Could Electrical Stimulation Improve the Recovery of People with Covid-19 Following a Prolonged ICU Stay?

The rehabilitation of COVID-19 (C-19) patients after prolonged intensive care unit (ICU) treatment is complex and challenging with patients being afflicted with a myriad of long-term recurring multi-organ impairments impacting on respiratory, cardiac, neurological, bowel and skeletal muscle dysfunction. Skeletal muscle dysfunction of respiratory and limb muscles commonly referred to as ICU acquired weakness (ICUAW) occurs in around 40% of general patients admitted to the ICU. The impact on mobility and engagement in activities of daily living and return to daily life is severely impaired. Neuromuscular electrical stimulation (NMES) is a technique in which small electrical impulses are applied to skeletal muscle to cause a contraction where it is difficult or impossible for people to initiate themselves. NMES is associated with benefits including improved muscle strength and function, improved bone density, improved blood flow and reduced oedema. The presentation will examine the evidence and current guidelines for the proposed benefits of using NMES with ICU patients and make practical clinical recommendations for using NMES with C-19 patients as well as suggestions for further research.
Gad Alon

 

Dr Gad Alon, PT, PhD

GAlon@som.umaryland.edu

https://www.medschool.umaryland.edu/profiles/Alon-Gad/

Dr. Alon is an Emeritus Associate Professor in the school of Medicine, Department of Physical Therapy and Rehabilitation Science. He was a core faculty until retiring in 2012.  The core of his research endeavor has been to develop, test and help bring to the market new treatment options to treat slow-to-heal wounds, to manage acute inflammation, to strengthen weak-sarcopenic skeletal muscles, and assist in the recovery following damage the central nervous system (CNS) using both functional electrical stimulation (FES) and neuromodulation in the form of non-invasive electrical stimulation of the brain (ESB). In recent years, Dr. Alon began focusing on the design, development, testing and deployment of wearable wireless self-administered FES and EBS systems with the goal of making FES and EBS a standard-of-care option in the discipline of rehabilitation medicine world-wide. Prior to retirement, his major teaching included electrotherapy, management of limb amputation, management of pathological movements and therapeutic technologies. He has been awarded faculty of the year 6 times and his research and teaching has earned him world recognition in the field of clinical electrotherapy. Dr. Alon is invited frequently to share his interest and knowledge with clinicians and scientists Throughout the USA and around the world. He was a member of the board of directors of IFESS from 2014 to 2018. He is an adjunct Associate Professor in the Rehabilitation Science department at George Mason University.

Dr James Badger

 

Dr James Badger, BMBS

Dr James Badger is a Clinical Research Fellow in Anaesthesia at the University Hospital Southampton. The focus of his work is the translation of innovative technologies into clinical practice. As part of this work, James has experience using electrical stimulation, and has co-authored papers in the field. James has also worked in Critical Care as part of his training in Anaesthesia, and works closely with clinical academics in the specialty.

Event Fee
IFESS members $ 0.00
Non-IFESS members (approx. £ 5 and € 5.53) $ 6.50