ICU sedation, delirium & recovery

Long-Term Effects of the Association of Early Neuromuscular Electrical Stimulation With Mobilization in Critically Ill Patients

Crit Care MedPublished Randomised controlled trial

Authors' conclusion

The application of early NMES in addition to an EM protocol, when initiated within the first 48 hours of ICU admission, resulted in better functional outcomes and quality of life for critically ill patients up to 6 months post-discharge.

Study context

Population
Mechanically ventilated critically ill patients, Hospital das Clínicas, Ribeirão Preto Medical School, University of São Paulo
Participants
74 participants
Comparison
Early mobilization (EM) + neuromuscular electrical stimulation (NMES) vs EM alone, started within 48 h of ICU admission
Methodological detailssingle-centre, blinded
  • Single-centre
  • Blinded

Primary result

As reported in the abstract

Functional status, independence and mobility (Barthel Index; ICU Mobility Scale) · 15 days, 30 days, 3 and 6 months after hospital discharge
Significantly higher Barthel Index in EM + NMES vs EM at 15 and 30 days, 3 and 6 months
p < 0.05
Significantly higher ICU Mobility Scale in EM + NMES vs EM at 15 days, 3 and 6 months
p < 0.05

Further findings

Quality of life · up to 6 months after hospital discharge

Significantly improved in EM + NMES vs EM
P < 0.05

Post-traumatic stress disorder (PTSD) scores

No significant difference between groups

Original publication

Long-Term Effects of the Association of Early Neuromuscular Electrical Stimulation With Mobilization in Critically Ill Patients. Crit Care Med. Published 19 September 2025. doi:10.1097/ccm.0000000000006866

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