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Titre : | Home-based Neuromuscular Electrical Stimulation as an Add-on to Pulmonary Rehabilitation Does Not Provide Further Benefits in Patients With Chronic Obstructive Pulmonary Disease: A Multicenter Randomized Trial (2018) |
Auteurs : | Tristan Bonnevie ; Francis-Edouard Gravier ; David Debeaumont |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1462-1470 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Electrotherapie ; Exercice physique ; Rééducation et réadaptation |
Mots-clés: | Electric Stimulation Therapy ; Exercise ; Physical Therapy Modalities ; Techniques de physiothérapie ; Pulmonary Disease ; Chronic Obstructive |
Résumé : |
Objective To assess the additional effect of a home-based neuromuscular electrical stimulation (NMES) program as an add-on to pulmonary rehabilitation (PR), on functional capacity in subjects with chronic obstructive pulmonary disease (COPD). Design Single-blind, multicenter randomized trial. Setting Three PR centers. Participants Subjects with severe to very severe COPD (N=73; median forced expiratory volume in 1 second, 1L (25th75th percentile, 0.81.4L) referred for PR. Twenty-two subjects discontinued the study, but only 1 dropout was related to the intervention (leg discomfort). Intervention Subjects were randomly assigned to either PR plus quadricipital home-based NMES (35Hz, 30min, 5 time per week) or PR without NMES for 8 weeks. Main Outcome Measure The 6-minute walk test (6MWT) was used to assess functional capacity. Results Eighty-two percent of the scheduled NMES sessions were performed. In the whole sample, there were significant increases in the distance walked during the 6MWT (P<.01 peak oxygen consumption maximal workload modified medical research council dyspnea scale and saint george respiratory questionnaire total score there was no significant difference in the magnitude of change for any outcome between groups.> Conclusions Home-based NMES as an add-on to PR did not result in further improvements in subjects with severe to very severe COPD; moreover, it may have been a burden for some patients. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931830100X |