Ann Rehabil Med.  2012 Dec;36(6):849-856.

The Effects of Neuromuscular Electrical Stimulation on Cardiopulmonary Function in Healthy Adults

Affiliations
  • 1Department of Rehabilitation Medicine, Jeju University Hospital, University of Jeju College of Medicine, Jeju 690-767, Korea. clearblue10@naver.com
  • 2Department of Physical Medicine and Rehabilitation, Myongji Hospital, Kwandong University College of Medicine, Goyang 412-270, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Jeju University Hospital, University of Jeju College of Medicine, Jeju 690-767, Korea.
  • 4Department of Thoracic and Cardiovascular Surgery, Inha University School of Medicine, Incheon 402-751, Korea.

Abstract


OBJECTIVE
To evaluate the effect of neuromuscular electrical stimulation (NMES) on cardiopulmonary function in healthy adults. METHOD: Thirty-six healthy adults without a cardiac problem were enrolled. All patients were randomly assigned to either a control (17 subjects, mean age 29.41) or an electrical stimulation group (19 subjects, mean age 29.26). The electrical stimulation group received NMES on both sides of quadriceps muscle using a Walking Man II(R) in a sitting position for 30 minutes over 2 weeks. Maximum oxygen consumption (VO2max), metabolic equivalent (MET), resting, maximal heart rate (RHR, MHR), resting, maximal blood pressure (RBP, MBP), and maximal rate pressure product (MRPP), exercise tolerance test (ETT) duration were determined using an exercise tolerance test and a 6 minute walk test (6MWT) before and after treatment.
RESULTS
The electrical stimulation group showed a significant increase in VO2max (p=0.03), 6MWT (p<0.01), MHR (p<0.04), MsBP (p<0.03), ETT duration (p<0.01) and a significant decrease in RsBP (p<0.02) as compared with the control group after two weeks. NMES induced changes improved only in RsBP (p<0.049) and ETT duration (p<0.01). The effects of NMES training were stronger in females.
CONCLUSION
We suggest that NMES is an additional therapeutic option for cardiopulmonary exercise in disabled patients with severe refractory heart failure or acute AMI.

Keyword

Cardiac rehabilitation; Neuromuscular electrical stimulation; Cardiopulmonary function; Maximal oxygen consumption

MeSH Terms

Adult
Blood Pressure
Electric Stimulation
Exercise Tolerance
Heart Failure
Heart Rate
Humans
Metabolic Equivalent
Oxygen Consumption
Quadriceps Muscle
Walking

Figure

  • Fig. 1 (A) Neuromuscular electrical stimulation Walking Man II® (Cyber Medic, Seoul, Korea), (B) Electrode placement on quadriceps muscles on both sides, (C) Cardiopulmonary function test.


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