Electrical muscle stimulation: an effective form of exercise and early mobilization to preserve muscle strength in critically ill patients.
Electrical muscle stimulation: an effective form of exercise and early mobilization to preserve muscle strength in critically ill patients.
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DOI：
10.1155/2012/432752
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发表时间：
2012
影响因子：
1.7
通讯作者：
Nanas S
中科院分区：
文献类型：
--
作者：
Karatzanos E;Gerovasili V;Zervakis D;Tripodaki ES;Apostolou K;Vasileiadis I;Papadopoulos E;Mitsiou G;Tsimpouki D;Routsi C;Nanas S
目的.这是对先前发表的数据进行的二次分析，旨在研究电肌肉刺激（EMS）对危重患者各种肌肉群力量的影响。方法. 142例APACHE II评分≥ 13分的连续患者被随机分配到EMS组或对照组。每天对双下肢的股外侧肌、股内侧肌和腓骨长肌进行EMS治疗。采用医学研究理事会（MRC）肌肉力量量表评估各种肌肉群。还进行了握力评估。结果EMS组24例患者和对照组28例患者最终接受了评价。EMS患者在腕关节屈曲、髋关节屈曲、膝关节伸展和踝关节背屈方面的MRC评分高于对照组（P ≤ 0.05）。总的来说，EMS组在腿部和整体上表现更好（P < 0.01）。握力与上下肢肌力及MRC总分相关（P ≤ 0.01）。结论. EMS对重症患者的力量有有益的影响，主要影响刺激的肌肉群，同时它也可能影响不参与的肌肉群，这是一种潜在的有效手段，可以保护该患者群体的肌肉力量并进行早期动员。
Purpose. This is a secondary analysis of previously published data to investigate the effects of electrical muscle stimulation (EMS) on strength of various muscle groups in critically ill patients. Methods. One hundred forty-two consecutive patients, with APACHE II score ≥ 13, were randomly assigned to the EMS or the control group. EMS sessions were applied daily on vastus lateralis, vastus medialis, and peroneus longus of both lower extremities. Various muscle groups were evaluated with the Medical Research Council (MRC) scale for muscle strength. Handgrip strength assessment was also employed. Results. Twenty four patients in the EMS group and 28 patients in the control group were finally evaluated. EMS patients achieved higher MRC scores than controls (P ≤ 0.05) in wrist flexion, hip flexion, knee extension, and ankle dorsiflexion. Collectively, the EMS group performed higher (P < 0.01) in the legs and overall. Handgrip strength correlated (P ≤ 0.01) with the upper and lower extremities' muscle strength and the overall MRC scores. Conclusions. EMS has beneficial effects on the strength of critically ill patients mainly affecting muscle groups stimulated, while it may also affect muscle groups not involved presenting itself as a potential effective means of muscle strength preservation and early mobilization in this patient population.
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影响因子：
38.9
作者：
De Jonghe, B;Bastuji-Garin, S;Brochard, L
通讯作者：
Brochard, L
影响因子：
3.5
作者：
Gruther, Wolfgang;Kainberger, Franz;Crevenna, Richard
通讯作者：
Crevenna, Richard
影响因子：
3.3
作者：
Hamada, T;Sasaki, H;Nakao, K
通讯作者：
Nakao, K
影响因子：
5.5
作者：
Jonsdottir, IH;Schjerling, P;Pedersen, BK
通讯作者：
Pedersen, BK
影响因子：
3.3
作者：
Gondin, Julien;Brocca, Lorenza;Bottinelli, Roberto
通讯作者：
Bottinelli, Roberto