医学
功能独立性测度
随机对照试验
股直肌
麻醉
功能性电刺激
物理疗法
步态
心脏外科
康复
刺激
物理医学与康复
外科
肌电图
内科学
作者
Telma Cristina Fontes Cerqueira,Manoel Luiz de Cerqueira Neto,Lucas de Assis Pereira Cacau,Amaro Afrânio de Araújo Filho,Géssica Uruga Oliveira,Walderi Monteiro da Silva Júnior,Vitor Oliveira Carvalho,José Teles de Mendonça,Valter Joviniano Santana‐Filho
标识
DOI:10.1177/02692155211070945
摘要
To evaluate the effects of neuromuscular electrical stimulation on functional capacity of patients in the immediate postoperative period of cardiac surgery.A prospective, randomized controlled trial.A cardiac surgery specialist hospital in Aracaju, Sergipe, Brazil. Subjects: Patients in the postoperative period of cardiac surgery.The control group received the conventional physiotherapy and the intervention group received neuromuscular electrical stimulation of the rectus femoris and gastrocnemius muscles bilaterally, applied for 60 min, twice a day for up to 10 sessions per patient, in the immediate postoperative period until postoperative day 5.The primary outcome was the distance walked, which was evaluated using the 6-min walk test on postoperative day 5. Secondary outcomes were gait speed, lactate levels, muscle strength, electromyographic activity of the rectus femoris and Functional Independence Measure, some of them evaluated on preoperative and postoperative period.Of 132 eligible patients, 88 patients were included and randomly allocated in two groups, and 45 patients were included in the analysis. No significant difference was found on the distance walked (p = 0.650) between patients allocated in intervention group (239.06 ± 88.55) and control group (254.43 ± 116.67) as well as gait speed (p = 0.363), lactate levels (p = 0.302), knee extensor strength (p = 0.117), handgrip strength (p = 0.882), global muscle strength (p = 0.104), electromyographic activity (p = 0.179) and Functional Independence Measure (p = 0.059).Although the effects are still uncertain, the use of neuromuscular electrical stimulation carried out in five days didn't present any benefit on functional capacity of patients in the immediate postoperative period of cardiac surgery.
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