BACKGROUND:Haemodialysis (HD) patients are characterised by muscle wasting, decreased physical function and poor quality of life. The objective was to analyse the effect of an intradialysis NMES training programme in muscular strength, functional capacity and quality of life in our HD patients. MATERIAL: HD patients were assigned to NMES (ESG) or control group (CG) in a 12-week single-centre prospective study. Transversal quadriceps muscular area, maximum length quadriceps strength (MLQS), handgrip, sit-to-stand-to-sit 10 test (STS10), "6-min walking test" (6MWT); EuroQol-5D health-related quality of life (EQ-5D) questionnaire, subjective global assessment (SGA) and NMES symptoms questionnaires (SQ) were completed. RESULTS:Thirty-eight patients (54 % men). Mean age 69.7 years. 32.1 months on HD, 23 ESG and 15 in CG. In contrast with CG, ESG significantly (*p < 0.05) improved MLQS* (10.2 6.7 vs. 13.1 8.1 kg), STS10* (41 18.7 vs. 37.2 23.9 s), 6MWT* (12 %, 280.5 vs. 312.4 m) and EQ-5D score* (52.7 vs. 65.5) at the end of the study. However, lower SQ score* (8.5 vs. 5.8 sympt./patient) in ESG was observed, mainly due to muscular pain* (2.2 vs. 1.2), cramps* (1.6 vs. 1.2), numbness* (1.7 vs. 1.1) or stinging* (1.5 vs. 1.1). In ESG, 44 and 72 % referred better wellness sensation and physical condition in SGA, respectively. CONCLUSIONS: Intradialytic NMES of both quadriceps improved muscular strength, functional capacity and quality of life in our HD patients. With the obtained results, NMES constitutes a novel therapeutic alternative to improve the deteriorated physical condition and quality of life of these patients.
RCT Entities:
BACKGROUND: Haemodialysis (HD) patients are characterised by muscle wasting, decreased physical function and poor quality of life. The objective was to analyse the effect of an intradialysis NMES training programme in muscular strength, functional capacity and quality of life in our HDpatients. MATERIAL: HDpatients were assigned to NMES (ESG) or control group (CG) in a 12-week single-centre prospective study. Transversal quadriceps muscular area, maximum length quadriceps strength (MLQS), handgrip, sit-to-stand-to-sit 10 test (STS10), "6-min walking test" (6MWT); EuroQol-5D health-related quality of life (EQ-5D) questionnaire, subjective global assessment (SGA) and NMES symptoms questionnaires (SQ) were completed. RESULTS: Thirty-eight patients (54 % men). Mean age 69.7 years. 32.1 months on HD, 23 ESG and 15 in CG. In contrast with CG, ESG significantly (*p < 0.05) improved MLQS* (10.2 6.7 vs. 13.1 8.1 kg), STS10* (41 18.7 vs. 37.2 23.9 s), 6MWT* (12 %, 280.5 vs. 312.4 m) and EQ-5D score* (52.7 vs. 65.5) at the end of the study. However, lower SQ score* (8.5 vs. 5.8 sympt./patient) in ESG was observed, mainly due to muscular pain* (2.2 vs. 1.2), cramps* (1.6 vs. 1.2), numbness* (1.7 vs. 1.1) or stinging* (1.5 vs. 1.1). In ESG, 44 and 72 % referred better wellness sensation and physical condition in SGA, respectively. CONCLUSIONS: Intradialytic NMES of both quadriceps improved muscular strength, functional capacity and quality of life in our HDpatients. With the obtained results, NMES constitutes a novel therapeutic alternative to improve the deteriorated physical condition and quality of life of these patients.
Entities:
Keywords:
Haemodialysis; Health-related quality of life; Neuromuscular electrostimulation; Physical condition
Authors: Giorgos K Sakkas; Derek Ball; Thomas H Mercer; Anthony J Sargeant; Keith Tolfrey; Patrick F Naish Journal: Nephrol Dial Transplant Date: 2003-10 Impact factor: 5.992
Authors: Nicola A Maffiuletti; Raphael Zory; Danilo Miotti; Maria A Pellegrino; Marc Jubeau; Roberto Bottinelli Journal: Am J Phys Med Rehabil Date: 2006-02 Impact factor: 2.159
Authors: Petr Dobsak; Pavel Homolka; Jan Svojanovsky; Anna Reichertova; Miroslav Soucek; Marie Novakova; Ladislav Dusek; Jaromir Vasku; Jean-Christophe Eicher; Jarmila Siegelova Journal: Artif Organs Date: 2011-08-16 Impact factor: 3.094
Authors: Sharlene A Greenwood; Herolin Lindup; Kevin Taylor; Pelagia Koufaki; Robert Rush; Iain C Macdougall; Thomas H Mercer Journal: Nephrol Dial Transplant Date: 2012-07-10 Impact factor: 5.992
Authors: August Heidland; Gholamreza Fazeli; André Klassen; Katarina Sebekova; Hans Hennemann; Udo Bahner; Biagio Di Iorio Journal: Clin Nephrol Date: 2013-01 Impact factor: 0.975
Authors: Stefan Farese; Raphael Budmiger; Fabienne Aregger; Ivo Bergmann; Felix J Frey; Dominik E Uehlinger Journal: Am J Kidney Dis Date: 2008-05-19 Impact factor: 8.860
Authors: Lucía Ortega-Pérez de Villar; Francisco José Martínez-Olmos; Vicent Benavent-Caballer; Francisco Javier Montañez-Aguilera; Tom Mercer; Eva Segura-Ortí; Francisco de Borja Pérez-Domínguez Journal: Sci Rep Date: 2020-05-19 Impact factor: 4.379
Authors: Ana C B Marini; Reika D Motobu; Patrícia C B Lobo; Paula A Monteiro; Gustavo D Pimentel Journal: Sci Rep Date: 2021-11-12 Impact factor: 4.379