NMES will reduce the detoriation of the m. quadriceps during admission in the hospital compared to functional fysiotherapy.
ID
Bron
Verkorte titel
Aandoening
Neuromuscular electrical stimulation
Physical performance
Frail elderly
Hospital admission
Sarcopenia
Neuromusculaire electrostimulatie
Fysiek functioneren
Kwetsbare ouderen
Ziekenhuisopname
Sarcopenie
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Short physical performance battery<br>
HABAM<br>
Knee extension<br>
Muscle mass of the upper leg (m. quadriceps) determined by the use of the Maltron Bioscan 920-II
Achtergrond van het onderzoek
In recent studies physical training against resistance appeared to be the most successfull to prevent sarcopenia. Because of the bad physical condition of the elderly during a hospital admission resistancetraining can't be applied. A Pilot study of the students physiotherapy earlier this year showed that in the first days/week of a admission the physical load capacity is too low. That's why resistance training is not an option. Therefore we are looking for an other way to prevent functional loss during admission when training against resistance isn't possible. Other recent studies have shown that the application of neuromuscular electrostimulation (NMES) is a possibilty to prevent functional loss. The aim of this researce is therefore to examine the effect of NMES on prevention of progressive and generalised loss of muscle mass and strenght and with that the prevention of functional loss.
Doel van het onderzoek
NMES will reduce the detoriation of the m. quadriceps during admission in the hospital compared to functional fysiotherapy.
Onderzoeksopzet
-
Onderzoeksproduct en/of interventie
Neuromuscular electrostimulation of the m. quadriceps
Publiek
Dr. H van der Hoffplein 1
J. Schaekens
Sittard 6162 BG
The Netherlands
088-4597777
J.Schaekens@orbisconcern.nl
Wetenschappelijk
Dr. H van der Hoffplein 1
J. Schaekens
Sittard 6162 BG
The Netherlands
088-4597777
J.Schaekens@orbisconcern.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Frail elderly (defined by the GFI score, GFI > 3), 70 years and above, with a SPPB <6 on day <4 day after admission to the geriatric ward, duration of admission at least 7 days.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- Bound to a wheelchair before admission
- Terminal illness
- Pain in the lower body which makes mobilisation impossible
- No recovery of the underlying illness on day 4 of admission in comparison with the first day after admission
- Presence of a pacemaker or ICD
- Impossibility to give the patient instructions concerning the NMES and his measurements
- Presence of an amputated leg or hemiparese
Opzet
Deelname
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