Marwa Mekki1,2, Thierry Paillard3, Sonia Sahli4, Zouhair Tabka1, Yassine Trabelsi1. 1. 1 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. 2. 2 Faculty of Sciences of Bizerte, University of Carthage, Carthage, Tunisia. 3. 3 Movement, Balance, Performance and Health Laboratory (EA 4445), University of Pau and des Pays de l'Adour, Paul, France. 4. 4 Research Unit Education, Motricité, Sports et santé (UR15JS01), High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
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.
RCT Entities:
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.
Authors: Marco A Minetto; Sabrina Dal Fior; Chiara Busso; Pietro Caironi; Giuseppe Massazza; Nicola A Maffiuletti; Federica Gamna Journal: Contemp Clin Trials Commun Date: 2021-02-09