Yıl: 2015 Cilt: 61 Sayı: 1 Sayfa Aralığı: 12 - 7 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit

Öz:
Chronic obstructive pulmonary disease is a major public health problem. In the present study, we aimed to investigate the possible effects of upper extremity exercises and neuromuscular electrical stimulation therapy applied to auxiliary respiratory muscles on arterial blood gases, blood pressure, heart rate values, and quality of life in patients with chronic obstructive pulmonary disease. Material and Methods: Thirty patients who were diagnosed with stage 4 severe chronic obstructive pulmonary disease by a pulmonologist and who needed intensive care were included in the study. The patients were equally allocated into two groups containing 15 patients each: control and intervention. Both groups were given an unassisted upper extremity exercise program for four weeks, and only one group was given neuromuscular electrical stimulation on auxiliary respiratory muscles for 10 days. Arterial blood gas measurements, peak heart rate, and breathing frequency were recorded. St. Georges Respiratory Questionnaire and short form-36 were performed for the evaluation of the quality of life. Functional capacity was determined by functional independent measurement. Evaluations of the patients were performed on the 1st, 8th, 15th, and 30th days of the study. Results: There were statistically significant improvements in peak heart rate, breathing frequency per minute, and functional independency scores in the group where exercise and neuromuscular electrical stimulation had been concomitantly applied (p<0.05). Conclusion: This study revealed positive effects of neuromuscular electrical stimulation in addition with therapeutic exercises on the cardiorespiratory system in the short run.
Anahtar Kelime:

Konular: Rehabilitasyon

Yoğun Bakım Ünitesinde Tedavi Edilen Kronik Obstruktif Akciğer Hastalığı Olan Hastalarda Yardımcı Solunum Kaslarına Uygulanan Nöromuskuler Elektrik Stimülasyonunun Etkinliği

