Effectiveness of Neuromuscular Electrical Stimulation in Critically Ill Patients Undergoing Extracorporeal Membrane Oxygenation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 50
- Locations
- 1
Study Overview
Brief Summary
The goal of this clinical trial study: is to determine the effectiveness of neuromuscular electrical stimulation in critically ill patients undergoing extracorporeal membrane oxygenation.
The main questions it aims to answer are:
- Does NMES has an effect when added to conventional protocol for ECMO patients?
- Does NMES will help in preserve muscle mass?
- Patients will recieve the treatment untill discharge.
- Assesment will be done before and after treatement
Detailed Description
- Subjects:
Fifty Patients from both genders with pulmonary or cardiac disease receiving extracorporeal membrane oxygenation will participate in this study. They will randomly have divided into two groups equal in numb.Their ages will be ranged from 20 to 50 years. 2. Design of the study:
In this study the patients will be randomly assigned into two equal groups (25 patients for each group):
- Group A (Study group):
This group includes 25 patients who will receive VMS current of NMES on quadriceps muscle bilateral for 30 min daily for one week in addition to conventional physiotherapy program (Range of motion exercises, Positioning,Strengthening exercises and Stretching exercises). 2. Group B (Control group):
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult patients of both sexes aged 20 to 50 years
- •Patients receiving extracorporeal membrane oxygenation (ECMO) (veno-venous or veno- arterial)
- •Patients admitted to the ECMO unit for at least 72 hours
- •Hemodynamically stable patients as determined by the treating medical team
- •Patients medically eligible for participation in physiotherapy and neuromuscular electrical stimulation (NMES)
Exclusion Criteria
- •Hemodynamic instability
- •Patients requiring ECMO support for less than 72 hours
- •Unstable cardiac arrhythmias
- •Hemorrhagic shock
- •Deep venous thrombosis or pulmonary embolism
- •Lower limb open wounds or acute skin burns at electrode placement sites
- •Pregnant patients
- •Patients receiving intra-aortic balloon pump (IABP) support
- •Any contraindication to NMES application
Investigators
Ehssan Rabie
Physiotherapy specialist
Cairo University