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Effects of Neuromuscular Electrical Stimulation on Physiologic and Functional Measurements in Patients With Heart Failure: A SYSTEMATIC REVIEW WITH META-ANALYSIS.
J Cardiopulm Rehabil Prev 2016 May-Jun; 36(3):157-66JC

Abstract

BACKGROUND

Neuromuscular electrical stimulation (NMES) is potentially attractive as a method of training in heart failure (HF) and could be performed in patients unable to participate in standard exercise training.

PURPOSE

To examine the effects of NMES on physiologic and functional measurements in patients with HF.

METHODS

MEDLINE, Cochrane, EMBASE, Scielo, and PEDro were searched from the earliest date available to July 2014. Two independent reviewers screened the titles and abstracts and selected randomized controlled trials, examining the effects of NMES versus exercise and/or of NMES versus control on physiologic and functional measurements in patients with HF. Two independent reviewers screened the randomized controlled trials. The PEDro score was used to evaluate methodological quality. Weighted mean differences and 95% CI were calculated.

RESULTS

Thirteen studies met the study criteria. Neuromuscular electrical stimulation resulted in improvement in peak oxygen uptake ((Equation is included in full-text article.)O2) (4.86 mL·kg ·min; 95% CI, 2.81-6.91), 6-minute walk test (6MWT) distance (63.54 m; 95% CI, 35.81-91.27), muscle strength (30.74 N; 95% CI, 3.67-57.81), flow-mediated dilatation (2.67%; 95% CI, 0.86-4.49), depressive symptoms (-3.86; 95% CI, -6.46 to -1.25), and global quality of life (0.89; 95% CI, 0.55-1.24). Nonsignificant differences in ((Equation is included in full-text article.)O2) peak, 6MWT, and quality of life were found for participants in the exercise group compared with NMES.

CONCLUSIONS

Neuromuscular electrical stimulation improved peak (Equation is included in full-text article.)O2, 6MWT distance, quality of life, muscle strength, endothelial function, and depressive symptoms in patients with HF and could be considered for inclusion in cardiac rehabilitation for selected patients.

Authors+Show Affiliations

Departamento de Biofunção (Dr Gomes Neto, Mr Oliveira, Dr Reis, and Mr Rodrigues), Curso de Fisioterapia da Universidade Federal da Bahia, UFBA, Salvador, Brazil; Programa de Pós Graduação em Medicina e Saúde (Dr Gomes Neto, Mr Rodrigues, and Mr Bittencourt), UFBA, Salvador, BA, Brazil; The GREAT Group (GRupo de Estudos em ATividade física) (Drs Gomes Neto and Carvalho), São Paulo, Brazil; Departamento de Fisioterapia da Universidade Federal de Sergipe (Drs Gomes Neto and Carvalho), UFS, Aracaju, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

26784735

Citation

Gomes Neto, Mansueto, et al. "Effects of Neuromuscular Electrical Stimulation On Physiologic and Functional Measurements in Patients With Heart Failure: a SYSTEMATIC REVIEW WITH META-ANALYSIS." Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 36, no. 3, 2016, pp. 157-66.
Gomes Neto M, Oliveira FA, Reis HF, et al. Effects of Neuromuscular Electrical Stimulation on Physiologic and Functional Measurements in Patients With Heart Failure: A SYSTEMATIC REVIEW WITH META-ANALYSIS. J Cardiopulm Rehabil Prev. 2016;36(3):157-66.
Gomes Neto, M., Oliveira, F. A., Reis, H. F., de Sousa Rodrigues-, E., Bittencourt, H. S., & Oliveira Carvalho, V. (2016). Effects of Neuromuscular Electrical Stimulation on Physiologic and Functional Measurements in Patients With Heart Failure: A SYSTEMATIC REVIEW WITH META-ANALYSIS. Journal of Cardiopulmonary Rehabilitation and Prevention, 36(3), pp. 157-66. doi:10.1097/HCR.0000000000000151.
Gomes Neto M, et al. Effects of Neuromuscular Electrical Stimulation On Physiologic and Functional Measurements in Patients With Heart Failure: a SYSTEMATIC REVIEW WITH META-ANALYSIS. J Cardiopulm Rehabil Prev. 2016;36(3):157-66. PubMed PMID: 26784735.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of Neuromuscular Electrical Stimulation on Physiologic and Functional Measurements in Patients With Heart Failure: A SYSTEMATIC REVIEW WITH META-ANALYSIS. AU - Gomes Neto,Mansueto, AU - Oliveira,Felipe Assis, AU - Reis,Helena França Correia Dos, AU - de Sousa Rodrigues-,Erenaldo,Jr AU - Bittencourt,Hugo Souza, AU - Oliveira Carvalho,Vitor, PY - 2016/1/20/entrez PY - 2016/1/20/pubmed PY - 2017/12/12/medline SP - 157 EP - 66 JF - Journal of cardiopulmonary rehabilitation and prevention JO - J Cardiopulm Rehabil Prev VL - 36 IS - 3 N2 - BACKGROUND: Neuromuscular electrical stimulation (NMES) is potentially attractive as a method of training in heart failure (HF) and could be performed in patients unable to participate in standard exercise training. PURPOSE: To examine the effects of NMES on physiologic and functional measurements in patients with HF. METHODS: MEDLINE, Cochrane, EMBASE, Scielo, and PEDro were searched from the earliest date available to July 2014. Two independent reviewers screened the titles and abstracts and selected randomized controlled trials, examining the effects of NMES versus exercise and/or of NMES versus control on physiologic and functional measurements in patients with HF. Two independent reviewers screened the randomized controlled trials. The PEDro score was used to evaluate methodological quality. Weighted mean differences and 95% CI were calculated. RESULTS: Thirteen studies met the study criteria. Neuromuscular electrical stimulation resulted in improvement in peak oxygen uptake ((Equation is included in full-text article.)O2) (4.86 mL·kg ·min; 95% CI, 2.81-6.91), 6-minute walk test (6MWT) distance (63.54 m; 95% CI, 35.81-91.27), muscle strength (30.74 N; 95% CI, 3.67-57.81), flow-mediated dilatation (2.67%; 95% CI, 0.86-4.49), depressive symptoms (-3.86; 95% CI, -6.46 to -1.25), and global quality of life (0.89; 95% CI, 0.55-1.24). Nonsignificant differences in ((Equation is included in full-text article.)O2) peak, 6MWT, and quality of life were found for participants in the exercise group compared with NMES. CONCLUSIONS: Neuromuscular electrical stimulation improved peak (Equation is included in full-text article.)O2, 6MWT distance, quality of life, muscle strength, endothelial function, and depressive symptoms in patients with HF and could be considered for inclusion in cardiac rehabilitation for selected patients. SN - 1932-751X UR - https://www.unboundmedicine.com/medline/citation/26784735/Effects_of_Neuromuscular_Electrical_Stimulation_on_Physiologic_and_Functional_Measurements_in_Patients_With_Heart_Failure:_A_SYSTEMATIC_REVIEW_WITH_META_ANALYSIS_ L2 - http://dx.doi.org/10.1097/HCR.0000000000000151 DB - PRIME DP - Unbound Medicine ER -