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Ricardo Valentini - One of the best experts on this subject based on the ideXlab platform.
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muscle weakness in septic patients requiring mechanical ventilation protective effect of transcutaneous Neuromuscular Electrical Stimulation
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
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Muscle weakness in septic patients requiring mechanical ventilation: Protective effect of transcutaneous Neuromuscular Electrical Stimulation ☆
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
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Muscle weakness in septic patients requiring mechanical ventilation: protective effect of transcutaneous Neuromuscular Electrical Stimulation.
Journal of critical care, 2011Co-Authors: Pablo O Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps (P = .005) and quadriceps (P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES (P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population. Copyright © 2012 Elsevier Inc. All rights reserved.
Pablo Rodriguez - One of the best experts on this subject based on the ideXlab platform.
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muscle weakness in septic patients requiring mechanical ventilation protective effect of transcutaneous Neuromuscular Electrical Stimulation
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
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Muscle weakness in septic patients requiring mechanical ventilation: Protective effect of transcutaneous Neuromuscular Electrical Stimulation ☆
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
Ya Hui Wang - One of the best experts on this subject based on the ideXlab platform.
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the effects of surface Neuromuscular Electrical Stimulation on post stroke dysphagia a systemic review and meta analysis
Clinical Rehabilitation, 2016Co-Authors: Yi Wen Chen, Kwang Hwa Chang, Hung Chou Chen, Wen Miin Liang, Ya Hui WangAbstract:Objective:In this study, we intended to evaluate whether swallow treatment with Neuromuscular Electrical Stimulation is superior to that without Neuromuscular Electrical Stimulation, and whether Neuromuscular Electrical Stimulation alone is superior to swallow therapy.Methods:We searched the PubMed and Scopus databases from their earliest record to 31 December 2014 for randomized and quasi-randomized controlled trials that used Neuromuscular Electrical Stimulation to treat post-stroke dysphagia. The Jadad scale was used to assess the quality of the included studies. We extracted the mean differences and standard deviation (SD) between baseline and posttreatment or posttreatment mean and SD for selected outcomes measured in the experimental and control groups for subsequent meta-analyses.Results:Eight studies were identified. For the comparison “swallow treatment with Neuromuscular Electrical Stimulation vs. swallow treatment without Neuromuscular Electrical Stimulation,” we found a significant standardize...
James R Andrews - One of the best experts on this subject based on the ideXlab platform.
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the effect of Neuromuscular Electrical Stimulation of the infraspinatus on shoulder external rotation force production after rotator cuff repair surgery
American Journal of Sports Medicine, 2008Co-Authors: Michael M Reinold, Leonard C Macrina, Kevin E Wilk, Jeffrey R Dugas, Lyle E Cain, James R AndrewsAbstract:BackgroundMuscle weakness, particularly of shoulder external rotation, is common after rotator cuff repair surgery. Neuromuscular Electrical Stimulation has been shown to be an effective adjunct in the enhancement of muscle recruitment.HypothesisShoulder external rotation peak force can be enhanced by Neuromuscular Electrical Stimulation after rotator cuff repair surgery.Study DesignControlled laboratory study.MethodsThirty-nine patients (20 men, 19 women) who had undergone rotator cuff repair surgery were tested a mean of 10.5 days after surgery. Testing consisted of placing patients supine with the shoulder in 45° of abduction, neutral rotation, and 15° of horizontal adduction. Neuromuscular Electrical Stimulation was applied to the infraspinatus muscle belly and inferior to the spine of the scapula. Placement was confirmed by palpating the muscle during a resisted isometric contraction of the external rotators. Patients performed 3 isometric shoulder external rotation contractions with and without neur...
L P Maskin - One of the best experts on this subject based on the ideXlab platform.
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muscle weakness in septic patients requiring mechanical ventilation protective effect of transcutaneous Neuromuscular Electrical Stimulation
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
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Muscle weakness in septic patients requiring mechanical ventilation: Protective effect of transcutaneous Neuromuscular Electrical Stimulation ☆
Journal of Critical Care, 2012Co-Authors: Pablo Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:Abstract Purpose The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Methods Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Results Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps ( P = .005) and quadriceps ( P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES ( P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Conclusion Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population.
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Muscle weakness in septic patients requiring mechanical ventilation: protective effect of transcutaneous Neuromuscular Electrical Stimulation.
Journal of critical care, 2011Co-Authors: Pablo O Rodriguez, Mariano Setten, L P Maskin, Ignacio Bonelli, Silvana Romero Vidomlansky, Shiry Attie, Silvana L Frosiani, S Kozima, Ricardo ValentiniAbstract:The aim of this study was to evaluate the effect of transcutaneous Neuromuscular Electrical Stimulation (NMES) on muscle strength in septic patients requiring mechanical ventilation (MV). Sixteen septic patients requiring MV and having 1 or more organ failure other than respiratory dysfunction were enrolled within 48 hours from admission to the intensive care unit. Neuromuscular Electrical Stimulation was administered twice a day on brachial biceps and vastus medialis (quadriceps) of 1 side of the body until MV withdrawal. Blinded investigators measured arm and thigh circumferences, biceps thickness by ultrasonography, and muscle strength after awakening with Medical Research Council scale. Two patients died before strength evaluation and were excluded from the analysis. Neuromuscular Electrical Stimulation was applied for 13 days (interquartile range, 7-30 days). Biceps (P = .005) and quadriceps (P = .034) strengths were significantly higher on the stimulated side at the last day of NMES. Improvement was mainly observed in more severe and weaker patients. Circumference of the nonstimulated arm decreased at the last day of NMES (P = .015), whereas no other significant differences in limb circumferences or biceps thickness were observed. Neuromuscular Electrical Stimulation was associated with an increase in strength of the stimulated muscle in septic patients requiring MV. Neuromuscular Electrical Stimulation may be useful to prevent muscle weakness in this population. Copyright © 2012 Elsevier Inc. All rights reserved.