| Titre : | Functional Electrical Stimulation—A New Therapeutic Approach to Enhance Exercise Intensity in Chronic Obstructive Pulmonary Disease Patients: A Randomized, Controlled Crossover Trial (2018) |
| Auteurs : | Clément Medrinal ; Guillaume Prieur ; Yann Combret |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
| Article en page(s) : | p. 1454-1461 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Exercice physique ; Maladies pulmonaires ; Métabolisme ; Rééducation et réadaptation |
| Mots-clés: | Exercise ; Metabolism ; Lung Diseases ; Pulmonary Disease ; Chronic Obstructive |
| Résumé : |
Objective To evaluate the effect of quadriceps functional electrical stimulation (FES)-cycling on exertional oxygen uptake ( o2) compared with placebo FES-cycling in patients with chronic obstructive pulmonary disease (COPD). Design A randomized, single-blind, placebo-controlled crossover trial. Setting Pulmonary rehabilitation department. Participants Consecutive patients (N=23) with COPD Global Initiative for Chronic Obstructive Lung Disease stage 2, 3, or 4 (mean forced expiratory volume during the first second, 1.4+0.4L [50.3% predicted]) who had recently begun a respiratory rehabilitation program. Intervention Two consecutive 30-minute sessions were carried out at a constant load with active and placebo FES-cycling. Main Outcome Measures The primary outcome was mean o2 during the 30-minute exercise session. The secondary outcomes were respiratory gas exchange and hemodynamic parameters averaged over the 30-minute endurance session. Lactate values, dyspnea, and perceived muscle fatigue were evaluated at the end of the sessions. Results FES-cycling increased the physiological response more than the placebo, with a greater o2 achieved of 36.6mL/min (95% confidence interval [CI], 8.9–64.3mL/min) (P=.01). There was also a greater increase in lactate after FES-cycling (+1.5mmol/L [95% CI, .05–2.9mmol/L]; P=.01). FES-cycling did not change dyspnea or muscle fatigue compared with the placebo condition. Conclusions FES-cycling effectively increased exercise intensity in patients with COPD. Further studies should evaluate longer-term FES-cycling rehabilitation programs. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318301539 |
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