Öz:
üst ekstremite egzersizleri ve yardımcı solunum kaslarına eklenen nöromuskuler elektrik stimülasyonu tedavisinin, arteriyel kan gazı, kalp atım hızı ve yaşam kalitesine olumlu etkisini araştırmayı amaçladık. Gereç ve Yöntemler: Göğüs hastalıkları uzmanı tarafından evre 4 şiddetli kronik obstrüktif akciğer hastalığı tanısı konulan yoğun bakım ihtiyacı olan otuz hasta çalışmaya dahil edildi. Bu hastalar kontrol ve tedavi grubu olarak her biri on beş hasta içeren eşit sayıda iki gruba ayrıldı. Her iki gruba dört hafta boyunca yardımsız üst ekstremite egzersiz programı ve sadece bir gruba on gün boyunca yardımcı solunum kaslarına nöromuskuler elektrik stimulasyonu tedavisi verildi. Arteriyel kan gazı değerlendirmesi, kalp tepe atım hızı ve solunum sıklığı kaydedildi. Yaşam kalitesini değerlendirmek için St. George s Solunum anketi ve Kısa form 36 uygulandı. Fonksiyonel kapasite fonksiyonel bağımsızlık indeksi kullanılarak ölçüldü. Hastaların değerlendirilmesi başlangıç, 8. gün, 15. gün ve 30. günde yapıldı. Bulgular: Kalp tepe atım hızı, dakikalık solunum sıklığı, fonksiyonel bağımsızlık puanı egzersiz ve nöromuskuler elektrik stimülasyonu birlikte uygulanmış grupta istatistiksel olarak anlamlı olarak düzelmiş bulundu. Sonuç: Bu çalışma kısa dönemde kardiyorespiratuvar sistem üzerine tedavi edici egzersiz üzerine eklenen nöromuskuler egzersiz programının olumlu etkisi olduğunu göstermiştir. Anahtar Kelimeler: Kronik obstrüktif akciğer hastalığı, nöromuskuler
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Qaseem A, Wilt TJ, Weinberger SE, Hanania NA, Criner G, van der Molen T, et al. Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline upda- te from the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respi- ratory Society. Ann Intern Med 2011;155:179-91. [CrossRef]
  • Gingter C, Wilm S, Abholz HH. Is COPD a rare disease? Prevalence and identification rates in smokers aged 40 years and over within general practice in Germany. Fam Pract 2009;26:3-9. [CrossRef]
  • Spruit MA, Troosters T, Trappenburg JC, Decramer M, Gosselink R. Exercise training during rehabilitation of patients with COPD: a cur- rent perspective. Patient Educ Couns 2004;52:243-8. [CrossRef]
  • 4. Luppi F, Franco F, Beghe B, Fabbri LM .Treatment of chronic obstruc- tive pulmonary disease and its comorbidities. Proc Am Thorac Soc 2008;5:848-56. [CrossRef]
  • 5. Matic I, Danic D, Majeric-Kogler V, Jurjevic M, Mirkovic I, Mrzljak VN. Chronic Obstructive Pulmonary Disease and Weaning of Dif- ficult to wean patients from mechanical ventilation: randomized prospective study. Croat Med J 2007;48:51-8.
  • 6. Clni E, Ambrrosino N. Early physiotherapy in the respiratory inten- sive care unit. Respir Med 2005;99:1096-104. [CrossRef]
  • 7. Vivodtzev I, Debigaré R, Gagnon P, Mainguy V, Saey D, Dubé A, et al. Functional and muscular effects of neuromuscular electrical sti- mulation in patients with severe COPD: a randomized clinical trial. Chest 2012;141:716-25. [CrossRef]
  • 8. Vestbo J, Hurd SS, Agustí AG, Jones PW, Vogelmeier C, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive sum- mary. Am J Respir Crit Care Med 2013;187:347-65. [CrossRef]
  • 9. Jones PW, Quirk FH, Baveystock CM. The St George’s Respiratory Questionnaire. Respir Med 1991;85(Suppl B):25-31. [CrossRef]
  • 10. Ware JE Jr, Sherbourne CD. The MOS 36-item short form healthy survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473-83. [CrossRef]
  • 11. Stineman MG, Jette A, Fiedler R, Granger C. Impairment-specific di- mensions within the Functional Independence Measure. Arch Phys Med Rehabil 1997;78:636-43. [CrossRef]
  • 12. Pauwels RA, Buist AS, Calverley PM, Jenkins CR, Hurd SS. Global strategy for the diagnosis, management, and prevention of chronic
  • obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) workshop summary. Am J Respir Crit Care Med 2001;163:1256-76. [CrossRef]
  • 13. Barnes PJ, Kleinert S. COPD-a neglected disease. Lancet 2004;364:564-5. [CrossRef]
  • 14. Skeletal muscle dysfunction in chronic obstructive pulmonary di- sease: a statement of the American Thoracic Society and European Respiratory Society. Am J Respir Crit Care Med 1999;159:S1-40.
  • 15. Nava S, Ambrosio N. Rehabilitation in the ICU: the European phoe- nix. Intensive Care Med 2000;26:841-4. [CrossRef]
  • 16. Green RH, Singh SJ, Williams J, Morgan MD. A randomised controlled trial of four weeks versus seven weeks of pulmonary rehabilitation in chronic obstructive pulmonary disease. Thorax 2001;56:143-5. [CrossRef]
  • 17. Gezgen A, Erk M, Müsellim B, Demir T, Mutlu B. The effect of up- per extremity exercises on COPD and quality of life. Turk Respir 2001;3:60-5.
  • 18. Zanotti E, Felicetti G, Maini M, Fracchia C. Peripheral musc- le strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003;124:292-6.[CrossRef]
  • 19. Dourado VZ, Antunes LC, Tanni SE, de Paiva SA, Padovani CR, Godoy I. Relationship of upper-limb and thoracic muscle strength to 6-min walk distance in COPD patients. Chest 2006;129:551-7. [CrossRef]
  • 20. Nápolis LM, CorsoI SD, Neder JA, MalagutiI C, Gimenes ACO, NeryI IE. Neuromuscular electrical stimulation improves exercise toleran- ce in chronic obstructive pulmonary disease patients with better preserved fat-free mass. Clinics 2011;60:401-6. [CrossRef]
APA KURTOĞLU KOÇAK D, Tastekin N, BİRTANE M, TABAKOĞLU E, Süt N (2015). Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. , 12 - 7.
Chicago KURTOĞLU KOÇAK Dilek,Tastekin Nurettin,BİRTANE Murat,TABAKOĞLU Erhan,Süt Necdet Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. (2015): 12 - 7.
MLA KURTOĞLU KOÇAK Dilek,Tastekin Nurettin,BİRTANE Murat,TABAKOĞLU Erhan,Süt Necdet Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. , 2015, ss.12 - 7.
AMA KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. . 2015; 12 - 7.
Vancouver KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. . 2015; 12 - 7.
IEEE KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N "Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit." , ss.12 - 7, 2015.
ISNAD KURTOĞLU KOÇAK, Dilek vd. "Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit". (2015), 12-7.
APA KURTOĞLU KOÇAK D, Tastekin N, BİRTANE M, TABAKOĞLU E, Süt N (2015). Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61(1), 12 - 7.
Chicago KURTOĞLU KOÇAK Dilek,Tastekin Nurettin,BİRTANE Murat,TABAKOĞLU Erhan,Süt Necdet Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61, no.1 (2015): 12 - 7.
MLA KURTOĞLU KOÇAK Dilek,Tastekin Nurettin,BİRTANE Murat,TABAKOĞLU Erhan,Süt Necdet Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.61, no.1, 2015, ss.12 - 7.
AMA KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(1): 12 - 7.
Vancouver KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(1): 12 - 7.
IEEE KURTOĞLU KOÇAK D,Tastekin N,BİRTANE M,TABAKOĞLU E,Süt N "Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61, ss.12 - 7, 2015.
ISNAD KURTOĞLU KOÇAK, Dilek vd. "Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61/1 (2015), 12-7.