Mejdi Aliu1, Joana Xhema2, Sylejman Miftari1
1University of Prishtina, Faculty of Medicine, Department of Physiotherapy, Prishtina, Kosovo
2University of Medicine, Tirana, Faculty of Technical Medical Sciences, Tirana, Albania
Effects of Neuromuscular Electrical Stimulation on Peripheral Muscle Strength and Exercise Tolerance in Chronic Obstructive Pulmonary Disease Patients: A Systematic Review
Sport Mont 2023, 21(2), 123-127 | DOI: 10.26773/smj.230719
Abstract
Currently, Chronic Obstructive Pulmonary Disease (COPD) is perceived not only as a pulmonary disease, but more as a systemic disease affecting the functioning of other organs including the locomotor system. The application of physical therapy in patients with COPD has been found to be safe and beneficial. Neuromuscular Electrical Stimulation (NMES) treatment is particularly beneficial for patients who are unable or unwilling to participate in daily activities or regular physical exercise. The efficacy of this technique has not yet been fully demonstrated in patients with COPD. Therefore, this study aimed to evaluate the effects of NMES on peripheral muscle strength and exercise tolerance in COPD patients. As part of the literature review for this study, seven studies over the last 19 years have been taken into consideration. The review included the following databases: Physiotherapy Evidence Database (PEDro), Google Scholar, and PubMed. Based on our literature review, we concluded that NMES has positive effects on increasing peripheral muscle strength and exercise tolerance in COPD patients. Future research should examine whether the therapeutic effects are long-lasting, whether they are experienced by all COPD patient groups, and which frequency or type of NMES delivers the most effective results.
Keywords
pulmonary rehabilitation, neuromuscular electrical stimulation, physiotherapy, chronic obstructive pulmonary disease
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References
Abdellaoui, A., Préfaut, C., Gouzi, F., Couillard, A., Coisy-Quivy, M., Hugon, G., ... & Hayot, M. (2011). Skeletal muscle effects of electrostimulation after COPD exacerbation: A pilot study. European Respiratory Journal, 38(4), 781-788. https://doi.org/10.1183/09031936.00167110.
Chen, R. C., Li, X. Y., Guan, L. L., Guo, B. P., Wu, W. L., Zhou, Z. Q., ... & Zhou, L. Q. (2016). Effectiveness of neuromuscular electrical stimulation for the rehabilitation of moderate-to-severe COPD: A meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 11, 2965. https://doi.org/10.2147/COPD.S120555.
Coquart, J. B., Grosbois, J. M., Olivier, C., Bart, F., Castres, I., & Wallaert, B. (2016). Home-based neuromuscular electrical stimulation improves exercise tolerance and health-related quality of life in patients with COPD. International Journal of Chronic Obstructive Pulmonary Disease, 11, 1189. https://doi.org/10.2147/COPD.S105049.
Corhay, J. L., Dang, D. N., Van Cauwenberge, H., & Louis, R. (2014). Pulmonary rehabilitation and COPD: Providing patients a good environment for optimizing therapy. International Journal of Chronic Obstructive Pulmonary Disease, 9, 27.https://doi.org/10.2 147/ COPD.S52012.
Gerovasili, V. (2016). Beneficial effect of NMES in COPD wanes after programme completion. The Lancet Respiratory Medicine, 4(1), 3-5. https://doi.org/10.1016/S2213-2600(15)00516-0.
Giavedoni, S., Deans, A., McCaughey, P., Drost, E., MacNee, W., & Rabinovich, R. A. (2012). Neuromuscular electrical stimulation prevents muscle function deterioration in exacerbated COPD: A pilot study. Respiratory Medicine, 106(10), 1429-1434. https://doi.org/10.1016/j.rmed.2012.05.005.
Gloeckl, R., Marinov, B., & Pitta, F. (2013). Practical recommendations for exercise training in patients with COPD. European Respiratory Review, 22(128), 178-186. https://doi.org/10.118 3 /09059180.00000513.
Kucio, C., Niesporek, J., Kucio, E., Narloch, D., & Węgrzyn, B. (2016). Evaluation of the effects of neuromuscular electrical stimulation of the lower limbs combined with pulmonary rehabilitation on exercise tolerance in patients with chronic obstructive pulmonary disease. Journal of Human Kinetics, 54(1), 75-82. https://doi.org/10.1515/hukin-2016-0054.
Latimer, L., Greening, N., Morgan, M., Singh, S., Bradding, P., & Steiner, M. (2013). Unilateral neuromuscular electrical stimulation (NMES) of the quadriceps muscles in stable COPD. European Respiratory Journal, 42, P3571.
Maddocks, M., Nolan, C. M., Man, W. D., Polkey, M. I., Hart, N., Gao, W., ... & Higginson, I. J. (2016). Neuromuscular electrical stimulation to improve exercise capacity in patients with severe COPD: A randomized double-blind, placebo-controlled trial. The Lancet Respiratory Medicine, 4(1), 27-36. https://doi.org/10.1016/S2213-2600(15)00503-2.
Mahendiran, M., Manivel, A., & Sandhya, G. (2019). Effects of Neuromuscular Electrical Stimulation [NMES] On Quadriceps Muscle to Improve the Functional Exercise Capacity and Quality Of Life in Mild to Moderate COPD Patients. International Journal of Science and Healthcare Research, 4(4), 201-206.
Nápolis, L. M., Dal Corso, S., Neder, J. A., Malaguti, C., Gimenes, A. C. O., & Nery, L. E. (2011). Neuromuscular electrical stimulation improves exercise tolerance in chronic obstructive pulmonary disease patients with better preserved fat-free mass. Clinics, 66(3), 401-406. https://doi.org/10.1590/S1807-593 2201 1000300006.
Neder, J. A., Sword, D., Ward, S. A., Mackay, E., Cochrane, L. M., & Clark, C. J. (2002). Home-based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax, 57(4), 333-337. https://doi.org/10 .1136 /thorax. 57.4.333.
Pan, L., Guo, Y., Liu, X., & Yan, J. (2014). Lack of efficacy of neuromuscular electrical stimulation of the lower limbs in chronic obstructive pulmonary disease patients: A meta‐analysis. Respirology, 19(1), 22-29. https://doi.org/10.1111/resp.12200.
Veldman, M. P., Gondin, J., Place, N., & Maffiuletti, N. A. (2016). Effects of neuromuscular electrical stimulation training on endurance performance. Frontiers in Physiology, 7, 544. https://doi.org/10.3389/fphys.2016.00544.
Vieira, P. J., Chiappa, A. M. G., Cipriano Jr, G., Umpierre, D., Arena, R., & Chiappa, G. R. (2014). Neuromuscular electrical stimulation improves clinical and physiological function in COPD patients. Respiratory Medicine, 108(4), 609-620.https://doi.org/10.1016/j.rmed.2013.12.013.
Viegi, G., Pistelli, F., Sherrill, D. L., Maio, S.,Baldacci, S., & Carrozzi, L. (2007). Definition, epidemiology, and natural history of COPD. European Respiratory Journal, 30(5), 993-1013. https://doi.org/10.1183/0903193 6.00082507.
Wu, X., Hu, X., Hu, W., Xiang, G., & Li, S. (2020). Effects of neuromuscular electrical stimulation on exercise capacity and quality of life in COPD patients: A systematic review and meta-analysis. Bioscience Reports, 40(5). https://doi.org/10.1042/BSR20191912