Early neuromuscular electrical stimulation reduces the loss of muscle mass in critically ill patients – A within subject randomized controlled trial

Segers, Johan; Vanhorebeek, Ilse; Langer, Daniël; Charususin, Noppawan; Wei, Weili; Frickx, Bregje; Demeyere, Inge; Clerckx, Béatrix; Casaer, Michaël P; Derese, Inge; Derde, Sarah; Pauwels, Lies; Berghe, Greet Van den; Hermans, Greet; Gosselink, Rik

doi:10.1016/j.jcrc.2020.11.018

Cited by 18 publications

(17 citation statements)

References 30 publications

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“…There were 12 (14.5%) studies utilised non-randomised or case-matched controls, with eight were on patients [ 56 , 80 , 83 , 88 , 94 , 111 , 112 , 115 ]. There were 40 (48.2%) studies used a single group, self-controlled design, with nine investigated on patients [ 55 , 58 , 59 , 63 , 85 , 98 , 106 , 117 , 120 ]; while there was one (1.2%) single case study on a patient [ 82 ]. Sixteen (16, 19.3%) studies were conducted in clinical settings and 67 (80.7%) were in laboratory settings ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…There were 40 articles (48.2%) that reported the effects of chronic peripheral stimulation (training), with 31, six and three applying ES, VB or ND, respectively; and 43 (51.8%) that investigated the acute effects, with 22, 12 and nine applying ES, VB or ND, respectively. Among the 40 studies that used chronic stimulation, the typical protocols involved 2–5 sessions per week (except for one ES study [ 80 ] that applied 10 sessions per week, and three ES studies [ 51 , 92 , 98 ] and one VB study [ 111 ] that trained for seven sessions per week), for 1–12 weeks with a total of 9–36 training sessions (with exception of one ES study [ 55 ] that lasted 56 weeks and involved 280 sessions) ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies assessed muscle activation using the twitch interpolation technique [ 23 , 25 , 71 , 74 , 91 ]. One study measured muscle girth change [ 52 ], seven studies utilised medical imaging methods, such as MRI, CT or ultrasound [ 12 , 21 , 51 , 87 , 98 ] or muscle fibre typing [ 56 , 75 ] to determine muscle morphological changes ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

2022

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It is known that resistance exercise using one limb can affect motor function of both the exercised limb and the unexercised contralateral limb, a phenomenon termed cross-education. It has been suggested that cross-education has clinical implications, e.g. in rehabilitation for orthopaedic conditions or post-stroke paresis. Much of the research on the contralateral effect of unilateral intervention on motor output is based on voluntary exercise. This scoping review aimed to map the characteristics of current literature on the cross-education caused by three most frequently utilised peripheral neuromuscular stimulation modalities in this context: electrical stimulation, mechanical vibration and percutaneous needling, that may direct future research and translate to clinical practice. A systematic search of relevant databases (Ebsco, ProQuest, PubMed, Scopus, Web of Science) through to the end of 2020 was conducted following the PRISMA Extension for Scoping Review. Empirical studies on human participants that applied a unilateral peripheral neuromuscular stimulation and assessed neuromuscular function of the stimulated and/or the unstimulated side were selected. By reading the full text, the demographic characteristics, context, design, methods and major findings of the studies were synthesised. The results found that 83 studies were eligible for the review, with the majority (53) utilised electrical stimulation whilst those applied vibration (18) or needling (12) were emerging. Although the contralateral effects appeared to be robust, only 31 studies claimed to be in the context of cross-education, and 25 investigated on clinical patients. The underlying mechanism for the contralateral effects induced by unilateral peripheral stimulation remains unclear. The findings suggest a need to enhance the awareness of cross-education caused by peripheral stimulation, to help improve the translation of theoretical concepts to clinical practice, and aid in developing well-designed clinical trials to determine the efficacy of cross-education therapies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

2022

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“…Um fato interessante foi que a melhora foi observada principalmente em pacientes mais graves e mais fracos 10 . Então, a melhor recuperação pode ser influenciada pelo estado clínico dos pacientes em que aqueles mais gravemente enfermos perdem mais massa muscular e podem se beneficiar mais da intervenção 24 . No entanto, a EENM não influenciou a espessura da camada muscular, mas foi associada a uma maior recuperação da força muscular durante a permanência na UTI 12 .…”

Section: Estimulação Elétrica Neuromuscular (Eenm)unclassified

As intervenções fisioterapêuticas motoras e seus efeitos em pacientes de unidade de terapia intensiva adulto: uma revisão integrativa da literatura

Cargnin¹,

Rangel²

2021

ASSOBRAFIR Ciênc

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Artigo de RevisãoEste é um artigo publicado em acesso aberto (Open Access) e distribuído sob a licença Creative Commons Attribution NonComercial ShareAlike License, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que sem fins comerciais e que o trabalho original seja corretamente citado e de forma que não indique endosso ao trabalho feito. A ResumoIntrodução: A intervenção fisioterapêutica motora pode prevenir ou diminuir a fraqueza muscular de pacientes em tratamento intensivo. Objetivo: descrever as intervenções fisioterapêuticas motoras e seus efeitos nos desfechos clínicos de pacientes adultos em UTI. Métodos: revisão integrativa de literatura. As buscas aconteceram nas bases Scielo, PubMed, Scopus e Embase com artigos em inglês, espanhol e português de 2012 a 2021. O caminho metodológico foi conduzido com o auxílio do software Atlas Ti. Resultados: Foram incluídas 21 publicações. Estas, imergiram três categorias temáticas: "mobilização precoce", "cicloergômetro" e "estimulação elétrica neuromuscular". A avaliação pela escala PEDro mostrou o predomínio de pesquisas de média qualidade Conclusões: o interesse dos últimos anos concentrou-se na mobilização precoce, estimulação elétrica neuromuscular e exercícios em cicloergômetro. Devido à qualidade metodológica média dos estudos e aos desfechos heterogêneos há, ainda, evidências insuficientes para guiar a prática clínica.

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“…Neuromuscular electric stimulation (NES) increased muscle mass and improved the Timed Up and Go test (TUG) (31). NEMS reduced muscle mass loss in critically ill patients (32). A meta-analysis found that vibration therapy in older persons improved strength, five times sit to stand and TUG (33).…”

mentioning

confidence: 99%

Sarcopenia: 2020

Morley

2021

The Journal of nutrition, health and aging

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Early neuromuscular electrical stimulation reduces the loss of muscle mass in critically ill patients – A within subject randomized controlled trial

Abstract: Please cite this article as: J. Segers, I. Vanhorebeek, D. Langer, et al., Early neuromuscular electrical stimulation reduces the loss of muscle mass in critically ill patients -A within subject randomized controlled trial,

Cited by 18 publications

References 30 publications

A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

A scoping review of the contralateral effects of unilateral peripheral stimulation on neuromuscular function

As intervenções fisioterapêuticas motoras e seus efeitos em pacientes de unidade de terapia intensiva adulto: uma revisão integrativa da literatura

Sarcopenia: 2020

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