title: Use of neuromuscular electrical stimulation to preserve the thickness of abdominal and chest muscles of critically ill patients: A randomized clinical trial.
abstract: OBJECTIVE
  To evaluate and compare the effects of neuromuscular electrical stimulation combined with conventional physical therapy on muscle thickness in critically ill patients.
  
  
  METHODS
  Double-blind, randomized controlled trial.
  
  
  METHODS
  Twenty-five patients participated in the study.
  
  
  METHODS
  Patients on mechanical ventilation for 24-48 h were randomized to an intervention group (neuromuscular electrical stimulation + conventional physical therapy) or a conventional group (sham neuromuscular electrical stimulation + conventional physical therapy). Primary outcome was thickness of the rectus abdominis and chest muscles, determined on cross-sectional ultrasound images before and after the intervention.
  
  
  RESULTS
  Eleven patients were included in the intervention group and 14 in the conventional group. After neuromuscular electrical stimulation, rectus abdominis muscle thickness and chest muscle thickness were preserved in the intervention group, whereas there was a significant reduction in thickness in the conventional group, with a significant difference between groups. There was a significant difference between groups in length of stay in the intensive care unit, with shorter length of stay in the intervention group.
  
  
  CONCLUSIONS
  There was no change in rectus abdominis and chest muscle thickness in the intervention group. A significant decrease was found in these measures in the conventional group.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Dall' Acqua
authors.forename: Amanda
authors.initials: A
authors.lastname: Sachetti
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Santos
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Lemos
authors.forename: Tanara
authors.initials: T
authors.lastname: Bianchi
authors.forename: Wagner S
authors.initials: WS
authors.lastname: Naue
authors.forename: Alexandre S
authors.initials: AS
authors.lastname: Dias
authors.forename: Graciele
authors.initials: G
authors.lastname: Sbruzzi
authors.forename: Silvia R R
authors.initials: SR
authors.lastname: Vieira
mesh_terms: D000009:Abdominal Muscles / Q000503:physiopathology*; D000328:Adult; D016638:Critical Illness / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D004311:Double-Blind Method; D004599:Electric Stimulation Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology*; D016896:Treatment Outcome