Comparison of the Efficacy of Neuromuscular Electrostimulation and Interval Exercise Training in Early Rehabilitation of Patients Hospitalized with Decompensation of Chronic Heart Failure

The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and Hemiplegia Related to Ischemic Stroke: A Pilot Study

“…Because the purpose of our study was to determine the ability of the NMES to influence the concentration of HbA 1C , lipid profiles, and hemodynamic parameters in T2DM patients, we used 35-Hz NMES eliciting incomplete, tetanic contractions of the muscles. NMES frequencies between 10 and 50 Hz (eliciting tetanic contractions) proved effective in our earlier study [ 26 ] and in the randomized clinical trials with patients with chronic cardiac deficiency conducted by other authors [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. The authors of the studies who applied NMES for 3–12 weeks reported that it improved participants’ exercise capacity [ 26 , 28 , 29 , 30 , 31 , 32 , 34 , 36 , 37 ], metabolic and hemodynamic parameters, including peak VO 2 [ 28 , 29 , 30 , 31 , 34 , 37 ], as well as reducing their diastolic blood pressure [ 29 ], and increasing LVEF (%) [ 26 ].…”

“…The results of clinical trials show that the effects of lower limb NMES and physical exercise are very comparable between patients with chronic obstructive pulmonary disease [ 38 ] and CHF [ 25 , 26 , 28 , 34 , 37 ]. NMES is reported to improve muscle blood flow [ 30 ], the activity of aerobic enzymes, and the function of vascular endothelium [ 30 ].…”

“…NMES is reported to improve muscle blood flow [ 30 ], the activity of aerobic enzymes, and the function of vascular endothelium [ 30 ]. NMES has also been found to be able to reduce the concentration of pro-inflammatory cytokines [ 30 ] and improve the quality of life of persons with CHF [ 26 , 27 , 29 , 30 , 31 , 32 , 33 , 37 ] and pulmonary disorders [ 38 ]. According to Sinacore et al [ 23 ], NMES is also capable of increasing the activity of type II muscle fibers.…”

“…It is probably the only clinical study evaluating the effect of NMES on blood pressure and cardiac hemodynamic parameters in persons with T2DM. There are, however, a number of randomized clinical trials with persons with chronic heart failure, which have demonstrated the ability of several-week NMES training to improve exercise capacity and metabolic and hemodynamic parameters [ 26 , 28 , 30 , 31 , 32 , 34 , 36 , 37 ], increase peak VO 2 [ 28 , 29 , 30 , 31 , 34 , 37 ], reduce diastolic blood pressure [ 29 ], and increase heart rate [ 31 , 34 ] and LVEF (%) [ 26 ].…”