Evidence map›Paper›PMID 38156975›Full record

SynthesisAge and ageing2023

The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials.

Helal B Alqurashi, Katie Robinson, Dominic O'Connor, Mathew Piasecki, Adam L Gordon, Tahir Masud, John R F Gladman

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Skeletal muscle dysfunction with advancing age.Clinical science (London, England : 1979) · 2024
    Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Helal B AlqurashiUniversity of Nottingham, Nottingham, UK.ORCID 0000-0002-4281-7700
Katie RobinsonUniversity of Nottingham, Nottingham, UK.ORCID 0000-0003-1458-8186
Dominic O'ConnorUniversity of Nottingham, Nottingham, UK.ORCID 0000-0002-3054-0636
Mathew PiaseckiUniversity of Nottingham, Nottingham, UK.ORCID 0000-0002-7804-4631
Adam L GordonUniversity of Nottingham, Nottingham, UK.ORCID 0000-0003-1676-9853
Tahir MasudNIHR Nottingham Biomedical Research Centre (BRC), UK.ORCID 0000-0003-1061-2898
John R F GladmanUniversity of Nottingham, Nottingham, UK.ORCID 0000-0002-8506-7786
University of Nottingham · GBNottingham University Hospitals NHS Trust · GB

Funding

Medical Research Council MR/P021220/1
6 · The paper itself

Abstract

introductionNeuromuscular electrical stimulation (NMES) is a treatment to prevent or reverse acquired disability in hospitalised adults. We conducted a systematic review and meta-analysis of its effectiveness.

methodWe searched MEDLINE, EMBASE, Cumulative Index to Nursing & Allied Health (CINAHL) and the Cochrane library. Inclusion criteria: randomised controlled trials of hospitalised adult patients comparing NMES to control or usual care. The primary outcome was muscle strength. Secondary outcomes were muscle size, function, hospital length of stay, molecular and cellular biomarkers, and adverse effects. We assessed risk of bias using the Cochrane risk-of-bias tool. We used Review Manager (RevMan) software for data extraction, critical appraisal and synthesis. We assessed certainty using the Grading of Recommendations Assessment, Development and Evaluation tool.

resultsA total of 42 papers were included involving 1,452 participants. Most studies had unclear or high risk of bias. NMES had a small effect on muscle strength (moderate certainty) (standardised mean difference (SMD) = 0.33; P < 0.00001), a moderate effect on muscle size (moderate certainty) (SMD = 0.66; P < 0.005), a small effect on walking performance (moderate certainty) (SMD = 0.48; P < 0.0001) and a small effect on functional mobility (low certainty) (SMD = 0.31; P < 0.05). There was a small and non-significant effect on health-related quality of life (very low certainty) (SMD = 0.35; P > 0.05). In total, 9% of participants reported undesirable experiences. The effects of NMES on length of hospital stay, and molecular and cellular biomarkers were unclear.

conclusionsNMES is a promising intervention component that might help to reduce or prevent hospital-acquired disability.

Indexed as

Electric Stimulation TherapyQuality of LifeBiomarkersElectric StimulationHospitalizationHumansMuscle StrengthRandomized Controlled Trials as TopicBiomarkershospital-acquired disabilitymuscle strengthneuromuscular electrical stimulationolder peoplephysical functionsystematic review

Identifiers

PMID38156975
PMCPMC10756181
OpenAlexW4390414221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.