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Updated: Apr 22, 2026

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Neuromuscular electrical stimulation in critically ill patients in the intensive care unit: a systematic review
Lucas Lima Ferreira1, Luiz Carlos Marques Vanderlei1, Vitor Engrácia Valenti1
1Universidade Estadual Paulista "Júlio de Mesquita Filho", Presidente Prudente, SP, Brazil.
Objective:
To analyze the outcomes enabled by the neuromuscular electric stimulation in critically ill patients in intensive care unit assisted.
Methods:
A systematic review of the literature by means of clinical trials published between 2002 and 2012 in the databases LILACS, SciELO, MEDLINE and PEDro using the descriptors "intensive care unit", "physical therapy", "physiotherapy", "electric stimulation" and "randomized controlled trials".
Results:
We included four trials. The sample size varied between 8 to 33 individuals of both genders, with ages ranging between 52 and 79 years, undergoing invasive mechanical ventilation. Of the articles analyzed, three showed significant benefits of neuromuscular electrical stimulation in critically ill patients, such as improvement in peripheral muscle strength, exercise capacity, functionality, or loss of thickness of the muscle layer.
Conclusion:
The application of neuromuscular electrical stimulation promotes a beneficial response in critically patients in intensive care.

