Feasibility of Muscle Activity Assessment With Surface Electromyography During Bed Cycling Exercise In Intensive Care Unit Patients

Overview

Journal Muscle Nerve

Date 2018 Aug 31

PMID 30160070

Citations 1

Authors

Juultje Sommers

Michelle van den Boorn

Raoul H H Engelbert

Frans Nollet

Marike van der Schaaf

Janneke Horn

Affiliations

Soon will be listed here.

Abstract

Introduction: Intensive care unit (ICU) patients often develop weakness. Rehabilitation is initiated early to prevent physical deterioration, but knowledge of optimal training schedules is lacking. A reliable method to assess muscle activity during exercise is needed. In this study we explored the feasibility of electrical activity measurement by surface electromyography (sEMG) during bed cycling in ICU patients.

Methods: SEMG was performed in 9 ICU patients and 6 healthy controls. A standardized 1-minute incremental resistance bedside cycle ergometer protocol was used.

Results: The median cycle time was 5.3 minutes in patients and 12.0 minutes in controls. The maximum sEMG increased in both groups; the minimal sEMG activity remained the same in patients, whereas an increase in the control group was found.

Discussion: sEMG is feasible and can detect muscle activity during bed cycling in ICU patients. It may be a useful monitoring tool. Repeated measurements could possibly provide information on the effects of training. Muscle Nerve 58: 688-693, 2018.

Citing Articles

Effects of Early Bedside Cycle Exercise on Gastrointestinal Function in Intensive Care Unit Patients Receiving Mechanical Ventilation.

Yu T, Cai F, Jiang R Front Med (Lausanne). 2022; 9:823067.

PMID: 35755035 PMC: 9218181. DOI: 10.3389/fmed.2022.823067.

References

Hermans G, Van den Berghe G . Clinical review: intensive care unit acquired weakness. Crit Care. 2015; 19:274. PMC: 4526175. DOI: 10.1186/s13054-015-0993-7. View

Sommers J, Engelbert R, Dettling-Ihnenfeldt D, Gosselink R, Spronk P, Nollet F . Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations. Clin Rehabil. 2015; 29(11):1051-63. PMC: 4607892. DOI: 10.1177/0269215514567156. View

de Morton N, Davidson M, Keating J . The de Morton Mobility Index (DEMMI): an essential health index for an ageing world. Health Qual Life Outcomes. 2008; 6:63. PMC: 2551589. DOI: 10.1186/1477-7525-6-63. View

Borg G . Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5):377-81. View

Martinez-Valdes E, Guzman-Venegas R, Silvestre R, Macdonald J, Falla D, Araneda O . Electromyographic adjustments during continuous and intermittent incremental fatiguing cycling. Scand J Med Sci Sports. 2015; 26(11):1273-1282. DOI: 10.1111/sms.12578. View

Camata T, Altimari L, Bortolotti H, Dantas J, Fontes E, Smirmaul B . Electromyographic activity and rate of muscle fatigue of the quadriceps femoris during cycling exercise in the severe domain. J Strength Cond Res. 2011; 25(9):2537-43. DOI: 10.1519/JSC.0b013e318202e6a0. View

Hutten G, van Eykern L, Latzin P, Thamrin C, van Aalderen W, Frey U . Respiratory muscle activity related to flow and lung volume in preterm infants compared with term infants. Pediatr Res. 2010; 68(4):339-43. DOI: 10.1203/PDR.0b013e3181eeeaf4. View

Sommers J, Vredeveld T, Lindeboom R, Nollet F, Engelbert R, van der Schaaf M . de Morton Mobility Index Is Feasible, Reliable, and Valid in Patients With Critical Illness. Phys Ther. 2016; 96(10):1658-1666. DOI: 10.2522/ptj.20150339. View

Mohseni Bandpei M, Rahmani N, Majdoleslam B, Abdollahi I, Ali S, Ahmad A . Reliability of surface electromyography in the assessment of paraspinal muscle fatigue: an updated systematic review. J Manipulative Physiol Ther. 2014; 37(7):510-21. DOI: 10.1016/j.jmpt.2014.05.006. View

10.

Herridge M, Tansey C, Matte A, Tomlinson G, Diaz-Granados N, Cooper A . Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011; 364(14):1293-304. DOI: 10.1056/NEJMoa1011802. View

11.

Kayambu G, Boots R, Paratz J . Early physical rehabilitation in intensive care patients with sepsis syndromes: a pilot randomised controlled trial. Intensive Care Med. 2015; 41(5):865-74. DOI: 10.1007/s00134-015-3763-8. View

12.

Kraaijenga J, de Waal C, Hutten G, de Jongh F, van Kaam A . Diaphragmatic activity during weaning from respiratory support in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2016; 102(4):F307-F311. DOI: 10.1136/archdischild-2016-311440. View

13.

Coelho A, Cannon D, Cao R, Porszasz J, Casaburi R, Knorst M . Instantaneous quantification of skeletal muscle activation, power production, and fatigue during cycle ergometry. J Appl Physiol (1985). 2014; 118(5):646-54. DOI: 10.1152/japplphysiol.00948.2014. View

14.

Fletcher G, Ades P, Kligfield P, Arena R, Balady G, Bittner V . Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation. 2013; 128(8):873-934. DOI: 10.1161/CIR.0b013e31829b5b44. View

15.

de Jonghe B, Sharshar T, Lefaucheur J, Authier F, Durand-Zaleski I, Boussarsar M . Paresis acquired in the intensive care unit: a prospective multicenter study. JAMA. 2002; 288(22):2859-67. DOI: 10.1001/jama.288.22.2859. View

16.

Chen M, Fan X, Moe S . Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J Sports Sci. 2002; 20(11):873-99. DOI: 10.1080/026404102320761787. View

17.

Dawes H, Barker K, Cockburn J, Roach N, Scott O, Wade D . Borg's rating of perceived exertion scales: do the verbal anchors mean the same for different clinical groups?. Arch Phys Med Rehabil. 2005; 86(5):912-6. DOI: 10.1016/j.apmr.2004.10.043. View

18.

Hermans G, Clerckx B, Vanhullebusch T, Segers J, Vanpee G, Robbeets C . Interobserver agreement of Medical Research Council sum-score and handgrip strength in the intensive care unit. Muscle Nerve. 2011; 45(1):18-25. DOI: 10.1002/mus.22219. View

19.

Balady G, Arena R, Sietsema K, Myers J, Coke L, Fletcher G . Clinician's Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation. 2010; 122(2):191-225. DOI: 10.1161/CIR.0b013e3181e52e69. View

20.

Winkelman C, Johnson K, Hejal R, Gordon N, Rowbottom J, Daly J . Examining the positive effects of exercise in intubated adults in ICU: a prospective repeated measures clinical study. Intensive Crit Care Nurs. 2012; 28(6):307-18. PMC: 3783509. DOI: 10.1016/j.iccn.2012.02.007. View