Electrical muscle stimulation for patients with abnormal glucose tolerance in ICU

• Project/Area Number: 25861720
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Emergency medicine
• Research Institution: Osaka University
• Principal Investigator: YOHEI NAKAMURA 大阪大学, 医学部附属病院, 医員 (80644004)
• Project Period (FY): 2013-04-01 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000); Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000); Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 集中治療 / 耐糖能 / 電気的筋肉刺激 / 間接熱量計 / 安静時消費カロリー / 糖代謝関連ホルモン / 血糖値 / EMS

Outline of Final Research Achievements

The objectives of this study were to evaluate the effectiveness of Electrical Muscle Stimulation(EMS) for patients with abnormal glucose tolerance in ICU. We stimulated lower limbs of the patients by EMS device who were under the respirator management .
EMS were provided for thirty minutes, and we measured the change of basal metabolic rate in before and after EMS by using indirect calorimetry. We also evaluated the change of glucose metabolism related hormone markers.Although there were no significant changes of blood pressure, heart rate, body temperature , basal　metabolic rate increased significantly after EMS. Glucose metabolism related hormone markers had no significant changes before and after EMS.These results indicate effectiveness of EMS as the kinesitherapy for patients with abnormal glucose tolerance in ICU.