The effect of electrical muscle stimulation on the prevention of disuse muscle atrophy in patients with consciousness disturbance in the intensive care unit
| Autor: | Tomoya Hirose, Takeshi Shimazu, Mitsuo Ohnishi, Kazuo Noguchi, Kentaro Shimizu, Tomoyoshi Mouri, Tadahiko Shiozaki |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Electrical muscle stimulation medicine.medical_treatment Electric Stimulation Therapy Critical Care and Intensive Care Medicine medicine Humans Anterior compartment of thigh Stroke Muscle contracture Aged Coma Analysis of Variance Leg business.industry Posterior compartment of thigh Middle Aged medicine.disease Muscle atrophy Muscular Disorders Atrophic Surgery Radiography Intensive Care Units Muscular Atrophy Treatment Outcome Sarcopenia Anesthesia Consciousness Disorders Female medicine.symptom business |
| Zdroj: | Journal of critical care. 28(4) |
| ISSN: | 1557-8615 |
| Popis: | Purpose: Disuse atrophy of the lower limbs of patients with consciousness disturbance has often been recognized as “an unavoidable consequence,” such that the mechanism was not investigated diligently. In thisstudy, weexamined the preventive effectsofelectrical musclestimulation (EMS)againstdisuseatrophy of the lower limbs in patients in coma after stroke or traumatic brain injury in the intensive care unit. MaterialsandMethods:We evaluated changes in cross-sectional area of lower limb muscles weekly with computed tomography in 6 control group patients and 9 EMS group patients. Electrical muscle stimulation was performed daily from day 7 after admission. We evaluated the anterior thigh muscle compartment, posterior thigh muscle compartment, anterior leg muscle compartment, and posterior leg muscle compartment. Results: Inthecontrolgroup,thedecreaseincross-sectionalareaprogressedinallcompartmentseveryweek (P b .0001). Cross-sectional areas of all compartments at day 14 were significantly decreased in the control group compared with those in the EMS group at day 7 (P b .001). We were able to limit the rate of muscle atrophy as measured in the cross-sectional areas to within 4% during the period of EMS (days 7-42) in 5 patients. The difference between the control and the EMS groups was statistically significant (P b .001). Conclusion: Electrical muscle stimulation is effective in the prevention of disuse muscle atrophy in patients with consciousness disorder. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect