Neuromuscular electrical stimulation after cardiovascular surgery mitigates muscle weakness in older individuals with diabetes

Takino, Koya; Kameshima, Masataka; Asai, Chikako; Kawamura, Itta; Tomita, Shinji; Sato, Hiroyuki; Hirakawa, Akihiro; Yamada, Sumio

doi:10.1016/j.rehab.2022.101659

Cited by 4 publications

(5 citation statements)

References 32 publications

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“…The evidence is very uncertain about the effect of NMES on walking ability in cardiovascular surgery (seven studies [ 31 , 32 , 34 , 35 , 37 – 39 ], 502 participants): SMD, 0.45, 95% CI −0.11 to 1.00; very low certainty evidence ( Fig 2D and Table 2 ). NMES slightly increased ADL in cardiovascular surgery (two studies [ 34 , 38 ], 101 participants): MD, -2.27, 95% CI −8.91 to 4.37; low certainty evidence ( Fig 2E and Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…After screening, we excluded 17 studies due to incorrect population, nine for incorrect intervention, and one for incorrect design (S2 Table ). In the qualitative synthesis, we identified 18 RCTs [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] that met all the eligibility criteria (Fig 1 and Table 1). The 18 RCTs included 915 patients who underwent thoracic and abdominal surgeries and were postoperatively treated with NMES.…”

Section: Resultsmentioning

confidence: 99%

“…Out of the 18 RCTs, four [33,36,41,44] were only protocol registrations and did not have outcome data. Overall, there were 10 studies [30][31][32][33][34][35][36][37][38][39] in cardiovascular surgery, two [40,41] in pulmonary surgery, five [42][43][44][45][46] in digestive system surgery, and one [47] in other surgeries. Cardiovascular surgery studies included aortic valve replacement, coronary artery bypass grafting, heart transplantation, mitral valve replacement, mitral valve reconstruction, or tricuspid valve reconstruction.…”

Section: Resultsmentioning

confidence: 99%

“…The evidence suggested that NMES slightly increased lower limb muscle strength in cardiovascular surgery (five studies [30][31][32][33][34][35][36][37][38][39], 425 participants): SMD, 0.45, 95% CI 0.25 to 0.65; low certainty evidence (Fig 2A and Table 2). HR-QOL was measured in two trials [20,23] in cardiovascular surgery.…”

Section: Primary Outcomesmentioning

confidence: 99%

“…The evidence is very uncertain about the effect of NMES on walking ability in cardiovascular surgery (seven studies [31,32,34,35,[37][38][39], 502 participants): SMD, 0. 2).…”

Section: Secondary Outcomesmentioning

confidence: 99%

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Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Nakashima,

Iwaki,

Kataoka

et al. 2023

PLoS ONE

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This systematic review and meta-analysis examined the efficacy of neuromuscular electrical stimulation (NMES) on lower limb muscle strength and health-related quality of life (HR-QOL) after thoracic and abdominal surgery. We searched the Cochrane Central Register of Controlled Trials, MEDLINE via PubMed, Excerpta Medica Database via Elsevier, Physiotherapy Evidence Database, Cumulative Index to Nursing and Allied Health Literature, World Health Organization International Clinical Trials Registry Platform via their dedicated search portal, and ClinicalTrials.gov on November 2021 and updated in April 2023 to identify randomized controlled trials that examined the effects of NMES after thoracic and abdominal surgery. The primary outcomes were lower limb muscle strength, HR-QOL, and adverse events. We used the Cochrane Risk of Bias Tool and the Grading of Recommendations, Assessment, Development, and Evaluation approach to assess the certainty of evidence. A total of 18 randomized control trials involving 915 participants, including 10 on cardiovascular surgery, two on pulmonary surgery, five on digestive system surgery, and one on other surgery, were included. NMES slightly increased lower limb muscle strength and adverse events in cardiovascular surgery. Adverse events (hypotension, pain, and muscle discomfort) occurred in seven patients. HR-QOL was measured in two studies on cardiovascular surgery, but these were not pooled due to concept heterogeneity. Overall, NMES slightly increases lower limb muscle strength after cardiovascular surgery without serious adverse events. However, higher-quality randomized control trials in thoracic and abdominal surgeries are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Primary Outcomesmentioning

confidence: 99%

“…The evidence is very uncertain about the effect of NMES on walking ability in cardiovascular surgery (seven studies [31,32,34,35,[37][38][39], 502 participants): SMD, 0. 2).…”

Section: Secondary Outcomesmentioning

confidence: 99%

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Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Nakashima,

Iwaki,

Kataoka

et al. 2023

PLoS ONE

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The Potential of Electrical Stimulation and Smart Textiles for Patients with Diabetes Mellitus

et al. 2022

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Diabetes mellitus is one of the most frequent diseases in the general population. Electrical stimulation is a treatment modality based on the transmission of electrical pulses into the body that has been widely used for improving wound healing and for managing acute and chronic pain. Here, we discuss recent advancements in electroceuticals and haptic/smart devices for quality of life and present in which patients and how electrical stimulation may prove to be useful for the treatment of diabetes-related complications.

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Neuromuscular electrical stimulation changes glucose, but not its variability in type 2 diabetes: a randomized clinical trial

MACEDO,

BOCK,

SAFFI

et al. 2024

An. Acad. Bras. Ciênc.

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Neuromuscular electrical stimulation (NMES) can be an alternative to conventional exercising. This randomized clinical trial evaluated the effect of NMES in type 2 diabetes patients. Twenty-eight individuals with type 2 diabetes were assigned to NMES (n=14) or NMES-placebo (n=14) applied to knee extensor muscles for 60 minutes. Glucose variability, microvascular function and endothelial function were evaluated through continuous glucose monitoring system, near infrared spectroscopy and flowmediated dilatation, respectively. Glucose levels (mg/dl) decreased 2h (184 ± 11 vs 223 ±15), 3h (179 ± 12 vs 219 ±14) and 4h (177 ± 12 vs 212 ±12) after NMES, in comparison to NMES-placebo. No differences in glucose variability were found: coefficient of variation (%) at 0-6h (11.4±1.3 vs 11.4±1.2), 6-12h (9.8±1.0 vs 11.6±1.6), 12-18h (15.5±2.0 vs 11.4±2.1), 18-24h (12.8±2.3 vs 10.0±1.6); standard deviation (mg/dl) at 0-6h (21.6±2 vs 24.6±3.5), 6-12h (19.5±1.8 vs 20.3±2.8), 12-18h (29.9±3.5 vs 21.3±2.8),18-24h (22.8±4.1 vs 16.6±2.0) and mean amplitude of glycemic excursions (mg/dl) 54.9±25.0 vs 70.3±35.7. Endothelial and microvascular functions did not change. In conclusion, one acute NMES session was strong enough to trigger glucose reduction in individuals with type 2 DM, but it failed to induce any significant change in glucose variability, endothelial and microvascular functions.

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Neuromuscular electrical stimulation after cardiovascular surgery mitigates muscle weakness in older individuals with diabetes

Cited by 4 publications

References 32 publications

Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

The Potential of Electrical Stimulation and Smart Textiles for Patients with Diabetes Mellitus

Neuromuscular electrical stimulation changes glucose, but not its variability in type 2 diabetes: a randomized clinical trial

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