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Titre : | Neuromuscular Electrical Stimulation in Chronic Kidney Failure: A Systematic Review and Meta-analysis (2020) |
Auteurs : | Jociane Schardong ; Cinara Stein ; Rodrigo Della Méa Plentz |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 4, 2020) |
Article en page(s) : | p. 700-711 |
Note générale : |
https://doi.org/10.1016/j.apmr.2019.11.008
|
Langues: | Anglais |
Descripteurs : |
HE Vinci Défaillance rénale chronique ; Dialyse rénale ; Réadaptation ; Stimulation électrique |
Résumé : |
Objective
To systematically review the effects of neuromuscular electrical stimulation (NMES) in patients with chronic kidney failure (CKF) on hemodialysis (HD) on lower and upper limb muscle strength, functional capacity, and quality of life. Data Sources Data were obtained from MEDLINE (via PubMed), Embase, Scielo, Cochrane Central Register of Controlled Trials, and Physiotherapy Evidence Database. There were no mandatory language or publication date restrictions. Study Selection Clinical trials that assessed the chronic effect of NMES (alone or associated with other physical therapy) on lower limb muscle strength or functional capacity of CKF patients on HD compared with control, placebo, or another intervention were selected. Data Extraction Two independent reviewers extracted data using a predesigned data extraction form. Risk of bias was assessed with RoB 2.0 and ROBINS-I, and quality of evidence was assessed with Grading of Recommendations Assessment, Development, and Evaluation. Data Synthesis Ten studies were included, totaling 242 patients. Randomized clinical trials showed some concerns or high risk of bias, and the nonrandomized ones showed moderate or critical risk of bias. Random-effects meta-analysis showed that NMES increases quadriceps muscle strength (standardized mean difference=1.46; 95% confidence interval [CI], 0.86-2.07; P<.0001 moderate quality of evidence upper limb strength difference ci p=".03" low and functional capacity it was impossible to quantitatively analyze life data however nmes associated or not with exercise appears have positive effects on them.> Conclusions NMES improves quadriceps muscle strength and the functional capacity of patients with CFK on HD. The effects on upper limb muscle strength and quality of life seem to be positive; however, the quality of evidence is very limited for these outcomes. |
Disponible en ligne : | Non |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319314431 |