Effectiveness of neuromuscular electrostimulation in COPD subjects on mechanical ventilation. A systematic review and meta-analysis
Clinics
;
77: 100108, 2022. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1404306
ABSTRACT
Abstract 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.
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Controlled clinical trial
/
Systematic reviews
Language:
English
Journal:
Clinics
Journal subject:
Medicine
Year:
2022
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Instituto Nacional del Tórax/CL
/
Universidad Andres Bello/CL
/
Universidad de La Frontera/CL
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