Muscular Atrophy
Conditions
Keywords
skeletal muscle, ubiquitin, proteasome, IGF-1, MGF, protein catabolism, neuromuscular electrical stimulation, Investigate effect of NMES on muscle metabolism of catabolic patients
Brief summary
Skeletal muscle atrophy is associated with catabolic conditions such as major surgical interventions and leads to reduced muscle strength, increased clinical complications and prolonged convalescence. Several studies revealed immobilisation as a major stimulus for muscle wasting in severely ill patients. This study investigates the potency of neuromuscular electrical stimulation on skeletal muscle growth factors and degradation processes in major abdominal surgery patients.
Interventions
Electrical stimuli of 50 Hz (pulse width 0.25ms, 8 sec on, 4 sec off) were applied daily for 30 min, for 4 days, starting on the first postoperative day.The amplitude of the electrical stimuli in the stimulated leg was adjusted to ensure maximum tolerable muscle contraction.
Sponsors
Study design
Eligibility
Inclusion criteria
* intended for major abdominal surgery * more than 18 years old
Exclusion criteria
* neuromuscular diseases * immobility before surgery * arterial occlusive disease Fontaine stadium IV * clinical or laboratory signs of inflammation or sepsis * cachexia * diseases of the musculoskeletal systems contraindicating electrical stimulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mRNA level of IGF-1Ea | — |
Secondary
| Measure | Time frame |
|---|---|
| mRNA level of MGF, total RNA content, total protein content, ubiquitin conjugated proteins, proteasome activity | — |
Countries
Austria