Neuromuscular electrostimulation for chronic obstructive pulmonary disease

Hill, Kylie; Mathur, Sunita; Roig, Marc; Janaudis-Ferreira, Tânia; Robles, Priscila; Dolmage, Thomas E.; Goldstein, Roger

doi:10.1002/14651858.cd010821

Cited by 3 publications

(6 citation statements)

References 23 publications

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“…25 Our finding supports, like others studies, that neuromuscular electrical stimulation can play a part in increasing the exercise capacity, quadriceps strength, quality of live, in reducing the dyspnea. 5 Our protocol is common to the studies undertaken in patients with severe chronic obstructive pulmonary disease. 5 The use of the highest tolerable current maximizes the number of muscle fibres recruited 26 and allows to create the greatest force during contraction so that the mechanical stress stimulate synthesis of the contractile proteins.…”

Section: Discussionmentioning

confidence: 99%

“…5 Our protocol is common to the studies undertaken in patients with severe chronic obstructive pulmonary disease. 5 The use of the highest tolerable current maximizes the number of muscle fibres recruited 26 and allows to create the greatest force during contraction so that the mechanical stress stimulate synthesis of the contractile proteins. 27 We added a voluntary contraction during electrical stimulation like suggest by Paillard et al, to give a better motor performance optimization.…”

Section: Discussionmentioning

confidence: 99%

“…The device delivered current fixed at 50 Hz frequency in 400 μs pulses over an on: off duty cycle 6:6 s, program used in a lot of studies. 5 Intensity was highest, adjusted to individual tolerance during each 30-min session. Voluntary contraction of quadriceps muscles was surimposed on to electrical stimulation.…”

Section: Methodsmentioning

confidence: 99%

“…In a systematic review about neuromuscular electrical stimulation in chronic obstructive pulmonary disease patients, the authors conclude that neuromuscular electrical stimulation may be a useful rehabilitation approach. 5 The aim of this prospective controlled randomized trial was to evaluate the effects of neuromuscular electrical stimulation in comparison with cycle ergometer training in patients with severe to very severe chronic obstructive pulmonary disease during a 3 weeks pulmonary rehabilitation program including endurance training performed on treadmill.…”

Section: Introductionmentioning

confidence: 99%

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Effect of neuromuscular electrical stimulation on exercise capacity in patients with severe chronic obstructive pulmonary disease: A randomised controlled trial

et al. 2022

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Objective To compare strengthening by neuromuscular electrical stimulation versus cycle ergometer training during a pulmonary rehabilitation program, in patients with severe to very severe chronic obstructive pulmonary disease. Design A prospective randomized controlled study. Setting Two inpatient pulmonary rehabilitation centers. Subjects Patients with severe to very severe chronic obstructive pulmonary disease and multidimensional index to predict risk of death ≥5, were randomly assigned to receive neuromuscular electrical stimulation or cycle ergometer training during pulmonary rehabilitation. Main measures The primary endpoint was the change in exercise capacity using 1-min sit-to-stand test Secondary endpoints were the changes in exercise capacity using 6-min walk test, quadriceps strength, quality of life and dyspnea. Results 102 patients were included. After 3 weeks, 47 patients in the neuromuscular electrical stimulation group, and 45 in the cycle ergometer training group were able to be analyzed. No significant difference was seen in the evolution of exercise capacity using 1-min sit-to-stand test (3.3 ± 3.8 and 2.6 ± 4.1) and 6-min walk test (37.8 ± 58.4 and 33.1 ± 46.7), in the evolution of quadriceps strength and endurance (9.2 ± 12.9 and 6.6 ± 16.1; 9.0 ± 13.2 and 6.2 ± 17.0), in the evolution of quality of life (St George's Respiratory Questionnaire: −11.3 ± 11.7 and −8.1 ± 11.6; COPD Assessment Test: −5.7 ± 7.1 and −4.7 ± 7.0), or in the evolution of dyspnea using Dyspnea 12 (−5.5 ± 10.2 and −5.9 ± 8.5) except using modified medical research council scale (95% confidence interval: 0.48 [0.05; 0.91], p = 0.027). Conclusion We found no significant difference between the two programs on exercise capacity, quadriceps strength and quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of neuromuscular electrical stimulation on exercise capacity in patients with severe chronic obstructive pulmonary disease: A randomised controlled trial

et al. 2022

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“…In addition, our results have shown that a NEMS program obtained significant betterments in lower limb strength in these patients. A recent Cochrane review has concluded that the use of NMES either alone, or together with conventional exercise training, improve the condition of the peripheral muscles, increase exercise capacity and functional performance, reduce symptoms, and improve health-related quality of life in COPD patients [ 45 ]. NMES is an appropriate option that allows the patients to carry out efficient training without intolerable dyspnea.…”

Section: Discussionmentioning

confidence: 99%

A Feasibility and Efficacy Randomized Controlled Trial of Two Exercise Programs in Severe AECOPD Patients with Resting Hypoxemia

et al. 2021

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Resting hypoxemia is the most severe stage of Chronic Obstructive Pulmonary Disease (COPD). Due to their impairments during the exacerbation, these patients are limited to traditional exercise rehabilitation and are excluded from the majority of the studies. The aim of this study was to assess the feasibility and the efficacy of two exercise programs in Acute Exacerbation of COPD (AECOPD) patients with resting hypoxemia. In this randomized clinical trial, patients hospitalized due to an acute exacerbation of COPD with hypoxemia at rest were included. Patients were randomly assigned into three groups. A Control Group (pharmacological treatment), a Global Exercise Group (GEG), and a Functional Electrostimulation Group (FEG). Patients were treated during the hospitalization period. The main outcomes were lower limb strength (assessed by a dynamometer), balance (assessed by the one leg standing balance test), health related quality of life (assessed by the EQ-5D), adverse events and adherence. At the end of the intervention, there were significant differences in all the variables in favour of the experimental groups (p < 0.05). We concluded that conducting an exercise program is feasible and improves lower limb strength, balance, and health related quality of life in AECOPD patients with resting hypoxemia.

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Neuromuscular electrostimulation for adults with chronic obstructive pulmonary disease

Hill

Cavalheri

Mathur

et al. 2018

Cochrane Database of Systematic Reviews

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NMES, when applied in isolation, increased quadriceps force and endurance, 6MWD and time to symptom limitation exercising at a submaximal intensity, and reduced the severity of leg fatigue on completion of exercise testing. It may increase VO, but the true effect on this outcome measure could be trivial. However, the quality of evidence was low or very low due to risk of bias within the studies, imprecision of the estimates, small number of studies and inconsistency between the studies. Although there were no additional gains in quadriceps force with NMES plus conventional exercise training, there was evidence of an increase in 6MWD. Further, in people who were the most debilitated, the addition of NMES may have accelerated the achievement of a functional milestone, that is, the first time someone sits out of bed.

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Neuromuscular electrostimulation for chronic obstructive pulmonary disease

Cited by 3 publications

References 23 publications

Effect of neuromuscular electrical stimulation on exercise capacity in patients with severe chronic obstructive pulmonary disease: A randomised controlled trial

Effect of neuromuscular electrical stimulation on exercise capacity in patients with severe chronic obstructive pulmonary disease: A randomised controlled trial

A Feasibility and Efficacy Randomized Controlled Trial of Two Exercise Programs in Severe AECOPD Patients with Resting Hypoxemia

Neuromuscular electrostimulation for adults with chronic obstructive pulmonary disease

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