Elektromyostimulation: Verbesserung von Lebensqualität, Sauerstoffaufnahme und linksventrikulärer Funktion bei chronischer Herzinsuffizienz

Buuren, Frank van; Mellwig, Klaus Peter; Fründ, Andreas; Bogunovic, N.; Oldenburg, Olaf; Kottmann, Tanja; Wagner, Otto; Dahm, Johannes B.; Horstkotte, Dieter; Fritzsche, Dirk

doi:10.1055/s-0033-1358734

Cited by 7 publications

(23 citation statements)

References 11 publications

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“…Our search strategy finally identified twenty-three eligible research articles and (masters) theses (Grützmacher, 2002 ; Vatter, 2003 ; Fritzsche et al, 2010 ; Kemmler et al, 2010a , b , 2012a , 2013 , 2014 , 2015c , d , 2016b , c , d , e , 2017a , b , c ; Kemmler and Von Stengel, 2013 ; van Buuren et al, 2013 , 2014 ; Von Stengel et al, 2015 ; Özdal and Bostanci, 2016 ; Wittmann et al, 2016 ) generated by fourteen research projects numbered and listed in alphabetic order (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…(13) In two related NCTs van Buuren et al ( 2013 , 2014 ) reported the effect of WB-EMS vs. locally applied EMS (thigh and gluteals with the same stimulation parameters) on left ventricular function and peak oxygen consumption in patients with CHF. The twice-weekly WB-/EMS protocol was performed for 10 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…ES ≥ 0.5 were considered as moderate; ES ≥ 0.8 were considered as high. Two projects did not provide standard deviations (SD) (van Buuren et al, 2013 , 2014 ; Özdal and Bostanci, 2016 ), that are however essential for the calculation of Cohen‘s d (van Buuren et al, 2013 , 2014 ; Özdal and Bostanci, 2016 ). One of the authors (Özdal and Bostanci, 2016 ) retrospectively provided the corresponding information upon request.…”

Section: Methodsmentioning

confidence: 99%

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Efficacy and Safety of Low Frequency Whole-Body Electromyostimulation (WB-EMS) to Improve Health-Related Outcomes in Non-athletic Adults. A Systematic Review

et al. 2018

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Exercise positively affects most risk factors, diseases and disabling conditions of middle to advanced age, however the majority of middle-aged to older people fall short of the exercise doses recommended for positively affecting cardio-metabolic, musculoskeletal and neurophysiological fitness or disabling conditions. Whole-Body Electromyostimulation (WB-EMS) may be a promising exercise technology for people unable or unmotivated to exercise conventionally. However, until recently there has been a dearth of evidence with respect to WB-EMS-induced effects on health-related outcomes. The aim of this systematic review is to summarize the effects, limitations and risks of WB-EMS as a preventive or therapeutic tool for non-athletic adults. Electronic searches in PubMed, Scopus, Web of Science, PsycINFO, Cochrane and Eric were run to identify randomized controlled trials, non-randomized controlled trials, meta-analyses of individual patient data and peer reviewed scientific theses that examined (1) WB-EMS-induced changes of musculoskeletal risk factors and diseases (2) WB-EMS-induced changes of functional capacity and physical fitness (3) WB-EMS-induced changes of cardio-metabolic risk factors and diseases (4) Risk factors of WB-EMS application and adverse effects during WB-EMS interventions. Two researchers independently reviewed articles for eligibility and methodological quality. Twenty-three eligible research articles generated by fourteen research projects were finally included. In summary, thirteen projects were WB-EMS trials and one study was a meta-analysis of individual patient data. WB-EMS significantly improves muscle mass and function while reducing fat mass and low back pain. Although there is some evidence of a positive effect of WB-EMS on cardio-metabolic risk factors, this aspect requires further detailed study. Properly applied and supervised, WB-EMS appears to be a safe training technology. In summary, WB-EMS represents a safe and reasonable option for cohorts unable or unwilling to join conventional exercise programs. However, much like all other types of exercise, WB-EMS does not affect every aspect of physical performance and health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Efficacy and Safety of Low Frequency Whole-Body Electromyostimulation (WB-EMS) to Improve Health-Related Outcomes in Non-athletic Adults. A Systematic Review

et al. 2018

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“…Numerous studies could show positive effects of functional electrical stimulation (FES) combined with cycling movement (FES Cycling) [1,2]. Main improvements in stroke patients are motor changes, such as improving walking ability, balance and spasticity [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…FES Cycling exercises interventions show significant improvements in cardiorespiratory parameters [9,10]. Investigations with simple electromyostimulation (EMS) without functional movement on cardiac patients with very low cardiac levels also show an increase in cardiorespiratory capacity [2,11]. The relationship between stimulation parameters, functional movement and effects on cardiorespiratory parameters is not yet sufficiently studied.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Functional Electrical Stimulation during Cycling Exercise on Cardiorespiratoric Response in Order of Cadence at Increasing and Persistent Exercise in Healthy Adults

