Evaluating neuromuscular electrical stimulation for preventing and managing intensive care unit-acquired weakness:Current evidence and future directions  

作　　者：Annu Lisa Kurian Brandon Lucke-Wold 

机构地区：[1]College of Medicine,Florida State University,Tallahassee,FL 32304,United States [2]Department of Neurosurgery,University of Florida,Gainesville,FL 32611,United States

出　　处：《World Journal of Cardiology》2024年第10期604-607,共4页世界心脏病学杂志（英文）

摘　　要：Intensive care unit-acquired weakness(ICU-AW)is a prevalent issue in critical care,leading to significant muscle atrophy and functional impairment.Aiming to address this,Neuromuscular Electrical Stimulation(NMES)has been explored as a therapy.This systematic review assesses NMES's safety and effectiveness in enhancing functional capacity and mobility in pre-and post-cardiac surgery patients.NMES was generally safe and feasible,with intervention sessions varying in frequency and duration.Improvements in muscle strength and 6-minute walking test distances were observed,particularly in preoperative settings,but postoperative benefits were inconsistent.NMES showed promise in preventing muscle loss and improving strength,although its impact on overall functional capacity remained uncertain.Challenges such as short ICU stays and body composition affecting NMES efficacy were noted.NMES also holds potential for other conditions like cerebral palsy and stroke.Further research is needed to optimize NMES protocols and better understand its full benefits in preventing ICU-AW and improving patient outcomes.

关 键 词：Neuromuscular electrical stimulation Intensive care unit-acquired weakness Cardiac surgery Muscle atrophy Functional capacity 

分 类 号：R459.7[医药卫生—急诊医学]