Effects of Neuromuscular Electrical Stimulation During Hemodialysis on Peripheral Muscle Strength and Exercise Capacity

Brüggemann, Ana Karla Vieira; Mello, Carolina Luana de; Pont, Tarcila Dal; Kunzler, Deborah Hizume; Martins, Daniel Fernandes; Bobinski, Franciane; Yamaguti, Wellington Pereira; Paulin, Elaine

doi:10.1016/j.apmr.2016.12.009

Cited by 30 publications

(35 citation statements)

References 42 publications

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“…Therefore, 6 MWT represents valuable diagnostic tool for fitness testing in these patients . Results of this study fully agree with the results of recent studies, which reported significant increase in walked distance and improvement of functional parameters after NMES in patients on HD . Regardless of indisputable NMES benefits which were proven in this study, some expectations were not met.…”

Section: Discussionsupporting

confidence: 87%

“…Such procedure creates sufficient time window for development of adaptation mechanisms and for stabilization of biochemical findings. In CRI patients, NMES was used only exceptionally so far, but scientific studies reported that its effect on functional parameters is comparable to the effect of classical training on a bed‐side ergometer . NMES training in this study significantly increased average VO 2peak /kg value; this finding represents one of the most important outcomes of this study.…”

Section: Discussionsupporting

confidence: 51%

“…Resulting VO 2peak improvement is fully comparable to standard RHB trainings . These findings were verified recently in several studies proving therapeutic effectiveness of NMES in hemodialyzed patients . Based on our current knowledge, NMES has not been applied as a RHB method in patients on chronic ambulatory peritoneal dialysis (CAPD).…”

Section: Introductionsupporting

confidence: 54%

“…Various training programs may efficiently minimize progression of atrophic changes and significantly increase muscle mass and force . Although F max changes in this study were insignificant, recent papers reported significant increase in leg extensors maximal force after NMES in dialyzed . Cardiovascular risk in dialyzed patients is closely related to plasmatic concentration of pro‐inflammatory substances, such as CRP .…”

Section: Discussionmentioning

confidence: 57%

“…[24][25][26][27] These findings were verified recently in several studies proving therapeutic effectiveness of NMES in hemodialyzed patients. [28][29][30][31][32] Based on our current knowledge, NMES has not been applied as a RHB method in patients on chronic ambulatory peritoneal dialysis (CAPD). With respect to previously published data and to our own experience proving NMES therapeutic potential, we assume that a RHB program based on electrical stimulation of leg muscles might positively affect functional performance as well as QoL in CAPD patients.…”

Section: Introductionmentioning

confidence: 99%

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Home‐based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study

et al. 2019

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There is ample evidence that maintenance of basic physical fitness through exercise training is crucial for patients with chronic renal insufficiency. Rehabilitation based on neuromuscular electrical stimulation (NMES) of thigh muscles has been shown to have many beneficial effects in patients with chronic diseases. It is likely that NMES could have beneficial effects also in patients on chronic ambulatory peritoneal dialysis (CAPD). NMES was applied for 20 weeks to 14 patients on CAPD, mean age 61.9 (8.7) years, using battery‐powered stimulators (CEFAR‐REHAB X2; Sweden) and self‐adhesive electrodes 80 × 130 mm (PALS Platinum; Denmark). Stimulation characteristics: biphasic current, pulse width 400 μs, 8 seconds contraction‐12 seconds relaxation, frequency modulation 40‐60 Hz, and maximal intensity 60 mA. NMES was home‐based and applied simultaneously to quadriceps muscles of both legs (2 × 30 min/day). Functional performance, muscle power (Fmax), arterial stiffness (assessed by cardio‐ankle vascular index‐CAVI), and quality of life by KDQOL‐SF evaluation was done at baseline and at the end of program. Home NMES improved significantly the main functional parameters: VO2peak/kg increased by +2.2 (1.6) mL O2/kg/min (P < 0.002), peak workload by +0.1 (0.1) W/kg (P < 0.005), and distance walked in 6 MWT by +44.7 (58.4) m (P < 0.008). Only insignificant changes were observed in CAVI and Fmax. KDQOL‐SF analysis showed significant improvement in seven parameters of QoL (P < 0.012‐0.049). This pilot study is the first clinical report dealing with the use of NMES in patients on CAPD. The results demonstrate that an improvement of exercise capacity and QoL can be achieved by home‐based NMES in CAPD patients.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 51%

Section: Introductionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 57%