Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/12194
Title: Functional electrical stimulation with cycling in the critically ill: a pilot case-matched control study.
Authors: Parry, Selina M;Berney, Susan C;Warrillow, Stephen J;El-Ansary, Doa;Bryant, Adam L;Hart, Nicholas;Puthucheary, Zudin;Koopman, Renè;Denehy, Linda
Affiliation: Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
Department of Physiotherapy, Austin Health, Melbourne, Australia.
Department of Intensive Care, Austin Health, Melbourne, Australia.
Guy's and St Thomas' NHS Foundation Trust and King's College London, NIHR Comprehensive Biomedical Research Centre, London, UK.
Department of Asthma, Allergy and Lung Biology, Institute of Health and Human Performance, University College London, Kings College London, London, UK.
Department of Physiology, The University of Melbourne, Melbourne, Australia.
Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia. Electronic address: l.denehy@unimelb.edu.au.
Issue Date: 26-Mar-2014
Citation: Journal of Critical Care 2014; 29(4): 695.e1-7
Abstract: The purpose was to determine (a) safety and feasibility of functional electrical stimulation (FES)-cycling and (b) compare FES-cycling to case-matched controls in terms of functional recovery and delirium outcomes.Sixteen adult intensive care unit patients with sepsis ventilated for more than 48 hours and in the intensive care unit for at least 4 days were included. Eight subjects underwent FES-cycling in addition to usual care and were compared to 8 case-matched control individuals. Primary outcomes were safety and feasibility of FES-cycling. Secondary outcomes were Physical Function in Intensive Care Test scored on awakening, time to reach functional milestones, and incidence and duration of delirium.One minor adverse event was recorded. Sixty-nine out of total possible 95 FES sessions (73%) were completed. A visible or palpable contraction was present 80% of the time. There was an improvement in Physical Function in Intensive Care Test score of 3.9/10 points in the intervention cohort with faster recovery of functional milestones. There was also a shorter duration of delirium in the intervention cohort.The delivery of FES-cycling is both safe and feasible. The preliminary findings suggest that FES-cycling may improve function and reduce delirium. Further research is required to confirm the findings of this study and evaluate the efficacy of FES-cycling.
Internal ID Number: 24768534
URI: http://ahro.austin.org.au/austinjspui/handle/1/12194
DOI: 10.1016/j.jcrc.2014.03.017
URL: http://www.ncbi.nlm.nih.gov/pubmed/24768534
Type: Journal Article
Subjects: Electric stimulation therapy
Intensive care
Muscle weakness
Recovery of function
Rehabilitation
Adult
Aged
Case-Control Studies
Critical Illness.therapy
Delirium.etiology
Electric Stimulation Therapy.adverse effects.methods
Feasibility Studies
Female
Humans
Intensive Care
Male
Middle Aged
Pilot Projects
Recovery of Function
Sepsis.complications
Appears in Collections:Journal articles

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