» Articles » PMID: 36294490

Belt Electrode-Skeletal Muscle Electrical Stimulation in Older Hemodialysis Patients with Reduced Physical Activity: A Randomized Controlled Pilot Study

Overview
Journal J Clin Med
Specialty General Medicine
Date 2022 Oct 27
PMID 36294490
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Although patients receiving hemodialysis are more likely to develop metabolic disorders and muscle weakness at an earlier stage than healthy individuals, many older dialysis patients have difficulty establishing exercise habits to prevent these problems. Therefore, we evaluated the use of belt electrode-skeletal muscle electrical stimulation (B-SES), which can stimulate a wider area than conventional electrical muscle stimulation (EMS), to examine its application and safety in older hemodialysis patients as a means to improve lower extremity function without voluntary effort. Methods: This study was a randomized controlled trial (RCT) involving 20 older dialysis patients (>65 years old) with reduced physical activity. The control group received 12 weeks of routine care only and the intervention group received 12 weeks of B-SES during hemodialysis in addition to routine care. The primary endpoint was the 6 min walk test (6MWT) distance, while the Short Physical Performance Battery (SPPB), body composition, Functional Independence Measure (FIM), biochemistry test, and blood pressure/pulse measurements were used as secondary endpoints. Results: As a result of the 12-week B-SES intervention, no increase in creatine kinase or C-reactive protein levels was observed after the intervention in either group, and no adverse events attributed to the B-SES intervention were observed in the intervention group. Furthermore, the intervention group showed a significant improvement in the 6MWT and SPPB scores after the intervention. Conclusions: The results of this study suggest that a 12-week B-SES intervention during hemodialysis sessions safely improves 6MWT distance and SPPB scores in older patients with a reduced level of physical activity.

Citing Articles

Improving Lower Limb Function and Frailty in Frail Older Patients with Acute Myocardial Infarction After Percutaneous Coronary Intervention: A Randomized Controlled Study of Neuromuscular Electrical Stimulation.

Pu X, Huang H, Zhao X, Liu F, Leng Y, Deng Y Clin Interv Aging. 2024; 19:1163-1176.

PMID: 38974513 PMC: 11225987. DOI: 10.2147/CIA.S460805.


Acute Effects of Skeletal Muscle Electrical Stimulation on Central and Lower Extremity Hemodynamics.

Tamiya H, Kawashiri H, Miyamoto T, Tsubaki A Cureus. 2024; 16(6):e62988.

PMID: 38915840 PMC: 11194163. DOI: 10.7759/cureus.62988.


Systemic Capillary Responses to Acute Exercise in Hypertensive Seniors: Insights from a Single-Center Pilot Study.

Miura M, Kohzuki M, Saito C, Sakai S, Sugaya H, Koyama S J Clin Med. 2024; 13(10).

PMID: 38792358 PMC: 11122561. DOI: 10.3390/jcm13102818.


Kinesiophysiological analysis associated with changes in subjective intensities in belt electrode-skeletal muscle electrical stimulation: a prospective exploratory study.

Hishikawa N, Sawada K, Kubo M, Kakita M, Kawasaki T, Ohashi S J Phys Ther Sci. 2024; 36(5):284-289.

PMID: 38694009 PMC: 11060770. DOI: 10.1589/jpts.36.284.


Revised contraindications for the use of non-medical WB-electromyostimulation. Evidence-based German consensus recommendations.

von Stengel S, Frohlich M, Ludwig O, Eifler C, Berger J, Kleinoder H Front Sports Act Living. 2024; 6:1371723.

PMID: 38689869 PMC: 11058671. DOI: 10.3389/fspor.2024.1371723.


References
1.
Sillen M, Franssen F, Gosker H, Wouters E, Spruit M . Metabolic and structural changes in lower-limb skeletal muscle following neuromuscular electrical stimulation: a systematic review. PLoS One. 2013; 8(9):e69391. PMC: 3760845. DOI: 10.1371/journal.pone.0069391. View

2.
Iliou M, Verges-Patois B, Pavy B, Charles-Nelson A, Monpere C, Richard R . Effects of combined exercise training and electromyostimulation treatments in chronic heart failure: A prospective multicentre study. Eur J Prev Cardiol. 2017; 24(12):1274-1282. DOI: 10.1177/2047487317712601. View

3.
Young Y, Fan M, Hebel J, Boult C . Concurrent validity of administering the functional independence measure (FIM) instrument by interview. Am J Phys Med Rehabil. 2009; 88(9):766-70. PMC: 2966385. DOI: 10.1097/PHM.0b013e3181a9f1d6. View

4.
Nelson M, Rejeski W, Blair S, Duncan P, Judge J, King A . Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116(9):1094-105. DOI: 10.1161/CIRCULATIONAHA.107.185650. View

5.
Painter P . Physical functioning in end-stage renal disease patients: update 2005. Hemodial Int. 2005; 9(3):218-35. DOI: 10.1111/j.1492-7535.2005.01136.x. View