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.

Basic information

Original name

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

Authors

PALANOVÁ, Petra (203 Czech Republic, belonging to the institution), Veronika MRKVICOVÁ (203 Czech Republic, guarantor, belonging to the institution), Marta NEDBALKOVA (203 Czech Republic), Michaela SOSÍKOVÁ (203 Czech Republic), Petr KONEČNÝ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Emanuel CARVALHEIRO MARQUES (620 Portugal), Marie NOVÁKOVÁ (203 Czech Republic, belonging to the institution), Michal POHANKA (203 Czech Republic, belonging to the institution), Miroslav SOUCEK and Petr DOBŠÁK (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

20601 Medical engineering

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.259

RIV identification code

RIV/00216224:14110/19:00110766

Organization unit

Faculty of Medicine

DOI

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

UT WoS

000482261500012

Keywords in English

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

Abstract

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 and 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, vol. 43, No 8, p. 796-805. ISSN 0160-564X. Available from: 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 and 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, vol.~43, No~8, p.~796-805. ISSN~0160-564X. Available from: https://dx.doi.org/10.1111/aor.13421.

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