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Pandey, Dharam Pani
- Electrical Muscle Stimulation (EMS) Preserve Muscle Strength in Critically ill Patients- A Pilot Study
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Authors
Affiliations
1 Singhania University, Pacheri, Rajasthan, IN
2 Internal Medicine, Jaipur Golden Hospital, Rohini, New Delhi, IN
3 Neurologist, Jaipur Golden Hospital, Rohini, New Delhi, IN
1 Singhania University, Pacheri, Rajasthan, IN
2 Internal Medicine, Jaipur Golden Hospital, Rohini, New Delhi, IN
3 Neurologist, Jaipur Golden Hospital, Rohini, New Delhi, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 71-75Abstract
Introduction: Weakness that is acquired during hospitalization for critical illness is increasingly recognized as common and important clinical problem. Weakness acquired in the intensive care unit (ICU) and related acquired neuromuscular dysfunction occur in a large percentage of critically ill patients and are associated with increased morbidity and mortality.Objective: This study was designed to investigate the effects of electrical muscle stimulation (EMS) on strength of muscle groups stimulated in critically ill patients.
Method: 134 subjects were recruited among the patient admitted in multidisciplinary intensive care units and randomly divided in to control and EMS group. Patients unable to understand or speak English and or Hindi due to language barrier or cognitive impairment prior to admission, unable to independently transfer from bed to chair at baseline prior to hospital admission, Patient with known history of primary systemic neuromuscular disease, vascular events, organ transplant, intracranial process that is associated with localizing weakness, transferred from another ICU after >2 consecutive days of mechanical ventilation, amputation of lower extremities were excluded from study.
Results: EMS group patients achieved higher MRC scores than controls in knee extensors (left ≤ 0.018), (right P ≤ 0.038) and ankle dorsiflexors (left ≤ 0.04), (right P ? 0.05)
Conclusions: EMS has beneficial effects on the strength of critically ill patients mainly affecting muscle groups stimulated, it can be considered as a potential effective means of muscle strength preservation and early mobilization in this patient population.
Keywords
Electrical Muscle Stimulation, Muscle Strength, CIPNM, CIM, ICU-AW
References
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- Effect of Different Body Positions on Manual Dexterity in Clinical Nurses
Abstract Views :395 |
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Authors
Affiliations
1 Senior Neuro Physiotherapist, Jaipur Golden Hospital, Rohini, New Delhi, Golden Hospital, Rohini, New Delhi, IN
2 Dr. M.V. Shetty College of Physiotherapy, Mangalore, Karnataka, IN
3 H.O.D., Department of Physiotherapy and Rehabilitation Sciences, Jaipur, IN
1 Senior Neuro Physiotherapist, Jaipur Golden Hospital, Rohini, New Delhi, Golden Hospital, Rohini, New Delhi, IN
2 Dr. M.V. Shetty College of Physiotherapy, Mangalore, Karnataka, IN
3 H.O.D., Department of Physiotherapy and Rehabilitation Sciences, Jaipur, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 2 (2012), Pagination: 108-111Abstract
Objective The main objective of this study was to determine the effect of posture on psychomotor efficiency using Purdue Pegboard Test (PPT) and to compare the effect of different postures on psychomotor efficiency using Purdue Pegboard Test (PPT). Design of Study A prospective non randomized comparative study design. Participants Healthy nurses in age group of 20-40 years. Main outcome Measures Manual dexterity was tested using Purdue Pegboard Test. Results The result showed a better dexterity in sitting position in all the four tasks (mean and standard deviation of RHT was 18.50 ± 1.872; for LHT it was 16.52 ± 1.772;for BHT it was 14.29 ± 1.415, for AT it was 39.00 ± 6.176), comparatively lesser in standing (mean and standard deviation of RHT was 17.73 ± 1.830;for LHT it was 15.82 ± 1.684, for BHT it was 13.64 ± 1.621; and for AT it was 36.38 ± 8.006) while least in waist bent position (mean and standard deviation of RHT was 16.70 ± 1.761, for LHT it was 15.16 ± 2.131; for BHT it was 12.71 ± 1.784; and for AT it was 33.57 ± 8.381). Similar results were seen for the comfort level of the positions with sitting as most comfortable and easy while waist bent position was most painful with least comfort and easy level. Conclusion The result of this study shows dexterity is strongly related with posture and its comfort ability. Change in posture produces a change in dexterity in a significant manner. Positions such as waist bent are both uncomfortable as well as provide less dexterity whereas sitting positions proves to be comfortable as well as imparts better dexterity. Thus sitting position should be considered as the preferred position wherever possible by the clinical nurses, so as to improve dexterity and perform functions skillfully.Keywords
Hand Function, Dexterity, Nurse; Posture, Purdue Pegboard TestReferences
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