Functional and Muscular Effects of Neuromuscular Electrical Stimulation in Patients With Severe COPD

Vivodtzev, Isabelle; Debigaré, Richard; Gagnon, Philippe; Mainguy, Vincent; Saey, Didier; Dubé, Annie; Paré, Marie‐Ève; Bélanger, Marthe; Maltais, François

doi:10.1378/chest.11-0839

Cited by 150 publications

(166 citation statements)

References 36 publications

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“…However, the demonstrated results provide a basis for implementing NMES in clinical practice in patients with COPD [25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 98%

“…Nevertheless, an outline of a general NMES protocol has emerged. The treatment sessions were focused primarily on large muscle groups of the lower body, in most cases the quadriceps muscles of both legs [25,[28][29][30] or, simultaneously, the quadriceps and the triceps of the calf [26,32], the quadriceps and the glute muscles [27], the quadriceps and the popliteus muscle [26,31].…”

Section: Discussionmentioning

confidence: 99%

“…The sessions were usually performed 5 [25][26][27][28][29] or 4 [7] times a week. The total time of NMES application amounted to 4, 5 or 6 weeks [25][26][27][28][29][30][31][32]. The value of electric current used depended on the specific tolerance of the patient.…”

Section: Application Of Nmes In Patients With Chronic Obstructive Pulmentioning

confidence: 99%

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Application of neuromuscular electrical stimulation of the lower limb skeletal muscles in the rehabilitation of patients with chronic heart failure and chronic obstructive pulmonary disease

Kucio¹,

Niesporek²,

Kucio³

2017

fmpcr

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Increasing physical activity is a widely-known method of rehabilitation of patients with chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD). However, what kind of procedure is to be applied if a patient suffers from advanced heart or respiratory failure, cannot undertake physical exercise due to locomotor system disorders or is currently undergoing respiratorotherapy? Recent research shows that neuromuscular electrical stimulation of the lower limb skeletal muscles (NMES) may comprise an alternative to physical training in patients with CHF and COPD. The aim of this study is to summarize the current state of knowledge on the use of NMES in cardiac rehabilitation of patients with CHF and pulmonary rehabilitation of patients with COPD. As demonstrated in recent research on the topic, NMES -due to forcing the muscles to activate -increases exercise tolerance, muscle mass and endurance in patients with CHF and COPD. The beneficial effect of NMES on blood circulation in the muscles, aerobic enzymes activity, functioning of the vascular endothelium, reduction of pro-inflammatory cytokines concentration and increased quality of life has also been presented. It is to be accentuated that NMES treatment, due to lesser physical exertion and, in turn, a decreased feeling of dyspnea are more comfortable for the patient than traditional physical training. Moreover, NMES treatment, after foregoing training, can be applied at home. Potential side effects include transient muscle pain and minor skin damage due to improper positioning of the electrodes. To summarize, NMES treatment is well received by CHF and COPD patients and brings about increased exercise tolerance, as well as better quality of life. Devices used for NMES therapy, due to progressive miniaturization, are easily accessible and relatively inexpensive.

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“…However, the demonstrated results provide a basis for implementing NMES in clinical practice in patients with COPD [25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Application of neuromuscular electrical stimulation of the lower limb skeletal muscles in the rehabilitation of patients with chronic heart failure and chronic obstructive pulmonary disease

Kucio¹,

Niesporek²,

Kucio³

2017

fmpcr

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“…After 14 days, the control leg had a decrease in strength by 3 N but the electrically stimulated leg increased strength by 19 N. 22 One study also found that quadriceps strength, mid-thigh CSA and calf muscle CSA significantly increased after 6 weeks of neuromuscular electrical stimulation. 23 These increases in muscle CSA, although significant, were only 6%. Neuromuscular electrical stimulation could be a potential nonexercise treatment for COPD patients to improve strength and potentially muscle size without substantially increasing the stress on the respiratory system.…”

Section: Non-exercise Treatmentmentioning

confidence: 89%

COPD and muscle loss: is blood flow restriction a potential treatment?

Thiebaud¹,

Loenneke²,

Abe³

2014

Journal of Trainology

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“…NMES stimulates targeted motor neurons with a low voltage to increase muscle strength in COPD patients who are on a mechanical ventilator to decrease the respiratory speed (7).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit

Kurtoglu¹,

Taştekin²,

Birtane³

et al. 2015

Turk J Phys Med Rehab

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Objective: Chronic obstructive pulmonary disease is a major public health problem. In the present study, we aimed to investigate the possible effects of upper extremity exercises and neuromuscular electrical stimulation therapy applied to auxiliary respiratory muscles on arterial blood gases, blood pressure, heart rate values, and quality of life in patients with chronic obstructive pulmonary disease. Material and Methods: Thirty patients who were diagnosed with stage 4 severe chronic obstructive pulmonary disease by a pulmonologist and who needed intensive care were included in the study. The patients were equally allocated into two groups containing 15 patients each: control and intervention. Both groups were given an unassisted upper extremity exercise program for four weeks, and only one group was given neuromuscular electrical stimulation on auxiliary respiratory muscles for 10 days. Arterial blood gas measurements, peak heart rate, and breathing frequency were recorded. St. George's Respiratory Questionnaire and short form-36 were performed for the evaluation of the quality of life. Functional capacity was determined by functional independent measurement. Evaluations of the patients were performed on the 1 st , 8 th , 15 th , and 30 th days of the study. Results: There were statistically significant improvements in peak heart rate, breathing frequency per minute, and functional independency scores in the group where exercise and neuromuscular electrical stimulation had been concomitantly applied (p<0.05). Conclusion: This study revealed positive effects of neuromuscular electrical stimulation in addition with therapeutic exercises on the cardiorespiratory system in the short run.

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Functional and Muscular Effects of Neuromuscular Electrical Stimulation in Patients With Severe COPD

Cited by 150 publications

References 36 publications

Application of neuromuscular electrical stimulation of the lower limb skeletal muscles in the rehabilitation of patients with chronic heart failure and chronic obstructive pulmonary disease

Application of neuromuscular electrical stimulation of the lower limb skeletal muscles in the rehabilitation of patients with chronic heart failure and chronic obstructive pulmonary disease

COPD and muscle loss: is blood flow restriction a potential treatment?

Effectiveness of Neuromuscular Electrical Stimulation on Auxiliary Respiratory Muscles in Patients with Chronic Obstructive Pulmonary Disease Treated in the Intensive Care Unit

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