Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial

Objective: To evaluate and compare the effects of two modalities of respiratory and peripheral muscle training in patients with chronic cardiorespiratory diseases. Methodology: A randomized clinical trial performed from September 2015 to December 2016 at the University Hospital of Canoas/RS, Brazil....

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Principais autores: Meine Azambuja, Aline de Cássia, Kuhn, Andressa de Almeida, Américo, Larissy dos Santos, da Silva, Maria Camila, dos Santos, Priscila Paula, dos Santos, Laura Jurema
Formato: Online
Idioma:eng
Publicado em: UFRN
Endereço do item:https://periodicos.ufrn.br/revistadefisioterapia/article/view/11341
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spelling oai:periodicos.ufrn.br:article-113412020-01-17T15:39:29Z Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial English Meine Azambuja, Aline de Cássia Kuhn, Andressa de Almeida Américo, Larissy dos Santos da Silva, Maria Camila dos Santos, Priscila Paula dos Santos, Laura Jurema Objective: To evaluate and compare the effects of two modalities of respiratory and peripheral muscle training in patients with chronic cardiorespiratory diseases. Methodology: A randomized clinical trial performed from September 2015 to December 2016 at the University Hospital of Canoas/RS, Brazil. Patients were randomized into 2 groups: Group I (Intervention) - transcutaneous electrical diaphragmatic stimulation (TEDS) and neuromuscular electrical stimulation (NMES) associated with voluntary contraction; and Group II (Conventional) - peripheral muscle training through mechanical resources and respiratory training through Power Breathe®. Both groups performed a respiratory and motor physiotherapy protocol standardized by the research team. The evaluation consisted of assessing respiratory muscle strength through MIP and MEP, peripheral muscle strength through the Medical Research Council (MRC) score and functionality through the Functional Independence Measure (FIM) scale. The level of significance was set at p?0.05 and the analyses were performed in the SPSS program version 21.0. Results: Twenty patients were included in the study, 11 belonging to Group I and 9 to Group II. The mean age was 68.7 ± 12.1 years, with a prevalence of the female gender (65%). The intervention group had a significant increase in MEP (p = 0.011), functional independence (p = 0.024), left palmar grip strength (p = 0.017) and peripheral muscle strength (p = 0.012). Conclusion: Both training modalities improved expiratory and peripheral muscle strength. In addition, there was only an increase in functional independence in the intervention group (NMES + TEDS). UFRN 2019-12-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo avaliado pelos Pares application/pdf https://periodicos.ufrn.br/revistadefisioterapia/article/view/11341 Journal of Respiratory and CardioVascular Physical Therapy; Vol. 7 No. 2 (2018); 3-12 Revista de Fisioterapia Respiratória e CardioVascular; v. 7 n. 2 (2018); 3-12 2238-4677 eng https://periodicos.ufrn.br/revistadefisioterapia/article/view/11341/12411 Copyright (c) 2019 Revista de Fisioterapia Respiratória e CardioVascular
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language eng
format Online
author Meine Azambuja, Aline de Cássia
Kuhn, Andressa de Almeida
Américo, Larissy dos Santos
da Silva, Maria Camila
dos Santos, Priscila Paula
dos Santos, Laura Jurema
spellingShingle Meine Azambuja, Aline de Cássia
Kuhn, Andressa de Almeida
Américo, Larissy dos Santos
da Silva, Maria Camila
dos Santos, Priscila Paula
dos Santos, Laura Jurema
Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
author_facet Meine Azambuja, Aline de Cássia
Kuhn, Andressa de Almeida
Américo, Larissy dos Santos
da Silva, Maria Camila
dos Santos, Priscila Paula
dos Santos, Laura Jurema
author_sort Meine Azambuja, Aline de Cássia
title Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
title_short Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
title_full Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
title_fullStr Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
title_full_unstemmed Neuromuscular Electrical Stimulation And Transcutaneous Electrical Diaphragmatic Stimulation In Hospitalized Patients With Chronic Cardiorespiratory Diseases: A Randomized Clinical Trial
title_sort neuromuscular electrical stimulation and transcutaneous electrical diaphragmatic stimulation in hospitalized patients with chronic cardiorespiratory diseases: a randomized clinical trial
description Objective: To evaluate and compare the effects of two modalities of respiratory and peripheral muscle training in patients with chronic cardiorespiratory diseases. Methodology: A randomized clinical trial performed from September 2015 to December 2016 at the University Hospital of Canoas/RS, Brazil. Patients were randomized into 2 groups: Group I (Intervention) - transcutaneous electrical diaphragmatic stimulation (TEDS) and neuromuscular electrical stimulation (NMES) associated with voluntary contraction; and Group II (Conventional) - peripheral muscle training through mechanical resources and respiratory training through Power Breathe®. Both groups performed a respiratory and motor physiotherapy protocol standardized by the research team. The evaluation consisted of assessing respiratory muscle strength through MIP and MEP, peripheral muscle strength through the Medical Research Council (MRC) score and functionality through the Functional Independence Measure (FIM) scale. The level of significance was set at p?0.05 and the analyses were performed in the SPSS program version 21.0. Results: Twenty patients were included in the study, 11 belonging to Group I and 9 to Group II. The mean age was 68.7 ± 12.1 years, with a prevalence of the female gender (65%). The intervention group had a significant increase in MEP (p = 0.011), functional independence (p = 0.024), left palmar grip strength (p = 0.017) and peripheral muscle strength (p = 0.012). Conclusion: Both training modalities improved expiratory and peripheral muscle strength. In addition, there was only an increase in functional independence in the intervention group (NMES + TEDS).
publisher UFRN
publishDate 2019
url https://periodicos.ufrn.br/revistadefisioterapia/article/view/11341
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