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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease

Published on: August 24, 2019

Effect of adding neuromuscular electrical stimulation training to pulmonary rehabilitation in patients with chronic

Marwa Mekki^1,2, Thierry Paillard³, Sonia Sahli⁴

¹1 Research Unit of Exercise Physiology and Pathophysiology: from integral to molecular Biology, Medicine and Health (UR12 ES06), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.

Clinical Rehabilitation

|August 2, 2018

Abstract

Objective::

To investigate the effectiveness of neuromuscular electrical stimulation added to pulmonary rehabilitation on walking tolerance and balance in patients with chronic obstructive pulmonary disease (COPD).

Design::

Randomized clinical trial.

Setting::

Outpatient, Faculty of Medicine of Sousse, Tunisia.

Subjects::

A total of 45 patients with COPD were assigned to an intervention group ( n = 25) or a control group ( n = 20).

Interventions::

The intervention group underwent a neuromuscular electrical stimulation added to pulmonary rehabilitation, and the control group underwent only a pulmonary rehabilitation, three times per week during six months.

Main Measures::

Measures were taken at baseline and after six months of training. A stabilometric platform, time up and go, Berg balance scale tests, 6 minute walking test, and the maximal voluntary contraction were measured.

Results::

In the intervention group, an increase in an exercise tolerance manifested by a longer distance walked in 6 minute walking test 619.5 (39.6) m was observed in comparison to the control group 576.3 (31.5) m. The values of the time up and go, Berg balance scale, and maximal voluntary contraction in the intervention group at follow-up were significantly higher than those in the control group ( P = 0.02, P = 0.01, P = 0.0002, respectively). The center of pressure in the mediolateral and in the anteroposterior directions, as well as the center of pressure area was significantly more improved in open eyes and closed eyes in the intervention group compared to the control group ( P < 0.001).

Conclusion::

The neuromuscular electrical stimulation added to pulmonary rehabilitation group benefited from better walking tolerance and greater balance improvement than the only pulmonary rehabilitation.

Keywords:

Chronic obstructive pulmonary disease exercise tolerance neuromuscular electrical stimulation pulmonary rehabilitation

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