Whole-body electrical stimulation as a strategy to improve functional capacity and preserver lean mass after bariatric surgery: a randomized triple-blind controlled trial

André, Larissa Delgado; Basso-Vanelli, Renata Pedrolongo; Ricci, Paula Angélica; Thommazo-Luporini, Luciana Di; Oliveira, Cláudio Ricardo de; Haddad, Guilherme Focchi; Haddad, José Michel; Parizotto, Nivaldo Antônio; Vieira, Rodolfo de Paula; Arena, Ross

doi:10.1038/s41366-021-00812-7

Cited by 10 publications

(14 citation statements)

References 49 publications

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“…The length of the intervention spanned 5 days to 4 weeks, and the frequency of the intervention ranged from three times per week to every day. Seven studies involved stimulation of one muscle [ 30 , 31 , 35 , 39 , 43 , 45 , 46 ], nine involved stimulations of multiple muscles [ 32 – 34 , 36 – 38 , 41 , 42 , 44 ], one involved stimulation of the common peroneal nerve [ 47 ], and one involved stimulation of the lower limb [ 41 ]. The most common stimulation site was the quadriceps.…”

Section: Resultsmentioning

confidence: 99%

“…The evidence is very uncertain about the effect of NMES on lower limb muscle strength in digestive system surgery (three studies [ 42 , 43 , 46 ], 86 participants): SMD, 0.36; 95% CI −0.03 to 0.76; very low certainty evidence ( Fig 3A and Table 3 ). HR-QOL and adverse events were not reported for digestive system surgery.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of digestive system surgery, the evidence was very uncertain about the effect of NMES on walking ability (two studies [ 42 , 43 ], 71 participants: MD, 37.49, 95% CI 0.35 to 74.64; very low certainty evidence) ( Fig 3B and Table 3 ) and ADL (one study [ 43 ], 36 participants): MD, 0.00, 95% CI −4.86 to 4.86; very low certainty evidence ( Fig 3C and Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Nakashima,

Iwaki,

Kataoka

et al. 2023

PLoS ONE

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This systematic review and meta-analysis examined the efficacy of neuromuscular electrical stimulation (NMES) on lower limb muscle strength and health-related quality of life (HR-QOL) after thoracic and abdominal surgery. We searched the Cochrane Central Register of Controlled Trials, MEDLINE via PubMed, Excerpta Medica Database via Elsevier, Physiotherapy Evidence Database, Cumulative Index to Nursing and Allied Health Literature, World Health Organization International Clinical Trials Registry Platform via their dedicated search portal, and ClinicalTrials.gov on November 2021 and updated in April 2023 to identify randomized controlled trials that examined the effects of NMES after thoracic and abdominal surgery. The primary outcomes were lower limb muscle strength, HR-QOL, and adverse events. We used the Cochrane Risk of Bias Tool and the Grading of Recommendations, Assessment, Development, and Evaluation approach to assess the certainty of evidence. A total of 18 randomized control trials involving 915 participants, including 10 on cardiovascular surgery, two on pulmonary surgery, five on digestive system surgery, and one on other surgery, were included. NMES slightly increased lower limb muscle strength and adverse events in cardiovascular surgery. Adverse events (hypotension, pain, and muscle discomfort) occurred in seven patients. HR-QOL was measured in two studies on cardiovascular surgery, but these were not pooled due to concept heterogeneity. Overall, NMES slightly increases lower limb muscle strength after cardiovascular surgery without serious adverse events. However, higher-quality randomized control trials in thoracic and abdominal surgeries are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Nakashima,

Iwaki,

Kataoka

et al. 2023

PLoS ONE

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“…The parameters of this protocol have been applied similarly before 11,24 . As in previous studies 25,26 , the intensity was considered when the participant felt the current at the motor level, and muscle contraction could be observed. In addition, a scale from 0 to 10 (Borg) was used to control the perceived intensity produced by the application of the WB-EMS, considering moderate and intense.…”

Section: Whole-body Electromyostimulation Protocol (Wb-ems)mentioning

confidence: 99%

Acute whole-body electromyostimulation associated with dynamic exercises did not alter cardiac autonomic modulation and oxygen uptake in obese and eutrophic men

Cassemiliano

Ricci

Jürgensen

et al. 2022

Motriz: rev. educ. fis.

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To contrast the acute effects of whole-body electromyostimulation (WB-EMS) with sham associated with dynamic exercises on cardiovascular, ventilatory, metabolic, and autonomic responses in men with obesity and controls. Methods: A randomized cross-over and double-blind trial with nine eutrophic (23.6 years; 23 ± 1.4 kg/m 2 ) and ten men with obesity (26 ± 4 years; 38 ± 7 kg/m 2 ), who were randomized to receive WB-EMS-Sham or Sham-WB-EMS with 30 min of rest between protocols. WB-EMS protocol (Miha Bodytec®) was applied at the motor level, frequency = 85 Hz, pulse duration = 350 μs, cycle on = 6″; cycle off = 4″. Sham group performed the same exercises with the electric current turned off. Throughout both protocols, subjects executed two dynamic exercises of 5 minutes each (step-up and step down associated with shoulder flexion, and lunge exercise associated with elbow flexion) in the same order. R-R intervals and breath-by-breath respiratory gases analysis were collected during the protocols. Heart rate variability (HRV) indexes were obtained using linear and nonlinear analysis. The level of statistical significance was set at p < 0.05. Results: Regarding both exercises, participants with obesity presented reduced oxygen uptake, higher ventilation, respiratory rate, blood pressure, and Borg scores (p < 0.05) when contrasted with controls, as expected. However, no significant differences were found for HRV indexes between groups (p > 0.05). In addition, WB-EMS did not increase oxygen uptake or altered autonomic modulation when contrasted with sham in both groups (p < 0.05). Conclusion:Obesity has a negative impact on symptoms and functional capacity. However, WB-EMS did not acutely enhance oxygen uptake or HRV during exercise in a population with obesity.

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“…First, we would like to thank the authors for their interest in this study, and in fact, the use of electrical stimulation has become a promising strategy, with interesting outcomes regarding sports approaches (Filipovic et al, 2016(Filipovic et al, , 2019 and health considering different pathological conditions (Wittmann et al, 2016;André et al, 2021). Thus, in agreement with Pano-Rodriguez et al (2019), we supported and suggested that more studies, such as randomized clinical trials and meta-analyses, should be carried out with older adults so that the method can be considered robust and its different forms of application can reach society coherently and positively.…”

Section: Effects Of Whole Body Electrostimulation Associated With Body Weight Training On Functional Capacity and Body Composition In Inamentioning

confidence: 99%

Commentary: Effects of Whole Body Electrostimulation Associated With Body Weight Training on Functional Capacity and Body Composition in Inactive Older People

et al. 2021

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Whole-body electrical stimulation as a strategy to improve functional capacity and preserver lean mass after bariatric surgery: a randomized triple-blind controlled trial

Cited by 10 publications

References 49 publications

Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Efficacy of neuromuscular electrical stimulation for thoracic and abdominal surgery: A systematic review and meta-analysis

Acute whole-body electromyostimulation associated with dynamic exercises did not alter cardiac autonomic modulation and oxygen uptake in obese and eutrophic men

Commentary: Effects of Whole Body Electrostimulation Associated With Body Weight Training on Functional Capacity and Body Composition in Inactive Older People

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