Functional Electrical Stimulation is More Effective in Severe Symptomatic Heart Failure Patients and Improves Their Adherence to Rehabilitation Programs

Karavidas, Apostolos; Parissis, John; Matzaraki, Vassiliki; Arapi, Sophia; Varounis, Christos; Ikonomidis, Ignatios; Grillias, Panagiotis; Paraskevaidis, Ioannis; Pirgakis, Vlassios; Filippatos, Gerasimos; Kremastinos, D.

doi:10.1016/j.cardfail.2009.10.023

Cited by 43 publications

(46 citation statements)

References 24 publications

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“…Overall Jehn et al 50 Radke et al 24 Alahdab et al 18 Alahdab et al 18 Rostagno et al 13 Rostagno et al 45 Ingle et al 26 Jehn et al 36 Ingle et al 26 Deuschle et al 52 Rostagno et al 46 Bagur et al 48 Zugck et al 21 Pepera et al 32 Goode et al 18 Deuschle et al 52 Faggiano et al 47 Leszek et al 35 Rostagno et al 13 Goode et al 7 Zugck et al 21 Ingle et al 26 Ingle et al 26 Rostagno et al 45 Tay et al 49 Jankowska et al 29 Bagur et al 48 Ates et al 30 Rostagno et al 46 Gary et al 25 Jehn et al 36 Karavidaset al 28 Souza et al 53 Jehn et al 50 Bosnak Güçlü et al 27 Alahdab et al 18 Forman et al 20 Zaidi et al Goscinska-Bis et al 37 Alahdab et al 18 Forman et al 20 Keast et al 31 Vrtovec et al 51 Rostagno et al 45 Souza et al 53 Tay et al 49 Jaski et al 34 Zugck et al …”

Section: Discussionmentioning

confidence: 99%

Correlation of the New York Heart Association Classification and the 6‐Minute Walk Distance: A Systematic Review

Yap

Lim

Gao

et al. 2015

Clinical Cardiology

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Background: Functional status assessment is the cornerstone of heart failure management and trials. The New York Heart Association (NYHA) classification and 6-minute walk distance (6MWD) are commonly used tools; however, the correlation between them is not well understood. Hypothesis: We hypothesised that the relationship between the NYHA classification and 6MWD might vary across studies. Methods: A systematic literature search was performed to identify all studies reporting both NYHA class and 6MWD. Two reviewers independently assessed study eligibility and extracted data. Thirty-seven studies involving 5678 patients were included. Results: There was significant heterogeneity across studies in 6MWD within all NYHA classes: I (n = 16, Q = 934.2; P < 0.001), II (n = 25, Q = 1658.3; P < 0.001), III (n = 30, Q = 1020.1; P < 0.001), and IV (n = 6, Q = 335.5; P < 0.001). There was no significant difference in average 6MWD between NYHA I and II (420 m vs 393 m; P = 0.416). There was a significant difference in average 6MWD between NYHA II and III (393 m vs 321 m; P = 0.014) and III and IV (321 m vs 224 m; P = 0

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Section: Discussionmentioning

confidence: 99%

Correlation of the New York Heart Association Classification and the 6‐Minute Walk Distance: A Systematic Review

Yap

Lim

Gao

et al. 2015

Clinical Cardiology

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show abstract

“…The observed improvement of muscular strength applies to both isokinetic [14,21,22] and isometric [21] contractions. It seems that these changes are caused by the increase in aerobic enzyme activity of skeletal muscles, which, in turn, leads to an increased oxidative capacity [9,[12][13][14]18]. Moreover, it was observed through the biopsy procedure that due to the application of NMES, an increase in type I muscle fibers occurs, which proves the evident recalibration of the stimulated muscles in the direction of aerobic metabolism and endurance training [13].…”

Section: Application Of Nmes In Patients With Chronic Heart Failurementioning

confidence: 95%

“…In rare cases, patients with class IV symptoms also participated in the research. Some of the participants were either after a heart transplant or qualified for heart transplant surgery [9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Application Of Nmes In Patients With Chronic Heart Failurementioning

confidence: 99%

“…The research demonstrated that the application of NMES in patients with CHF results in improvement of exercise tolerance indicators, such as: increased peak oxygen consumption, increased anaerobic threshold, increased duration of exercise tests and greater distance covered during the 6MWT test [9][10][11][12][13][14][15][16][17][18][19][20]. After a series of NMES treatment sessions, increased muscle endurance was also noted in patients with CHF [12].…”

Section: Application Of Nmes In Patients With Chronic Heart Failurementioning

confidence: 99%

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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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“…The physiologic improvements appear to be greatest in those patients with advanced HF severity. 42 Recent guidelines endorse the use of NMES in HF patients with severe functional deficits.…”

Section: Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Exercise Training in Group 2 Pulmonary Hypertension: Which Intensity and What Modality

Arena

Lavie²,

Borghi‐Silva

et al. 2016

Progress in Cardiovascular Diseases

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Functional Electrical Stimulation is More Effective in Severe Symptomatic Heart Failure Patients and Improves Their Adherence to Rehabilitation Programs

Cited by 43 publications

References 24 publications

Correlation of the New York Heart Association Classification and the 6‐Minute Walk Distance: A Systematic Review

Correlation of the New York Heart Association Classification and the 6‐Minute Walk Distance: A Systematic Review

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

Exercise Training in Group 2 Pulmonary Hypertension: Which Intensity and What Modality

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