COVID-19 Pneumonia Clinical Trial
Official title:
Effects of Neuromuscular Electrical Stimulation Therapy on Physical Function in Patients With COVID-19 Associated Pneumonia: Study Protocol of a Randomized Controlled Trial
Neuromuscular electrical stimulation (NMES) has been considered as a promising approach for the early rehabilitation of patients in and/or after the intensive care unit (ICU). Aim of this study is to evaluate the NMES effect on physical function of COVID-19 patients.
This prospective, randomized, controlled, parallel-group, single-blind trial will include 80
patients who had undergone mechanical or non-invasive ventilation following pneumonia-induced
respiratory failure. Patients are randomized to a control group (routine physical therapy for
3 weeks) or a NMES group (routine physical therapy plus NMES of quadriceps and gastrocnemius
muscles for 3 weeks). The primary outcome is physical performance assessed through the Short
Physical Performance Battery (SPPB). Secondary outcomes include independence level, perceived
fatigue, muscle strength, rectus femoris thickness, and walking performance. The SPBB and
walking performance will be assessed once (after the 3-week intervention period), while all
other outcomes will be assessed twice (before and after the intervention).
NMES is a simple and non-invasive technique for muscle strengthening that is usually well
tolerated, does not produce adverse effects, requires no or little cooperation from patients
and is quite inexpensive. Therefore, proving the effectiveness of NMES therapy for physical
and muscle function in COVID-19 patients could support its systematic incorporation in
post-ICU rehabilitation protocols of patients presenting with post-intensive care syndrome.
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