Functional Electrical Stimulation—A New Therapeutic Approach to Enhance Exercise Intensity in Chronic Obstructive Pulmonary Disease Patients: A Randomized, Controlled Crossover Trial
| Autor: | Aurora Robledo Quesada, Olivier Contal, Bouchra Lamia, Francis Edouard Gravier, Yann Combret, Clément Medrinal, Guillaume Prieur, David Debeaumont, Jean Quieffin, Elise Dupuis Lozeron, Tristan Bonnevie |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Physical Exertion/physiology medicine.medical_treatment Physical Exertion Electric Stimulation Therapy Physical Therapy Sports Therapy and Rehabilitation Placebo Electric Stimulation Therapy/methods Oxygen Consumption/physiology Chronic obstructive Pulmonary Disease Pulmonary Disease Chronic Obstructive 03 medical and health sciences Oxygen Consumption 0302 clinical medicine medicine Humans Single-Blind Method Pulmonary rehabilitation 030212 general & internal medicine Exercise ddc:613 COPD Cross-Over Studies business.industry Rehabilitation VO2 max Middle Aged medicine.disease Crossover study Obstructive lung disease Chronic Obstructive/physiopathology/therapy Lower Extremity/physiopathology Metabolism Treatment Outcome Lower Extremity 030228 respiratory system Anesthesia Exercise intensity Female business Respiratory minute volume |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, Vol. 99, No 8 (2018) pp. 1454-1461 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2018.02.002 |
| Popis: | Objective To evaluate the effect of quadriceps functional electrical stimulation (FES)-cycling on exertional oxygen uptake ( V ˙ o 2 ) 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 V ˙ o 2 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 V ˙ o 2 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. |
| Databáze: | OpenAIRE |
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