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November 1, 2018MedicineOpen Access

Ambulation capacity and functional outcome in patients undergoing neuromuscular electrical stimulation after cardiac valve surgery

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Key result

Neuromuscular electrical stimulation fails to improve walking distance or speed after cardiac valve surgery.

  • 95% CI -64.87 to 65.97
  • n=59

Why the study?

No randomized clinical trial had evaluated the effects of neuromuscular electrical stimulation on functional capacity and quality of life in patients undergoing routine cardiac surgery with a short ICU stay.

Does neuromuscular electrical stimulation improve ambulation ability in adult patients undergoing cardiac valve surgery?

Comparison

Bilateral quadriceps and gastrocnemius NMES vs control

Design

Randomized, parallel, controlled, 2-arm assessor-blinded trial

Follow-up

Postoperative day 5

Authors

TCTelma Cristina Fontes CerqueiraUniversidade Federal de SergipeMNManoel Luiz de Cerqueira NetoUniversidade Federal de SergipeLCLucas de Assis Pereira CacauDiscovery Air (Canada)

Discussion

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Member takes

Overview

Neuromuscular electrical stimulation provides no benefit for early ambulation after valve surgery; challenges its presumed efficacy and extends negative evidence in cardiac surgical populations.

Study Design

Type

RCT (n=59)

Blinding

Single-blind

Randomization

randomly assigned

Structured PICO

Does neuromuscular electrical stimulation improve ambulation ability in adult patients undergoing cardiac valve surgery?

P
Population
59 adult patients undergoing cardiac valve reconstruction and/or replacement, evaluated up to postoperative day 5.
I
Intervention
Neuromuscular electrical stimulation (NMES) in the quadriceps and gastrocnemius, bilaterally, for 60 minutes, for up to 10 sessions
C
Comparator
Control group
O
Outcome
Ambulation ability, assessed through the Six-Minute Walk Test and Walking Speed Test at postoperative day 5 (5PO)surrogate

Neuromuscular electrical stimulation did not improve walking ability, strength, quality of life, or functional outcome in the immediate postoperative period for patients undergoing cardiac valve surgery.

Cite This Study

Cerqueira et al. (2018) conducted an RCT in Cardiac valve surgery (n=59). Neuromuscular electrical stimulation (NMES) vs. Control was evaluated on Ambulation ability assessed through the Six-Minute Walk Test and Walking Speed Test at postoperative day 5 (95% CI -64.87 to 65.97). Neuromuscular electrical stimulation had no significant effect on distance walked (95% CI, -64.87 to 65.97) or walking speed (95% CI, -0.55 to 0.57) at postoperative day 5 after cardiac valve surgery.

synapsesocial.com/papers/6aa7619e81e04cd49a184143https://doi.org/10.1097/md.0000000000013012
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Also Consider

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