Muscle Weakness
Conditions
Keywords
muscle strength, muscle function, functional status
Brief summary
The primary aim of this proposal is to test the effectiveness of neuromuscular electrical stimulation (NMES) in improving functional status and muscle function in patients receiving prolonged mechanical ventilation.
Interventions
Electrical stimulation of lower extremities will be applied using an electrotherapy stimulator device (Vectra® Neo). The intensity of stimulation will be titrated based on maximal tolerable muscle contraction
Sham stimulation of lower extremities will be applied using an electrotherapy stimulator device (Vectra® Neo).
Sponsors
Study design
Eligibility
Inclusion criteria
* Duration of mechanical ventilation \>14 days * Sufficiently awake * Able to speak and comprehend English * Willingness to participate
Exclusion criteria
* Cardiopulmonary Instability * Acute-onset neuromuscular disease * Lower-extremity amputee or paresis * Open wound at electrode application points * Pitting edema grade ≥3 * Presence of pacemaker, implanted defibrillator, or ventricular-assist device * inability to transfer from sitting to standing before critical illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to reach independence in performing functional activity | Hospital discharge, an expected average stay of 5 weeks | Functional activity as measured by functional activity measurement for the ICU (FSS-ICU) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The percentage of patients who can perform functional activities independently | Hospital discharge, an expected average stay of 5 weeks | Percentage of patients with an FSS-ICU score ≥ 25 at discharge from LTACH |
Countries
United States