Electromyostimulation-Induced Rhabdomyolysis: A Case Report and Comprehensive Literature Review

Whole-body electromyostimulation (WB-EMS) is a training method that activates multiple muscle groups through electrical impulses, offering time-efficient benefits for fitness and rehabilitation. However, improper use, particularly at high intensities, poses risks, including rhabdomyolysis. We report the case of a 36-year-old male who developed WB-EMS-induced rhabdomyolysis, which is a complication that may be induced by a single 25-minute session at high intensity. Laboratory findings revealed significantly elevated creatine kinase (19,534 IU/L) and liver enzymes without renal impairment. The patient was managed with rest and oral hyperhydration, leading to a progressive decline in muscle enzyme levels by the fourth day and total normalization after six days. Users and health professionals should be aware that rhabdomylysis is a complication of WB-EMS and should mitigate risks by monitoring and emphasizing adequate hydration.