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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064211%3A_____%2F19%3AW0000011" target="_blank" >RIV/00064211:_____/19:W0000011 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/19:00110766 RIV/00159816:_____/19:00071270

Výsledek na webu

<a href="https://www.ncbi.nlm.nih.gov/pubmed/30741435/" target="_blank" >https://www.ncbi.nlm.nih.gov/pubmed/30741435/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/aor.13421" target="_blank" >10.1111/aor.13421</a>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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 20weeks to 14 patients on CAPD, mean age 61.9 (8.7) years, using battery-powered stimulators (CEFAR-REHAB X2; Sweden) and self-adhesive electrodes 80x130 mm (PALS Platinum; Denmark). Stimulation characteristics: biphasic current, pulse width 400 mu s, 8seconds contraction-12seconds relaxation, frequency modulation 40-60Hz, and maximal intensity 60mA. NMES was home-based and applied simultaneously to quadriceps muscles of both legs (2 x 30min/day). Functional performance, muscle power (F-max), 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 O-2/kg/min (P<0.002), peak workload by +0.1 (0.1) W/kg (P<0.005), and distance walked in 6MWT by +44.7 (58.4) m (P<0.008). Only insignificant changes were observed in CAVI and F-max. 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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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 20weeks to 14 patients on CAPD, mean age 61.9 (8.7) years, using battery-powered stimulators (CEFAR-REHAB X2; Sweden) and self-adhesive electrodes 80x130 mm (PALS Platinum; Denmark). Stimulation characteristics: biphasic current, pulse width 400 mu s, 8seconds contraction-12seconds relaxation, frequency modulation 40-60Hz, and maximal intensity 60mA. NMES was home-based and applied simultaneously to quadriceps muscles of both legs (2 x 30min/day). Functional performance, muscle power (F-max), 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 O-2/kg/min (P<0.002), peak workload by +0.1 (0.1) W/kg (P<0.005), and distance walked in 6MWT by +44.7 (58.4) m (P<0.008). Only insignificant changes were observed in CAVI and F-max. 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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30401 - Health-related biotechnology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

ARTIFICIAL ORGANS

ISSN

0160-564X

e-ISSN

1525-1594

Svazek periodika

43

Číslo periodika v rámci svazku

8

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

10

Strana od-do

796-805

Kód UT WoS článku

000482261500012

EID výsledku v databázi Scopus

2-s2.0-85061452337