Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, P.O. Box 22660, 1100DD, Amsterdam, The Netherlands.
Department of Intensive Care, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Muscle Nerve. 2018 Nov;58(5):688-693. doi: 10.1002/mus.26330. Epub 2018 Oct 2.
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.
SEMG was performed in 9 ICU patients and 6 healthy controls. A standardized 1-minute incremental resistance bedside cycle ergometer protocol was used.
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.
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.
重症监护病房（ICU）的患者常常会出现虚弱的情况。为了预防身体恶化，康复治疗通常会尽早开始，但目前还缺乏关于最佳训练计划的知识。因此，我们需要一种可靠的方法来评估患者在运动过程中的肌肉活动。在这项研究中，我们探索了在 ICU 患者使用床旁踏车时，通过表面肌电图（sEMG）进行肌肉活动测量的可行性。
我们对 9 名 ICU 患者和 6 名健康对照者进行了 sEMG 检测。使用了标准化的 1 分钟递增阻力床旁功率自行车测试方案。
患者的平均踏车时间为 5.3 分钟，而对照组为 12.0 分钟。两组的最大 sEMG 均增加；患者的最小 sEMG 活动保持不变，而对照组则发现增加。
sEMG 是可行的，可以检测 ICU 患者在床旁踏车运动时的肌肉活动。它可能是一种有用的监测工具。重复测量可能可以提供关于训练效果的信息。肌肉神经 58: 688-693, 2018.
