Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/1809-2950/21003529032022EN http://hdl.handle.net/1843/61093 https://orcid.org/0000-0001-6312-4164 https://orcid.org/0000-0002-7678-9007 https://orcid.org/0000-0002-3519-9895 https://orcid.org/0000-0002-8239-6496 https://orcid.org/0000-0002-4879-1345 https://orcid.org/0000-0001-9153-0848 |
Resumo: | Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barriers to its use in ICUs. This observational cross-sectional study was conducted via a structured questionnaire created by the authors. It consisted of 12 objective questions to analyze physical therapists’ knowledge of NMES use in critically ill patients. Physical therapists were invited to participate in this study during an international symposium on NMES. In total, 56 physical therapists, with a mean age of 33.5±7.2 years and working an average of 9.7±7 years after graduation, completed the survey. Overall, 34 respondents worked in ICUs, of which only four (12%) reported regular NMES use in their ICUs. We found a low average of correct answers to our questionnaire (25%; 3/12). The main barriers reported to using NMES in ICUs were lack of knowledge (28; 50%) and equipment (24; 43%). The number of correct answers expert and non-expert physical therapists was not statistically significant (p=0.68). Thus, we observed participants’ poor knowledge of NMES use in critically ill patients. Respondents showed that NMES has been underused in their ICUs. Lack of knowledge and equipment seems to be the main barriers for the use of NMES in ICUs. |
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2023-11-17T20:45:05Z2023-11-17T20:45:05Z2022293245251https://doi.org/10.1590/1809-2950/21003529032022EN2316-9117http://hdl.handle.net/1843/61093https://orcid.org/0000-0001-6312-4164https://orcid.org/0000-0002-7678-9007https://orcid.org/0000-0002-3519-9895https://orcid.org/0000-0002-8239-6496https://orcid.org/0000-0002-4879-1345https://orcid.org/0000-0001-9153-0848Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barriers to its use in ICUs. This observational cross-sectional study was conducted via a structured questionnaire created by the authors. It consisted of 12 objective questions to analyze physical therapists’ knowledge of NMES use in critically ill patients. Physical therapists were invited to participate in this study during an international symposium on NMES. In total, 56 physical therapists, with a mean age of 33.5±7.2 years and working an average of 9.7±7 years after graduation, completed the survey. Overall, 34 respondents worked in ICUs, of which only four (12%) reported regular NMES use in their ICUs. We found a low average of correct answers to our questionnaire (25%; 3/12). The main barriers reported to using NMES in ICUs were lack of knowledge (28; 50%) and equipment (24; 43%). The number of correct answers expert and non-expert physical therapists was not statistically significant (p=0.68). Thus, we observed participants’ poor knowledge of NMES use in critically ill patients. Respondents showed that NMES has been underused in their ICUs. Lack of knowledge and equipment seems to be the main barriers for the use of NMES in ICUs.A estimulação elétrica neuromuscular transcutânea (EENM) é considerada uma importante ferramenta para prevenir a perda de força e massa muscular em pacientes internados em unidades de terapia intensiva (UTIs). Este estudo teve como objetivo avaliar o perfil e conhecimento dos fisioterapeutas sobre a EENM e identificar as principais barreiras para sua utilização na UTI. Foi realizado um estudo observacional transversal, por meio de um questionário estruturado elaborado pelos autores. O questionário foi composto por 12 questões objetivas que visavam analisar o nível de conhecimento dos fisioterapeutas sobre o uso da EENM em pacientes críticos. Os fisioterapeutas foram convidados a participar do estudo durante um simpósio internacional sobre EENM. Cinquenta e seis fisioterapeutas completaram a pesquisa, a média de idade foi de 33,5±7,2 anos e o tempo médio de graduação de 9,7±7 anos. Trinta e quatro entrevistados trabalhavam na UTI, e destes apenas 4 (12%) relataram que a EENM era realizada rotineiramente em suas UTIs. Observou-se baixo nível de conhecimento sobre o uso da EENM em pacientes críticos no questionário, com média de 25% de acertos (3/12). Ao comparar os fisioterapeutas especialistas e não especialistas, o número de acertos não foi estatisticamente significativo (p=0,68). As principais barreiras relatadas para a utilização da técnica foram a falta de conhecimento 28 (50%) e a falta de equipamentos 24 (43%). Os entrevistados demonstraram que a EENM tem sido subutilizada em suas UTIs.engUniversidade Federal de Minas GeraisUFMGBrasilENG - DEPARTAMENTO DE ENGENHARIA ELÉTRICAENG - DEPARTAMENTO DE ENGENHARIA ELETRÔNICAFisioterapia e pesquisaEstimulação elétricaDebilidade muscularPolineuropatiasUnidades de terapia intensivaElectric etimulationMuscle weaknessPolyneuropathiesIntensive care unitAssessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its useAvaliação do uso da estimulação elétrica neuromuscular em pacientes críticos: conhecimento dos fisioterapeutas e barreiras à implementaçãoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/fp/a/b868YbHJBtxZZWmJk4Cbvbj/?lang=en#Janaina Almeida FernandesMarianne Lucena da SilvaAna Cristina TranchoJosé Roberto de Deus MacedoHenrique Resende MartinsPaulo Eugênio Oliveira de Souza e Silvaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/61093/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALAssessment of neuromuscular electrical stimulation in critically ill patients_ physical therapists’ knowledge and barriers to its use.pdfAssessment of neuromuscular electrical stimulation in critically ill patients_ physical therapists’ knowledge and barriers to its use.pdfapplication/pdf142901https://repositorio.ufmg.br/bitstream/1843/61093/2/Assessment%20of%20neuromuscular%20electrical%20stimulation%20in%20critically%20ill%20patients_%20physical%20therapists%e2%80%99%20knowledge%20and%20barriers%20to%20its%20use.pdf8ec91ded87756db4bc19745e98835e6fMD521843/610932023-11-17 17:45:06.116oai:repositorio.ufmg.br:1843/61093TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-11-17T20:45:06Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
