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Title: Functional electrical stimulation with cycling in the critically ill: a pilot case-matched control study.
Austin 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 Asthma, Allergy and Lung Biology, Institute of Health and Human Performance, University College London, Kings College London, London, UK
Guy's and St Thomas' NHS Foundation Trust and King's College London, NIHR Comprehensive Biomedical Research Centre, London, UK
Department of Physiotherapy, Austin Health, Melbourne, Australia
Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia
Department of Intensive Care, Austin Health, Melbourne, Australia
Department of Physiology, The University of Melbourne, Melbourne, Australia
Issue Date: 26-Mar-2014
Publication information: 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.
Gov't Doc #: 24768534
DOI: 10.1016/j.jcrc.2014.03.017
Journal: Journal of Critical Care
Type: Journal Article
Subjects: Electric stimulation therapy
Intensive care
Muscle weakness
Recovery of function
Case-Control Studies
Critical Illness.therapy
Electric Stimulation Therapy.adverse effects.methods
Feasibility Studies
Intensive Care
Middle Aged
Pilot Projects
Recovery of Function
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