Effects of transcutaneous electrical diaphragmatic stimulation on the cardiac autonomic balance in healthy individuals: a randomized clinical trial

Maynard, Luana Godinho; Barreto, André S.; Santana‐Filho, Valter Joviniano; Neto, Manoel Luiz de Cerqueira; Dias, Daniel Penteado Martins; Silva-Júnior, Walderi Monteiro da

doi:10.1590/1809-2950/14720423032016

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“…Although few studies on TEDS have been published to date, this technique has been used in clinical practice in intensive physical therapy because it has shown promise for improving respiratory muscle strength [ 23 – 26 ]. Even with the physiological decline of the respiratory system resulting from aging, training with TEDS can be an effective tool in respiratory physiotherapy by promoting an increase in diaphragm muscle strength in elderly people [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Immediate Hemodynamic Responses to Transcutaneous Electrical Diaphragmatic Stimulation in Critically Ill Elderly Patients

Júnior

Camilo

Fioritto

et al. 2021

Rehabilitation Research and Practice

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Background. Critically ill patients admitted to intensive care units (ICUs) may develop diaphragmatic dysfunction, especially when artificial airways are used. Positive effects have been observed when using the transcutaneous electrical diaphragmatic stimulation (TEDS) technique in different clinical conditions. However, no study has evaluated the safety of TEDS in patients admitted to ICUs. This study is aimed at evaluating the influence of TEDS on the hemodynamic and vital parameters of critically ill elderly patients under invasive mechanical ventilation (IMV). Methods. Forty-seven patients aged >60 years under IMV were evaluated for hemodynamic variables before and after TEDS. The procedure lasted 30 minutes and was performed once. Results. The sample consisted of 33 men and 14 women with a mean age of 69.9 ± 7.64 years. The mean systolic blood pressures pre-TEDS and post-TEDS were 126.6 ± 23.7 and 122.9 ± 25.9 , respectively ( p = 0.467 ). The mean diastolic blood pressures pre-TEDS and post-TEDS were 71.1 ± 12.2 and 67.7 ± 14.2 , respectively ( p = 0.223 ). No significant differences in the mean arterial pressure or heart rate were found between the pre-TEDS and post-TEDS time points ( p = 0.335 and p = 0.846 , respectively). Conclusion. Our findings suggest that TEDS does not have clinically relevant impacts on hemodynamic or vital parameters in critically ill elderly patients. These findings point to the possible safety of TEDS application in this population.

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Section: Discussionmentioning

confidence: 99%

Immediate Hemodynamic Responses to Transcutaneous Electrical Diaphragmatic Stimulation in Critically Ill Elderly Patients

Júnior

Camilo

Fioritto

et al. 2021

Rehabilitation Research and Practice

View full text Add to dashboard Cite

show abstract

Effects of transcutaneous electrical diaphragmatic stimulation on the cardiac autonomic balance in healthy individuals: a randomized clinical trial

Abstract: | The transcutaneous electrical diaphragmatic stimulation (TEDS) is a technique of respiratory muscle activation that affects breathing pattern and rhythm. In an

Cited by 1 publication

References 32 publications

Immediate Hemodynamic Responses to Transcutaneous Electrical Diaphragmatic Stimulation in Critically Ill Elderly Patients

Immediate Hemodynamic Responses to Transcutaneous Electrical Diaphragmatic Stimulation in Critically Ill Elderly Patients

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