Home‐based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study

Autor:	Jiri Jarkovsky, Petr Dobšák, Petr Konecny, Miroslav Souček, Michal Pohanka, Veronika Mrkvicová, Michaela Sosíková, Marie Nováková, Marta Nedbálková, Petra Palanová, Emmanuel Marques
Rok vydání:	2019
Předmět:	Male medicine.medical_treatment 0206 medical engineering Physical fitness Biomedical Engineering Medicine (miscellaneous) Electric Stimulation Therapy Pilot Projects Walk Test Bioengineering Stimulation 02 engineering and technology 030204 cardiovascular system & hematology Quadriceps Muscle Peritoneal dialysis Biomaterials 03 medical and health sciences Vascular Stiffness 0302 clinical medicine Peritoneal Dialysis Continuous Ambulatory Quality of life Humans Medicine Muscle Strength Renal Insufficiency Chronic Aged Exercise Tolerance Rehabilitation business.industry Continuous ambulatory peritoneal dialysis General Medicine Middle Aged medicine.disease 020601 biomedical engineering 3. Good health Anesthesia Ambulatory Quality of Life Arterial stiffness Female business
Zdroj:	Artificial Organs. 43:796-805
ISSN:	1525-1594 0160-564X
DOI:	10.1111/aor.13421
Popis:	There is ample evidence that maintenance of basic physical fitness through exercise training is crucial for patients with chronic renal insufficiency. Rehabilitation based on neuromuscular electrical stimulation (NMES) of thigh muscles has been shown to have many beneficial effects in patients with chronic diseases. It is likely that NMES could have beneficial effects also in patients on chronic ambulatory peritoneal dialysis (CAPD). NMES was applied for 20weeks to 14 patients on CAPD, mean age 61.9 (8.7) years, using battery-powered stimulators (CEFAR-REHAB X2; Sweden) and self-adhesive electrodes 80x130 mm (PALS Platinum; Denmark). Stimulation characteristics: biphasic current, pulse width 400 mu s, 8seconds contraction-12seconds relaxation, frequency modulation 40-60Hz, and maximal intensity 60mA. NMES was home-based and applied simultaneously to quadriceps muscles of both legs (2 x 30min/day). Functional performance, muscle power (F-max), arterial stiffness (assessed by cardio-ankle vascular index-CAVI), and quality of life by KDQOL-SF evaluation was done at baseline and at the end of program. Home NMES improved significantly the main functional parameters: VO2peak/kg increased by +2.2 (1.6) mL O-2/kg/min (P
Databáze:	OpenAIRE
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