Document Detail


Comparison of low-frequency electrical myostimulation and conventional aerobic exercise training in patients with chronic heart failure.
MedLine Citation:
PMID:  15942420     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Physical training is recommended as an efficient therapy in patients with chronic heart failure (CHF). Low-frequency electrical myostimulation (EMS) has recently been suggested as a good alternative to conventional aerobic training. The aim of this study was to compare the effects of EMS and conventional exercise training in patients with moderate to severe CHF. METHODS: Twenty-four patients with stable CHF (56.7+/-7.3 years, New York Heart Association grades II and III) underwent 5 weeks of exercise training, 5 h a week, using EMS (n=12) or conventional (n=12) training programmes. At baseline and after the training period, patients performed a symptom-limited cardiopulmonary test, a 6-min and a 200-m walk exercises and an evaluation of maximal knee extensor strength. RESULTS: Oxygen uptake (VO2) and workload at the end of exercise (peak values) and at ventilatory threshold increased after EMS (P< or =0.05) and conventional exercise (P<0.05) training programmes. The slope of the relationship between VO2 and workload was reduced after EMS (P<0.05). The time to recover half of peak VO2 decreased irrespective of the training programme (P<0.001). EMS and conventional exercise training programmes also increased the maximal knee extensor strength (P<0.05), the distance walked in 6 min (P<0.01) and decreased the time elapsed to cover 200 m (P<0.05). These improvements were not statistically different between EMS and conventional exercise. CONCLUSION: In patients with moderate to severe CHF, 5 weeks of EMS and conventional exercise training produce similar improvements to exercise capacity and muscle performance.
Authors:
Gaelle Deley; Gaelle Kervio; Bénédicte Verges; Armelle Hannequin; Marie-France Petitdant; Sonia Salmi-Belmihoub; Bruno Grassi; Jean-Marie Casillas
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology     Volume:  12     ISSN:  1741-8267     ISO Abbreviation:  Eur J Cardiovasc Prev Rehabil     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-08     Completed Date:  2005-10-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101192000     Medline TA:  Eur J Cardiovasc Prev Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  226-33     Citation Subset:  IM    
Affiliation:
Laboratoire INSERM ERM 207, Université de Bourgogne, Dijon, France. gdeley@u-bourgogne.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Electric Stimulation Therapy*
Exercise Test
Exercise Therapy*
Female
Heart Failure / therapy*
Humans
Knee / physiology
Leg / physiology
Male
Middle Aged
Muscle, Skeletal / physiology*
Oxygen Consumption*
Physical Fitness
Weight Lifting
Comments/Corrections
Comment In:
Eur J Cardiovasc Prev Rehabil. 2005 Jun;12(3):234-5   [PMID:  15942421 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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