| A randomised study of home-based electrical stimulation of the legs and conventional bicycle exercise training for patients with chronic heart failure. | |
| | |
MedLine Citation:
|
PMID: 12727155 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIMS: Recent guidelines recommend regular exercise in the management of patients with chronic heart failure (CHF). This study was designed to compare the safety and efficacy of conventional bicycle exercise and functional electrical stimulation (FES) of the legs as forms of home-based exercise training for patients with stable CHF. METHODS AND RESULTS: Forty-six patients (38 male) with stable NYHA Class II/III heart failure underwent a 6-week training programme using either a bicycle ergometer or electrical stimulation of the quadriceps and gastrocnemius muscles. In the bike group, significant increases were seen in 6-min walk (44.6m, 95% confidence interval (CI) 29.3-60.9 m), treadmill exercise time (110 s, 95% CI 72.2-148.0 s), maximum leg strength (5.32 kg, 95% CI 3.18-7.45 kg), and quadriceps fatigue index (0.08, 95% CI 0.04-0.12) following training. In the stimulator group, similar significant increases were seen following training for 6-min walk (40.6m, 95% CI 28.2-53.0m), treadmill exercise time (67 s, 95% CI 11.8-121.8s), maximum leg strength (5.35 kg, 95% CI 1.53-9.17 kg), and quadriceps fatigue index (0.10, 95% CI 0.04-0.17). Peak VO(2)did not change in either group following training, indicating a low-intensity regime. Quality of life scores improved following training when the bicycle and stimulator groups were considered together, but not when considered separately (-0.43, 95% CI -8.13 to -0.56). CONCLUSIONS: FES produces beneficial changes in muscle performance and exercise capacity in patients with CHF. Within this study, the benefits were similar to those observed following bicycle training. FES could be offered to patients with heart failure as an alternative to bicycle training as part of a home-based rehabilitation programme. |
| | |
Authors:
|
Stuart Harris; John P LeMaitre; Graham Mackenzie; Keith A A Fox; Martin A Denvir |
Related Documents
:
|
8088025 - Lactate threshold is not an onset of insufficient oxygen supply to the working muscle i... 12921815 - Hydrotherapy--a new approach to improve function in the older patient with chronic hear... 17651845 - Exercise training in advanced heart failure patients: discordance between improved exer... 17996825 - Exercise-induced increases in oxidized low-density lipoprotein are associated with adve... 7190495 - Breathing dry or humid air and exercise-induced asthma during swimming. 2591865 - In vitro capacitation of boar ejaculated spermatozoa: effect of conditioned media prepa... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: European heart journal Volume: 24 ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 2003 May |
Date Detail:
|
Created Date: 2003-05-02 Completed Date: 2003-06-26 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: England |
Other Details:
|
Languages: eng Pagination: 871-8 Citation Subset: IM |
Affiliation:
|
Cardiology, Centre for Cardiovascular Research, University of Edinburgh, Edinburgh, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Analysis of Variance Cardiac Output, Low / rehabilitation* Chronic Disease Electric Stimulation Therapy / methods* Exercise Therapy / methods* Exercise Tolerance Female Home Care Services Humans Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Long-term survival in patients hospitalized with congestive heart failure: relation to preserved and...
Next Document: Complications of tracheal and thoracic surgery: the role of multisection helical CT and computerized...