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Titre : | Neuromuscular electrical stimulation after cardiovascular surgery mitigates muscle weakness in older individuals with diabetes (2023) |
Auteurs : | Koya Takino ; Masataka Kameshima ; Chikako Asai ; Itta Kawamura ; Shinji Tomita ; Hiroyuki Sato ; Akihiro Hirakawa ; Sumio Yamada |
Type de document : | Article |
Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 66, n° 2, March 2023) |
Article en page(s) : | 101659 |
Note générale : | https://doi.org/10.1016/j.rehab.2022.101659 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Diabète de type 1 ; Essai contrôlé randomisé ; Faiblesse musculaire ; Procédures de chirurgie cardiaque ; Sujet âgé ; Sujet âgé de 80 ans ou plus |
Mots-clés: | Stimulation électrique neuromusculaire |
Résumé : | Background Cardiovascular surgery leads to postsurgical muscle weakness, probably because of muscle proteolysis and peripheral nerve dysfunction, which are augmented by aging and diabetes mellitus. Objective We examined the effect of neuromuscular electrical stimulation (NMES) on postsurgical muscle weakness in older individuals with diabetes mellitus. Methods We conducted a multicentre, randomized, controlled trial, and screened consecutive patients with diabetes who underwent cardiovascular surgery for eligibility (age ? 65 years). Those included were randomly assigned to the NMES or the sham group. The primary outcome was the percent change in isometric knee extension strength (%?IKES) from preoperative to postoperative day 7. Secondary outcomes were the percent change in usual (%?UWS), maximum walking speed (%?MWS), and grip strength (%?GS). A statistician who was blinded to group allocation used intention-to-treat analysis (student t test). Results Of 1151 participants screened for eligibility, 180 (NMES, n = 90; sham, n = 90) were included in the primary analysis. %?IKES was significantly lower in the NMES than sham group (NMES: mean -2%, 95% confidence interval [CI] -6 to 1; sham: -13%, 95% CI -17 to -9, p |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S187706572200032X |