2016

J Integr Med Ther

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Introduction: Functional electrical stimulation during cycling (FES Cycling) exercise is seen to improve cardiorespiratoric performance for maintaining health in patients with spinal cord injury. The relationship between widely varying stimulation pattern, functional movement and effects on cardiorespiratory response is not yet sufficiently studied. While different muscle activation patterns during the FES Cycling may increase metabolic consumption, the influence of different cycling cadences is controversial. The aim of this study was to investigate the acute effect of functional electrical stimulation and different cadences on cardiorespiratoric responses in passive cycling movement in healthy volunteers.Methodology: 26 healthy subjects assigned in two groups, performed stepwise increased tests with and without functional electrical stimulation with cycling cadence increased from 20-60 rpm, 10 rpm every five minutes and two 25 minutes lasting, persistent tests with functional electrical simulation at cadences of 20 and 60 rpm. Passive cycling exercise was performed adding functional electrical stimulation on musculus quadriceps femoris, biceps femoris, tibialis anterior and gastrocnemius. Subjects were obliged to perform no voluntary movement. Heart rate, oxygen uptake and respiratory exchange ratio was recorded.Results: No significant changes between heart rate and oxygen uptake at different cadences during stepwise increased tests were found (p>0.05). Respiratory exchange ratio was different between beginning and end of the test (p<0.05). There was no Influence of electrical stimulation in any of measured parameters (p>0.05). Mean oxygen uptake within persistent 60 rpm test increased significantly, compared to 20 rpm. No differences of heart rate and respiratory exchange ratio were detected (p>0.05).Discussion: Acute cardiorespiratoric responses during passive cycling caused by functional electrical stimulation are only tendential, but not significant. By increasing the current and the cadence of FES Cycling metabolic consumption could be increased. A significant increase in cardiorespiratoric consumption is apparently only possible by combining exercises using FES Cycling and active arm exercise.

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The Benefits of Neuromuscular Electrical Stimulation in the Muscular and Functional Capacity of Patients With Liver Cirrhosis: Protocol for a Randomized Clinical Trial

Mello

Conceição

Pont

et al. 2018

Clin Med Insights Gastroenterol

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Cirrhosis causes systemic and metabolic changes that culminate in various complications, such as compromised pulmonary function, ascites, hepatic encephalopathy, weight loss, and muscle weakness with significant physical function limitations. Our aim is to evaluate the effects of training with neuromuscular electrical stimulation (NMES) on the muscular and functional capacity of patients with cirrhosis classified as Child-Pugh B and C. A total of 72 patients diagnosed with cirrhosis will be recruited and randomized to perform an NMES protocol for 50 minutes, 3 times a week, for 4 weeks. The evaluations will be performed at the beginning and after 12 sessions, and patients will be submitted to a pulmonary function test, an ultrasound evaluation of the rectus femoris, an evaluation of peripheral muscle strength, a submaximal exercise capacity test associated with an evaluation of peripheral tissue oxygenation, a quality of life evaluation, and orientation about monitoring daily physical activities. The evaluators and patients will be blinded to the allocation of the groups. Training Group will be treated with the following parameters: frequency of 50 Hz, pulse width of 400 μs, rise and fall times of 2 s, and on:off 1:1; Sham Group: 5 Hz, 100 μs, on:off 1:3. The data will be analyzed using the principles of the intention to treat. This study provides health professionals with information on the benefits of this intervention. In this way, we believe that the results of this study could stimulate the use of NMES as a way of rehabilitating patients with more severe cirrhosis, with the objective of improving these patients’ functional independence.

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Elektromyostimulation: Verbesserung von Lebensqualität, Sauerstoffaufnahme und linksventrikulärer Funktion bei chronischer Herzinsuffizienz

Abstract: EMS contributes to an improved quality of life and can improve oxygen uptake and EF in CHF. It may be an alternative therapy in CHF patients who are otherwise unable to undertake conventional forms of exercise training.

Cited by 7 publications

References 11 publications

Efficacy and Safety of Low Frequency Whole-Body Electromyostimulation (WB-EMS) to Improve Health-Related Outcomes in Non-athletic Adults. A Systematic Review

Efficacy and Safety of Low Frequency Whole-Body Electromyostimulation (WB-EMS) to Improve Health-Related Outcomes in Non-athletic Adults. A Systematic Review

The Influence of Functional Electrical Stimulation during Cycling Exercise on Cardiorespiratoric Response in Order of Cadence at Increasing and Persistent Exercise in Healthy Adults

The Benefits of Neuromuscular Electrical Stimulation in the Muscular and Functional Capacity of Patients With Liver Cirrhosis: Protocol for a Randomized Clinical Trial

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