Skeletal muscle effects of electrostimulation after COPD exacerbation: a pilot study

Abdellaoui, A.; Préfaut, Christian; Gouzi, Farès; Couillard, A.; Coisy-Quivy, Marjorie; Hugon, Gérald; Molinari, Nicolas; Lafontaine, Thierry; Jonquet, O.; Laoudj-Chenivesse, Dalila; Hayot, Maurice

doi:10.1183/09031936.00167110

Cited by 127 publications

(150 citation statements)

References 37 publications

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“…Troosters et al evaluated resistance training and demonstrated improvement of the 6MWD by a median of 34 m after patient discharge [28]. In a small pilot study (n = 15), Abdeallaoui et al tested neuromuscular electrostimulation and concluded that neuromuscular stimulation is effective in counteracting muscle dysfunction and decreasing oxidative stress [29]. So far, there are no published data analyzing the effects of WBV in patients with COPD exacerbations.…”

Section: Discussionmentioning

confidence: 99%

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

Koczulla¹,

Greulich²,

Nell³

et al. 2014

Pneumologie

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Background: Patients with stable COPD show improvements in exercise capacity and muscular function after the application of whole body vibration. We aimed to evaluate whether this modality added to conventional physiotherapy in exacerbated hospitalised COPD patients would be safe and would improve exercise capacity and quality of life. Methods: 49 hospitalised exacerbated COPD patients were randomized (1:1) to undergo physiotherapy alone or physiotherapy with the addition of whole body vibration. The primary endpoint was the between-group difference of the 6-minute walking test (day of discharge -day of admission). Secondary assessments included chair rising test, quality of life, and serum marker analysis.

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Section: Discussionmentioning

confidence: 99%

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

Koczulla¹,

Greulich²,

Nell³

et al. 2014

Pneumologie

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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: 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%

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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“…Another RCT in COPD patients within the ICU did not show the occurrence of ICUAW in patients treated with NMES [129]. In addition, in the NMES group, the quadriceps muscle strength measured with a dynamometer and the walking distance were increased [130]. Although not performed in patients in the ICU, NMES intervention was shown to increase muscle strength and exercise tolerance [131].…”

Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Skeletal Muscle Dysfunction in Critical Illness

Iida¹,

Sakuma²

2017

Physical Disabilities - Therapeutic Implications

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Despite improvements in critical illness survival rates with recent developments in medical care, many patients still have long-term physical disabilities following stays in the intensive care unit (ICU). Critical illness-induced muscle weakness, so-called ICU-acquired weakness (ICU-AW), is a common occurrence in approximately 50% of critically ill patients in the ICU requiring mechanical ventilation for >7 days. ICU-AW contributes to increases in duration of mechanical ventilation and lengths of ICU and hospital stays and may persist among survivors for several years after discharge. Risk factors for ICU-AW include systemic inflammatory responses, severe sepsis, muscle inactivity, hyperglycemia, and use of neuromuscular blockers. Thus, the development of muscle wasting is suggested to be associated with pathophysiological alterations leading to an imbalance between muscle proteolysis and proteosynthesis through several cellular signaling networks. This chapter presents a review of the literature regarding critical illness-induced muscle wasting and describes potential treatment of excessive muscle catabolism.

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Skeletal muscle effects of electrostimulation after COPD exacerbation: a pilot study

Cited by 127 publications

References 37 publications

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

Benefits of whole body vibration training in patients hospitalised for COPD exacerbations – a randomized clinical trial

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

Skeletal Muscle Dysfunction in Critical Illness

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