Article

Muscle wasting in critical illness has been identified as a major
clinical concern which can lead to persistent muscle weakness, impede recovery
and limit physical function and quality of life in survivors. Neuromuscular
electrical stimulation (NMES) has been suggested as an alternative to active
exercise in critically ill patients. OBJECTIVES: To evaluate the efficacy of NMES
in critically ill patients by evaluating the research literature. METHODS:
Structured database searches of the Cochrane Library, Ovid (Medline), CINHAL,
Scopus and PEDro were completed. RESULTS: Eight papers were retrieved and
methodological quality evaluated using the Critical Appraisal and Skills Program
tool. The NMES protocols, outcomes and findings were analysed and, given the
methodological heterogeneity, the study findings were synthesised as a narrative.
Analysis showed minimal adverse effects in the use of NMES and some potential
benefits of NMES on preservation of muscle strength, decreased duration of
mechanical ventilation and shorter Intensive Care Unit (ICU) length of stay.
CONCLUSIONS: Evidence of the clinical benefits of NMES in the ICU is inconclusive
and provides minimal guidance for use in clinical practice. There is a need for
further research in this area.

Langue : ANGLAIS