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

J 2019

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

PALANOVÁ, Petra, Veronika MRKVICOVÁ, Marta NEDBALKOVA, Michaela SOSÍKOVÁ, Petr KONEČNÝ et. al.

Základní údaje

Originální název

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

Autoři

PALANOVÁ, Petra (203 Česká republika, domácí), Veronika MRKVICOVÁ (203 Česká republika, garant, domácí), Marta NEDBALKOVA (203 Česká republika), Michaela SOSÍKOVÁ (203 Česká republika), Petr KONEČNÝ (203 Česká republika, domácí), Jiří JARKOVSKÝ (203 Česká republika, domácí), Emanuel CARVALHEIRO MARQUES (620 Portugalsko), Marie NOVÁKOVÁ (203 Česká republika, domácí), Michal POHANKA (203 Česká republika, domácí), Miroslav SOUCEK a Petr DOBŠÁK (203 Česká republika, domácí)

Vydání

Artificial organs, USA, WILEY-BLACKWELL, 2019, 0160-564X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

20601 Medical engineering

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.259

Kód RIV

RIV/00216224:14110/19:00110766

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1111/aor.13421

UT WoS

000482261500012

Klíčová slova anglicky

arterial stiffness; chronic renal insufficiency; electrical stimulation; exercise capacity; peritoneal dialysis

Štítky

14110515, 14110614, rivok

Změněno: 21. 3. 2022 14:26, Mgr. Tereza Miškechová

Anotace

V originále

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<0.002), peak workload by +0.1 (0.1) W/kg (P<0.005), and distance walked in 6MWT by +44.7 (58.4) m (P<0.008). Only insignificant changes were observed in CAVI and F-max. KDQOL-SF analysis showed significant improvement in seven parameters of QoL (P<0.012-0.049). This pilot study is the first clinical report dealing with the use of NMES in patients on CAPD. The results demonstrate that an improvement of exercise capacity and QoL can be achieved by home-based NMES in CAPD patients.

Citovat

PALANOVÁ, Petra, Veronika MRKVICOVÁ, Marta NEDBALKOVA, Michaela SOSÍKOVÁ, Petr KONEČNÝ, Jiří JARKOVSKÝ, Emanuel CARVALHEIRO MARQUES, Marie NOVÁKOVÁ, Michal POHANKA, Miroslav SOUCEK a Petr DOBŠÁK. Home-based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study. Artificial organs. USA: WILEY-BLACKWELL, 2019, roč. 43, č. 8, s. 796-805. ISSN 0160-564X. Dostupné z: https://dx.doi.org/10.1111/aor.13421.

@article{1561437,
   author = {Palanová, Petra and Mrkvicová, Veronika and Nedbalkova, Marta and Sosíková, Michaela and Konečný, Petr and Jarkovský, Jiří and Carvalheiro Marques, Emanuel and Nováková, Marie and Pohanka, Michal and Soucek, Miroslav and Dobšák, Petr},
   article_location = {USA},
   article_number = {8},
   doi = {http://dx.doi.org/10.1111/aor.13421},
   keywords = {arterial stiffness; chronic renal insufficiency; electrical stimulation; exercise capacity; peritoneal dialysis},
   language = {eng},
   issn = {0160-564X},
   journal = {Artificial organs},
   title = {Home-based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study},
   url = {http://dx.doi.org/10.1111/aor.13421},
   volume = {43},
   year = {2019}
}

TY  - JOUR
ID  - 1561437
AU  - Palanová, Petra - Mrkvicová, Veronika - Nedbalkova, Marta - Sosíková, Michaela - Konečný, Petr - Jarkovský, Jiří - Carvalheiro Marques, Emanuel - Nováková, Marie - Pohanka, Michal - Soucek, Miroslav - Dobšák, Petr
PY  - 2019
TI  - Home-based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study
JF  - Artificial organs
VL  - 43
IS  - 8
SP  - 796-805
EP  - 796-805
PB  - WILEY-BLACKWELL
SN  - 0160564X
KW  - arterial stiffness
KW  - chronic renal insufficiency
KW  - electrical stimulation
KW  - exercise capacity
KW  - peritoneal dialysis
UR  - http://dx.doi.org/10.1111/aor.13421
L2  - http://dx.doi.org/10.1111/aor.13421
N2  - 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<0.002), peak workload by +0.1 (0.1) W/kg (P<0.005), and distance walked in 6MWT by +44.7 (58.4) m (P<0.008). Only insignificant changes were observed in CAVI and F-max. KDQOL-SF analysis showed significant improvement in seven parameters of QoL (P<0.012-0.049). This pilot study is the first clinical report dealing with the use of NMES in patients on CAPD. The results demonstrate that an improvement of exercise capacity and QoL can be achieved by home-based NMES in CAPD patients.
ER  -

PALANOVÁ, Petra, Veronika MRKVICOVÁ, Marta NEDBALKOVA, Michaela SOSÍKOVÁ, Petr KONEČNÝ, Jiří JARKOVSKÝ, Emanuel CARVALHEIRO MARQUES, Marie NOVÁKOVÁ, Michal POHANKA, Miroslav SOUCEK a Petr DOBŠÁK. Home-based training using neuromuscular electrical stimulation in patients on continuous ambulatory peritoneal dialysis: A pilot study. \textit{Artificial organs}. USA: WILEY-BLACKWELL, 2019, roč.~43, č.~8, s.~796-805. ISSN~0160-564X. Dostupné z: https://dx.doi.org/10.1111/aor.13421.

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