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Effect of neuromuscular electrical stimulation on the recovery of people with COVID-19 admitted to the intensive care unit: A narrative review.

Burgess, L.C., Venugopalan, L., Badger, J., Street, T., Alon, G., Jarvis, J.C., Wainwright, T. W., Everington, T., Taylor, P. and Swain, I.D., 2021. Effect of neuromuscular electrical stimulation on the recovery of people with COVID-19 admitted to the intensive care unit: A narrative review. Journal of Rehabilitation Medicine, 53 (3), jrm00164.

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DOI: 10.2340/16501977-2805

Abstract

The rehabilitation of patients with COVID-19 after prolonged treatment in the intensive care unit is often complex and challenging. Patients may develop a myriad of long-term multi-organ impairments, affecting the respiratory, cardiac, neurological, digestive and musculoskeletal systems. Skeletal muscle dysfunction of respiratory and limb muscles, commonly referred to as intensive care unit acquired weakness, occurs in approximately 40% of all patients admitted to intensive care. The impact on mobility and return to activities of daily living is severe. Furthermore, many patients experience ongoing symptoms of fatigue, weakness and shortness of breath, in what is being described as "long COVID". Neuromuscular electrical stimulation is a technique in which small electrical impulses are applied to skeletal muscle to cause contractions when voluntary muscle contraction is difficult or impossible. Neuromuscular electrical stimulation can prevent muscle atrophy, improve muscle strength and function, maintain blood flow and reduce oedema. This review examines the evidence, current guidelines, and proposed benefits of using neuromuscular electrical stimulation with patients admitted to the intensive care unit. Practical recommendations for using electrical muscle stimulation in patients with COVID-19 are provided, and suggestions for further research are proposed.

Item Type:Article
ISSN:1650-1977
Uncontrolled Keywords:COVID-19 ; coronavirus infection ; muscular atrophy ; neuromuscular electrical stimulation ; rehabilitation ; critical care
Group:Faculty of Health & Social Sciences
ID Code:35235
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:01 Mar 2021 14:55
Last Modified:15 Aug 2021 08:28

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