scholarly journals Electrical muscle stimulation preserves the muscle mass of critically ill patients: a randomized study

Critical Care ◽  
2009 ◽  
Vol 13 (5) ◽  
pp. R161 ◽  
Author(s):  
Vasiliki Gerovasili ◽  
Konstantinos Stefanidis ◽  
Konstantinos Vitzilaios ◽  
Eleftherios Karatzanos ◽  
Panagiotis Politis ◽  
...  
Critical Care ◽  
2008 ◽  
Vol 12 (Suppl 2) ◽  
pp. P516 ◽  
Author(s):  
V Gerovasili ◽  
K Stefanidis ◽  
K Vitzilaios ◽  
E Karatzanos ◽  
E Papadopoulos ◽  
...  

2013 ◽  
Vol 30 (4) ◽  
pp. 223-228 ◽  
Author(s):  
Letícia Ferreira Falavigna ◽  
Michele Gonçalves Silva ◽  
Amanda Lopes de Almeida Freitas ◽  
Priscila Figueiredo dos Santos Silva ◽  
Marçal Durval Siqueira Paiva Júnior ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Eleftherios Karatzanos ◽  
Vasiliki Gerovasili ◽  
Dimitrios Zervakis ◽  
Elli-Sophia Tripodaki ◽  
Kleovoulos Apostolou ◽  
...  

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 IIscore≥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.


CHEST Journal ◽  
2009 ◽  
Vol 136 (5) ◽  
pp. 1249-1256 ◽  
Author(s):  
Vasiliki Gerovasili ◽  
Elli Tripodaki ◽  
Eleftherios Karatzanos ◽  
Theodore Pitsolis ◽  
Vasiliki Markaki ◽  
...  

1996 ◽  
Vol 83 (3) ◽  
pp. 360-363 ◽  
Author(s):  
O. Vinge ◽  
L. Edvardsen ◽  
F. Jensen ◽  
F. G. Jensen ◽  
J. Wernerman ◽  
...  

2021 ◽  
Vol 11 (3) ◽  
pp. 339
Author(s):  
Yuichi Nishikawa ◽  
Tetsuya Takahashi ◽  
Shuhei Kawade ◽  
Noriaki Maeda ◽  
Hirofumi Maruyama ◽  
...  

Background: Electrical muscle stimulation (EMS) is effective for increasing physical function. However, there is no evidence regarding the effects of EMS on muscle mass and physical function in older adults with dementia. The aim of the present study was to quantify the effects of EMS on muscle mass and balance in older adults with dementia. Methods: A total of 32 participants were randomly assigned to an intervention group (n = 16, age = 89.4 ± 4.8 years) and a control group (n = 16, age = 88.1 ± 5.2 years). Participants in the intervention group underwent a general rehabilitation program (20 min for three days/week) and an EMS intervention (23 min for three days/week) for 23 weeks. Participants in the control group underwent general rehabilitation only. The efficacy of EMS was evaluated by lower limb muscle mass, the Berg Balance Scale (BBS), and the functional independence measure (FIM). Results: Muscle mass was significantly increased in the intervention group after 12 weeks (p = 0.008), but average muscle mass in the control group did not change (p = 0.18). Participants in the control group showed a significant decrease in BBS after 12 weeks (p = 0.007), unlike those in the intervention group. Furthermore, there was a strong correlation between the mini-mental state examination (MMSE) results and the change in muscle mass, the BBS, and the FIM in the control group (p < 0.05). Conclusions: These findings suggest that EMS is a useful intervention for increasing muscle mass and maintaining balance function in older adults with dementia.


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