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| Effets de l'electrostimulation neuromusculaire combinee des triceps suraux et des quadriceps dans la BPCO severe et tres severe lors d'un programme de rehabilitation respiratoire (Effects of combined triceps surae and quadriceps neuromuscular electrostimulation in pulmonary rehabilitation for severe and very severe COPD) [French] |
| Peran L, Castel M, Beaumont M |
| Kinesitherapie La Revue 2018 May;18(197):3-12 |
| clinical trial |
| 4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: No; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Many studies have shown the benefit of neuromuscular electrical stimulation (NMES) of the quadriceps for exercise capacity in chronic obstructive pneumonia disease (COPD) patients. However, only one study has been published concerning triceps surae stimulation. The aim of the present study was to compare the effect of combined triceps and quadriceps NMES versus isolated quadriceps NMES on exercise capacity, triceps and quadriceps strength and endurance, quality of life and dyspnea. A randomized pilot study between Q (PRP plus quadriceps NMES) and Q+T (PRP plus quadriceps and triceps NMES) groups prospectively included 11 patients with stage 3 or 4 COPD, admitted to hospital for a 4-week pulmonary rehabilitation program (PRP). All Q+T group patients showed improved exercise capacity, quadriceps endurance and strength and triceps surae strength. Combined quadriceps and triceps surae NMES programs can be used in PRPs without negative effects. These encouraging results need to be confirmed in a larger-scale study. LEVEL OF EVIDENCE: 3.
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