in control group significantly decreased when compared with baseline (47.5 ± 8.3 cm vs 44.6 ± 5.7 cm, respectively, P = .004) and remained unchanged in the EMS group. However, no significant differences were found between the electrical muscle stimulation and control groups. There was no difference in physical functional status and hospital stay between the electrical muscle stimulation and control groups. CONCLUSIONS: Electrical muscle stimulation enhanced muscle strength in subjects who received PMV. Electrical muscle stimulation can be considered a preventive strategy for muscle weakness in patients who receive PMV. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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