Electrical Stimulation of Skeletal Muscles An Alternative to Aerobic Exercise Training in Patients With Chronic Heart Failure?:An Alternative to Aerobic Exercise Training in Patients With Chronic Heart Failure?
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概要
- 論文の詳細を見る
The aim of this study was to investigate whether electrical stimulation of skeletal muscles could represent a rehabilitation alternative for patients with chronic heart failure (CHF). Thirty patients with CHF and NYHA class II-III were randomly assigned to a rehabilitation program using either electrical stimulation of skeletal muscles or bicycle training. Patients in the first group (n = 15) had 8 weeks of home-based low-frequency electrical stimulation (LFES) applied simultaneously to the quadriceps and calf muscles of both legs (1 h/day for 7 days/week); patients in the second group (n = 15) underwent 8 weeks of 40 minute aerobic exercise (3 times a week). After the 8-week period significant increases in several functional parameters were observed in both groups: maximal VO2 uptake (LFES group: from 17.5 ± 4.4 mL/kg/min to 18.3 ± 4.2 mL/kg/min, P < 0.05; bicycle group: from 18.1 ± 3.9 mL/kg/min to 19.3 ± 4.1 mL/kg/min, P < 0.01), maximal workload (LFES group: from 84.3 ± 15.2 W to 95.9 ± 9.8 W, P < 0.05; bicycle group: from 91.2 ± 13.4 W to 112.9 ± 10.8 W, P < 0.01), distance walked in 6 minutes (LFES group: from 398 ± 105 m to 435 ± 112 m, P < 0.05; bicycle group: from 425 ± 118 m to 483 ± 120 m, P < 0.03), and exercise duration (LFES group: from 488 ± 45 seconds to 568 ± 120 seconds, P < 0.05; bicycle group: from 510 ± 90 seconds to 611 ± 112 seconds, P < 0.03). These results demonstrate that an improvement of exercise capacities can be achieved either by classical exercise training or by home-based electrical stimulation. LFES should be considered as a valuable alternative to classical exercise training in patients with CHF.
- International Heart Journal刊行会の論文
著者
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Minami Naoyoshi
Department Of Internal Medicine And Rehabilitation Science Tohoku University Graduate School Of Medi
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Dobsak Petr
Department Of Functional Diagnostics And Rehabilitation St. Anna's Faculty Hospital And Masaryk
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Novakova Marie
Department Of Physiology Masaryk University
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Kohzuki Masahiro
Department Of Internal Medicine & Rehabilitation Science Tohoku University Graduate School Of Me
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Siegelova Jarmila
Department Of Functional Diagnostics And Rehabilitation St. Anna's Faculty Hospital And Masaryk
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Wolf Jean-eric
Department Of Cardiology Ii Hospital Du Bocage And University
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Fiser Bohumil
Department Of Physiology Faculty Of Medicine Masaryk University Of Brno
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Eicher Jean-christophe
Department Of Cardiology Ii Hospital Du Bocage And University
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Nagasaka Makoto
Department Of Cardiology Hamamatsu Medical Cente
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Imachi Kou
Tohoku Univ. Sendai Jpn
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Yambe Tomoyuki
Department Of Artificial Organs Graduate School Of Biomedical Engineering Tohoku University
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MINAMI Naoyoshi
Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine
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Nitta Shin-ichi
Tohoku University Biomedical Engineering Research Organization, Tohoku University Graduate School of Medicine
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Imachi Kou
Tohoku University Biomedical Engineering Research Organization, Tohoku University Graduate School of Medicine
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Balcárková Pavla
1st Department of Internal Medicine, St.Anna Faculty Hospital and Masaryk University of Brno
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Spinarová Lenka
1st Department of Internal Medicine, St.Anna Faculty Hospital and Masaryk University of Brno
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Vítovec Jirí
1st Department of Internal Medicine, St.Anna Faculty Hospital and Masaryk University of Brno
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Vítovec Jirí
1<sap>st</sap> Department of Internal Medicine, St.Anna Faculty Hospital and Masaryk University of Brno
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Balcárková Pavla
1<sap>st</sap> Department of Internal Medicine, St.Anna Faculty Hospital and Masaryk University of Brno
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Wolf Jean-Eric
Department of Cardiology, Bocage Hospital and University of Burgundy
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Eicher Jean-Christophe
Department of Cardiology, Bocage Hospital and University of Burgundy
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