No outcomes evaluated the effect on participation restrictions .
NMES , as an adjunct to current rehabilitation practice s in critically ill patients , may maintain muscle strength .
OBJECTIVE To review , in conformance with the Preferred Reporting Items for Systematic Review s and Meta-Analyses guidelines , the totality of evidence for the use of neuromuscular electrical stimulation ( NMES ) in the critical care setting , when compared with usual care , under all domains of the World Health Organisation , International Classification of Functioning , Disability and Health ( ICF ) framework .
Improvement of Thigh Muscles by Neuromuscular Electrical Stimulation in Patients with Refractory Heart Failure: A Single-Blind, Randomized, Controlled Trial
Quittan M , Wiesinger GF , Sturm B , Puig S , Mayr W , Sochor A , Paternostro T , Resch KL , Pacher R , Fialka-Moser V : Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure : a single-blind , r and omized , controlled trial . Am J Phys Med Rehabil 2001;80:206–214 . Objective To determine the impact of an 8-wk neuromuscular stimulation program of thigh muscles on strength and cross-sectional area in patients with refractory heart failure listed for transplantation . Design Forty-two patients with a stable disease course were assigned r and omly to a stimulation group ( SG ) or a control group ( CG ) . The stimulation protocol consisted of biphasic symmetric impulses with a frequency of 50 Hz and an on/off regime of 2/6 sec. Results Primary outcome measures were isometric and isokinetic thigh muscle strength and muscle cross-sectional area . Our results showed an increase of muscle strength by mean 22.7 for knee extensor and by 35.4 for knee flexor muscles . The CG remained unchanged or decreased by −8.4 in extensor strength . Cross-sectional area increased in the SG by 15.5 and in the CG by 1.7 . Conclusions Activities of daily living as well as quality of life increased in the SG but not in the CG . Subscales of the SF-36 increased significantly in the SG , especially concerning physical functioning by + 7.5 ( 1.3–30.0 ) , emotional role by + 33.3 ( 0–66.6 ) , and social functioning by + 18.8 ( 0–46.9 ) , all P < 0.05 . Neither a change nor a decrease was observed in the CG . Neuromuscular electrical stimulation of thigh muscles in patients with refractory heart failure is effective in increasing muscle strength and bulk and positively affects the perception of quality of life and activities of daily living
No outcomes evaluated the effect on participation restrictions .
NMES , as an adjunct to current rehabilitation practice s in critically ill patients , may maintain muscle strength .
OBJECTIVE To review , in conformance with the Preferred Reporting Items for Systematic Review s and Meta-Analyses guidelines , the totality of evidence for the use of neuromuscular electrical stimulation ( NMES ) in the critical care setting , when compared with usual care , under all domains of the World Health Organisation , International Classification of Functioning , Disability and Health ( ICF ) framework .