Abstract
Introduction: Patients admitted to Intensive Care Unit (ICU) during long periods are prone to immobility, which leads to loss of strength, mass and muscle resistance. The neuromuscular electro-stimulation (NMES) associated to the accomplishment of exercises on a cycle-ergometer improves peripheral and respiratory muscle performance of hospitalised patients.
Objectives: To compare the protocol of physiotherapy with NMES and cycle-ergometer with conventional physiotherapy on peripheral saturation of oxygen (SatO2), inspiratory muscle strength (IMP), expiratory muscle strength (EMP), and peripheral muscle strength.
Methods: This is a prospective, randomized clinic study with a control group. The project was approved by the Ethics Committee of the Unifal, parecer nº1.144.968. It took part of the research 40 patients admitted to ICU with diagnosis of acute respiratory insufficiency. It was evaluated SatO2, IMP, EMP, and maximum isometric strength of knee extensors bilaterally. The experimental group performed lower limbs active movements with a cycle-ergometer associated to NMES for 5 days. On the other hand, the control group performed the standard physiotherapeutic protocol of the hospital. At the end of the fifth day, they were re-assessed.
Results: It was evaluated IMP and EMP pre protocol on control and experimental groups with median and standard error -8±0.68, 20±6, -8±1.09, 22±3.65, SatO2 -2±0.51, 4±0.66, maximum isometric strength of right knee extensors 20±3.28, 40±6.7 and left knee extensors -20±4.07, 40±7.01 with p 0.001 in all variables.
Conclusion: It was observed improvement of the analysed variables on experimental group when it was compared to control group.
Footnotes
Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA581.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2019