Functional Electrical Stimulation-A New Therapeutic Approach to Enhance Exercise Intensity in Chronic Obstructive Pulmonary Disease Patients: A Randomized, Controlled Crossover Trial.
Journal article

Functional Electrical Stimulation-A New Therapeutic Approach to Enhance Exercise Intensity in Chronic Obstructive Pulmonary Disease Patients: A Randomized, Controlled Crossover Trial.

  • Medrinal C Normandy University, UNIROUEN, and the Institute for Research and Innovation in Biomedicine, Rouen, France; Pulmonology Department, Le Havre Hospital, Montivilliers, France. Electronic address: medrinal.clement.mk@gmail.com.
  • Prieur G Pulmonology Department, Le Havre Hospital, Montivilliers, France.
  • Combret Y Institute for Experimental Research, Pulmonology, ORL & Dermatology, Catholic University of Louvain, Brussels, Belgium; Physiotherapy Department, Le Havre Hospital, Montivilliers, France.
  • Quesada AR Intensive Care Unit Department, Le Havre Hospital, Montivilliers, France.
  • Debeaumont D Exercise and Respiratory Physiology Department, Bois Guillaume Hospital, Rouen University Hospital, Rouen Cedex, France.
  • Bonnevie T Normandy University, UNIROUEN, and the Institute for Research and Innovation in Biomedicine, Rouen, France; ADIR Association, Bois Guillaume, France.
  • Gravier FE ADIR Association, Bois Guillaume, France.
  • Dupuis Lozeron E Division of Clinical Epidemiology, Geneva University Hospitals, Geneva, Switzerland.
  • Quieffin J Pulmonology Department, Le Havre Hospital, Montivilliers, France.
  • Contal O University of Applied Sciences and Arts of Western Switzerland (HES-SO), Lausanne, Switzerland.
  • Lamia B Normandy University, UNIROUEN, and the Institute for Research and Innovation in Biomedicine, Rouen, France; Pulmonology Department, Le Havre Hospital, Montivilliers, France; Intensive Care Unit, Respiratory Department, Rouen University Hospital, Rouen, France.
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  • 2018-03-11
Published in:
  • Archives of physical medicine and rehabilitation. - 2018
English OBJECTIVE
To evaluate the effect of quadriceps functional electrical stimulation (FES)-cycling on exertional oxygen uptake (V˙o2) compared with placebo FES-cycling in patients with chronic obstructive pulmonary disease (COPD).


DESIGN
A randomized, single-blind, placebo-controlled crossover trial.


SETTING
Pulmonary rehabilitation department.


PARTICIPANTS
Consecutive patients (N=23) with COPD Global Initiative for Chronic Obstructive Lung Disease stage 2, 3, or 4 (mean forced expiratory volume during the first second, 1.4±0.4L [50.3% predicted]) who had recently begun a respiratory rehabilitation program.


INTERVENTION
Two consecutive 30-minute sessions were carried out at a constant load with active and placebo FES-cycling.


MAIN OUTCOME MEASURES
The primary outcome was mean V˙o2 during the 30-minute exercise session. The secondary outcomes were respiratory gas exchange and hemodynamic parameters averaged over the 30-minute endurance session. Lactate values, dyspnea, and perceived muscle fatigue were evaluated at the end of the sessions.


RESULTS
FES-cycling increased the physiological response more than the placebo, with a greater V˙o2 achieved of 36.6mL/min (95% confidence interval [CI], 8.9-64.3mL/min) (P=.01). There was also a greater increase in lactate after FES-cycling (+1.5mmol/L [95% CI, .05-2.9mmol/L]; P=.01). FES-cycling did not change dyspnea or muscle fatigue compared with the placebo condition.


CONCLUSIONS
FES-cycling effectively increased exercise intensity in patients with COPD. Further studies should evaluate longer-term FES-cycling rehabilitation programs.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/213741
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