dc.title.alternative.pt_BR.fl_str_mv |
Avaliação do uso da estimulação elétrica neuromuscular em pacientes críticos: conhecimento dos fisioterapeutas e barreiras à implementação |
title |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
spellingShingle |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use Janaina Almeida Fernandes Electric etimulation Muscle weakness Polyneuropathies Intensive care unit Estimulação elétrica Debilidade muscular Polineuropatias Unidades de terapia intensiva |
title_short |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
title_full |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
title_fullStr |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
title_full_unstemmed |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
title_sort |
Assessment of neuromuscular electrical stimulation in critically ill patients: physical therapists’ knowledge and barriers to its use |
author |
Janaina Almeida Fernandes |
author_facet |
Janaina Almeida Fernandes Marianne Lucena da Silva Ana Cristina Trancho José Roberto de Deus Macedo Henrique Resende Martins Paulo Eugênio Oliveira de Souza e Silva |
author_role |
author |
author2 |
Marianne Lucena da Silva Ana Cristina Trancho José Roberto de Deus Macedo Henrique Resende Martins Paulo Eugênio Oliveira de Souza e Silva |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Janaina Almeida Fernandes Marianne Lucena da Silva Ana Cristina Trancho José Roberto de Deus Macedo Henrique Resende Martins Paulo Eugênio Oliveira de Souza e Silva |
dc.subject.por.fl_str_mv |
Electric etimulation Muscle weakness Polyneuropathies Intensive care unit |
topic |
Electric etimulation Muscle weakness Polyneuropathies Intensive care unit Estimulação elétrica Debilidade muscular Polineuropatias Unidades de terapia intensiva |
dc.subject.other.pt_BR.fl_str_mv |
Estimulação elétrica Debilidade muscular Polineuropatias Unidades de terapia intensiva |
description |
Transcutaneous neuromuscular electrical stimulation (NMES) is considered an important tool to prevent muscle mass and strength loss in patients admitted to intensive care units (ICU). This study aimed to evaluate physical therapists’ profile and knowledge of NMES and identify the main barriers to its use in ICUs. This observational cross-sectional study was conducted via a structured questionnaire created by the authors. It consisted of 12 objective questions to analyze physical therapists’ knowledge of NMES use in critically ill patients. Physical therapists were invited to participate in this study during an international symposium on NMES. In total, 56 physical therapists, with a mean age of 33.5±7.2 years and working an average of 9.7±7 years after graduation, completed the survey. Overall, 34 respondents worked in ICUs, of which only four (12%) reported regular NMES use in their ICUs. We found a low average of correct answers to our questionnaire (25%; 3/12). The main barriers reported to using NMES in ICUs were lack of knowledge (28; 50%) and equipment (24; 43%). The number of correct answers expert and non-expert physical therapists was not statistically significant (p=0.68). Thus, we observed participants’ poor knowledge of NMES use in critically ill patients. Respondents showed that NMES has been underused in their ICUs. Lack of knowledge and equipment seems to be the main barriers for the use of NMES in ICUs. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-11-17T20:45:05Z |
dc.date.available.fl_str_mv |
2023-11-17T20:45:05Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/61093 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1590/1809-2950/21003529032022EN |
dc.identifier.issn.pt_BR.fl_str_mv |
2316-9117 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0001-6312-4164 https://orcid.org/0000-0002-7678-9007 https://orcid.org/0000-0002-3519-9895 https://orcid.org/0000-0002-8239-6496 https://orcid.org/0000-0002-4879-1345 https://orcid.org/0000-0001-9153-0848 |
url |
https://doi.org/10.1590/1809-2950/21003529032022EN http://hdl.handle.net/1843/61093 https://orcid.org/0000-0001-6312-4164 https://orcid.org/0000-0002-7678-9007 https://orcid.org/0000-0002-3519-9895 https://orcid.org/0000-0002-8239-6496 https://orcid.org/0000-0002-4879-1345 https://orcid.org/0000-0001-9153-0848 |
identifier_str_mv |
2316-9117 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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Fisioterapia e pesquisa |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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ENG - DEPARTAMENTO DE ENGENHARIA ELÉTRICA ENG - DEPARTAMENTO DE ENGENHARIA ELETRÔNICA |
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Universidade Federal de Minas Gerais |
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