Neuromuscular Electrical Stimulation (NMES) In Patients With COPD During An Exacerbation (ECOPD)

Background This review is an update of a previously published review in the Cochrane Database of Systematic Reviews Issue 1, 2013 on Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease. Patients with advanced progressive disease often experience muscle weakness, which can impact adversely on their ability to be independent and their quality of life. In those patients who are unable or unwilling to undertake whole-body exercise, neuromuscular electrical stimulation (NMES) may be an alternative treatment to enhance lower limb muscle strength. Programmes of NMES appear to be acceptable to patients and have led to improvements in muscle function, exercise capacity, and quality of life. However, estimates regarding the effectiveness of NMES based on individual studies lack power and precision. Objectives Primary objective: to evaluate the effectiveness of NMES on quadriceps muscle strength in adults with advanced disease. Secondary objectives: to examine the safety and acceptability of NMES, and its effect on peripheral muscle function (strength or endurance), muscle mass, exercise capacity, breathlessness, and health-related quality of life. Search methods We identified studies from searches of the Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews (CDSR), and Database of Abstracts of Reviews of Effects (DARE) (the Cochrane Library), MEDLINE (OVID), Embase (OVID), CINAHL (EBSCO), and PsycINFO (OVID) databases to January 2016; citation searches, conference proceedings, and previous systematic reviews. Selection criteria We included randomised controlled trials in adults with advanced chronic respiratory disease, chronic heart failure, cancer, or HIV/ AIDS comparing a programme of NMES as a sole or adjunct intervention to no treatment, placebo NMES, or an active control. We imposed no language restriction.

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Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease

Jones

Man

Gao

et al. 2016

Cochrane Database of Systematic Reviews

150

105

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Neuromuscular Electrical Stimulation (NMES) In Patients With COPD During An Exacerbation (ECOPD)

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Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease

Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease

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