Repositorio UFRO · Omeka S

Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis

Primer Autor	Seron, Pamela
Co-autores	Gutierrez-Arias, Ruvistay Jalil, Yorschua Fuentes-Aspe, Rocio
Título	Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
Editorial	ELSEVIER ESPANA
Revista	CLINICS
Lenguaje	en
Resumen	Objective: To estimate the effectiveness of Neuromuscular Electrostimulation (NMES) in adults with COPD undergoing MV. Method: A sensitive search was performed in MEDLINE, Embase, CENTRAL, CINAHL and other resources. Randomized Controlled Clinical Trials (RCTs) or non-RCTs that enrolled adults with COPD on MV due to an exacerbation of their disease were included. Two independent reviewers screened, extracted information, and assessed the risk of bias (RoB 2 tool) and the certainty of evidence (GRADE approach) from the included studies. Results: Four RCTs (144 participants) were included. Subjects who underwent NMES were able to move from bed to chair independently in less time (MD = 4.98 days less, 95% CI -8.55 to -1.47, 2 RCTs, low certainty of the evidence) and they were fewer days on MV (MD = 2.89 days less, 95% CI -4.58 to -1.21), 3 RCTs, low certainty of the evidence) than the control group. However, the effect of NMES on muscle strength is unclear (very low certainty of the evidence). Conclusions: NMES may improve functional independence and decrease MV time in adults with COPD, however, its effectiveness on muscle strength is uncertain. More and better RCTs are needed to determine with greater certainty the effectiveness of NMES in this population.
Tipo de Recurso	artículo de revisión
doi	10.1016/j.clinsp.2022.100108
Formato Recurso	PDF
Palabras Claves	COPD Neuromuscular electrostimulation Mechanical ventilation Critical illness Systematic review Meta-analysis ELECTRICAL-STIMULATION MUSCLE DYSFUNCTION PHYSICAL-THERAPY STRENGTH MODERATE REHABILITATION MORTALITY WEAKNESS QUALITY GRADE
Ubicación del archivo	http://dx.doi.org/10.1016/j.clinsp.2022.100108
Categoría OCDE	Medicina general e interna
Materias	EPOC Electroestimulación neuromuscular Ventilación mecánica Enfermedad crítica Revisión sistemática Metanálisis ESTIMULACIÓN ELÉCTRICA DISFUNCIÓN MUSCULAR TERAPIA FÍSICA FORTALEZA MODERADA REHABILITACIÓN MORTALIDAD DEBILIDAD CALIDAD GRADO
Disciplinas de la OCDE	Sistema Respiratorio Otros Temas de Medicina Clínica Tecnología Médica
Versión del recurso (Recomendado-único)	version publicada
Tipo de ruta	dorada verde
Access Rights	acceso abierto
Derechos de acceso	acceso abierto
Id de Web of Science	WOS:000875233600022
Título de la cita (Recomendado-único)	Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
Identificador del recurso (Mandatado-único)	artículo de revisión
License	CC BY 4.0
Condición de la licencia (Recomendado-repetible)	CC BY 4.0