scholarly journals Neuromuscular Electrical Stimulation Compared to Volitional Exercise for Improving Muscle Function in Rheumatoid Arthritis: A Randomized Pilot Study

2019 ◽  
Vol 71 (3) ◽  
pp. 352-361 ◽  
Author(s):  
Sara R. Piva ◽  
Samannaaz S. Khoja ◽  
Frederico G. S. Toledo ◽  
Mary Chester-Wasko ◽  
G. Kelley Fitzgerald ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Electrical Stimulation ◽  
Pilot Study ◽  
Muscle Function ◽  
Neuromuscular Electrical Stimulation

scholarly journals Neuromuscular electrical stimulation prevents muscle function deterioration in exacerbated COPD: A pilot study

2012 ◽  
Vol 106 (10) ◽  
pp. 1429-1434 ◽  
Author(s):  
Santiago Giavedoni ◽  
Andrew Deans ◽  
Paul McCaughey ◽  
Ellen Drost ◽  
William MacNee ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Pilot Study ◽  
Muscle Function ◽  
Neuromuscular Electrical Stimulation

scholarly journals Neuromuscular electrical stimulation for treatment of dysphagia in infants and young children with neurological impairment: a prospective pilot study

2019 ◽  
Vol 3 (1) ◽  
pp. e000382
Author(s):  
Sherna Marcus ◽  
Jeremy N Friedman ◽  
Ashley Lacombe-Duncan ◽  
Sanjay Mahant
Keyword(s):  
Electrical Stimulation ◽  
Pilot Study ◽  
Young Children ◽  
Adverse Events ◽  
Neuromuscular Electrical Stimulation ◽  
Neurological Impairment ◽  
Oral Feeding ◽  
Severe Dysphagia ◽  
Prospective Pilot Study ◽  
Infants And Young Children

ObjectivesTo describe the acceptability, safety and effectiveness of neuromuscular electrical stimulation (NMES) in infants and young children with neurological impairment (NI) who have severe dysphagia.DesignA prospective pilot study using a before and after study design.SettingThe Hospital for Sick Children, Toronto, Canada.PatientsTen infants and young children (0–24 months) with NI and severe dysphagia on videofluoroscopic swallow study (VFSS) who were referred to an occupational therapist (OT). Those with neurodegenerative conditions were excluded.InterventionNMES treatments lasting 20–45 min twice weekly for the duration of 2–4 months. The NMES was administered during feeding therapy sessions by a trained OT.Main outcome measuresImprovement in swallowing function as measured by VFSS and the need for tube feeding, adverse events and parental acceptability.ResultsSeven of 10 enrolled subjects (median age, 8.9 months) completed biweekly NMES treatments (median number of treatments per subject, 18). All of the seven (100%) subjects who completed treatment showed an improvement in swallow function on VFSS. Of the five patients who were not safe to orally feed on any consistency of liquid or puree at baseline, three established full oral feeding and two established partial oral feeding. At baseline, 5/7 children were completely fed by tube versus 0/7 at the end of treatment. No adverse events occurred other than mild skin irritation at the site of electrode placement. Five of seven caregivers felt that feeding was improved and were satisfied with the intervention.ConclusionsOur prospective pilot study of NMES in seven neurologically impaired infants and young children with severe dysphagia suggests that NMES is safe, acceptable to parents and has potential efficacy. Trials are needed to determine if any treatment benefit exists.Trial registrationClinicalTrials.gov NCT01723358.

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