| Titre : | Effects of Functional Electrical Stimulation Cycling Combined With Arm Cranking Exercise on Cardiorespiratory Fitness in People With Central Nervous System Disorders: A Systematic Review and Meta-analysis (2023) |
| Auteurs : | Suzanne Máté ; Canan Sinan-Fornusek ; Prakash Dhopte ; Maria Fiatarone Singh ; Daniel Hackett ; Ché Fornusek |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 11, 2023) |
| Article en page(s) : | p. 1928-1940 |
| Note générale : | https://doi.org/10.1016/j.apmr.2023.03.026 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Capacité cardiorespiratoire ; Exercice physique ; Réadaptation ; Sclérose en plaques ; Stimulation électrique ; Traumatismes de la moelle épinière |
| Résumé : | Objective To examine the evidence regarding the potential of hybrid functional electrical stimulation (FES) cycling for improving cardiorespiratory fitness for people with a mobility disability related to a central nervous system (CNS) disorder. Data Sources Nine electronic databases: MEDLINE, EMBASE, Web of Science, CINAHL, PsycInfo, SPORTDiscus, Pedro, Cochrane, and Scopus, were searched from inception until October 2022. Study Selection Search terms included multiple sclerosis, spinal cord injury (SCI), stroke, Parkinson's disease, cerebral palsy, synonyms of FES cycling, arm crank ergometry (ACE) or hybrid exercise, and V?o2. All experimental studies, including randomized controlled trials that included an outcome measure related to peak or sub-maximal V?o2 were eligible. Data Extraction From a total of 280 articles, 13 were studies included. The Downs and Black Checklist was used to assess study quality. Random effects (Hedges? g) meta-analyses were undertaken to determine whether there were differences in V?o2peak during acute bouts of hybrid FES cycling vs other modes of exercise and changes resulting from longitudinal training. Data Synthesis During acute bouts of exercise, hybrid FES cycling was moderately more effective than ACE (effect size [ES] of 0.59 (95% CI 0.15-1.02, P=.008) in increasing V?o2peak from rest. There was a large effect on the increase of V?o2peak from rest for hybrid FES cycling compared with FES cycling (ES of 2.36 [95% CI 0.83-3.40, P=.003]). Longitudinal training with hybrid FES cycling showed a significant improvement in V?o2peak from pre to post intervention with a large, pooled ES of 0.83 (95% CI 0.24-1.41, P=.006). Conclusions Hybrid FES cycling produced higher V?o2peak compared with ACE or FES cycling during acute bouts of exercise. Hybrid FES cycling can improve cardiorespiratory fitness in people with SCI. Additionally, there is emerging evidence that hybrid FES cycling might increase aerobic fitness in people with mobility disability related to CNS disorders. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323002253 |
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