Peripheral muscle training

Muscle retraining Respiratory muscle training Peripheral muscle training NMES... 

Abnormal gas exchange, malnutrition, and prolonged use of controlled ventilation, leading to selective diaphragmatic muscle atrophy, add to peripheral and respiratory muscle weakness (38). Many of the above reasons make it likely that patients will benefit from PT that targets respiratory and skeletal muscle function, although clearer evidence of positive outcomes is still required (53). Inspiratory muscle training has been shown to facilitate... 

Peripheral and respiratory muscle training, ambulation, assists with secretion clearance Occupational therapist... 

Monitoring the effect of muscle relaxants during surgery (and recovery following the use of cholinesterase inhibitors) typically involves the use of a device that produces transdermal electrical stimulation of one of the peripheral nerves to the hand and recording of the evoked contractions (twitches Figure 27-6). The motor responses to different patterns of peripheral nerve stimulation are measured. The three most commonly used patterns of include (1) single-twitch stimulation, (2) train-of-four (TOF) stimulation, and (3) tetanic stimulation. Two newer modalities are also available to monitor neuromuscular transmission double-burst stimulation and posttetanic count. 

Zanotti E, Felicetti G, Maini M, et al. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation. Effect of electrical stimulation. Chest 2003 ... 

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