Randomized feasibility study of twice a day functional electrostimulation in patients with severe chronic obstructive pulmonary disease hospitalized for acute exacerbation.

Introduction:Pulmonary rehabilitation is an effective intervention for individuals who have Chronic Obstructive Pulmonary Disease (COPD). The adequate intensity, components, and number of sessions are difficult to determine, specifically in patients who have severe ventilatory limitations in order t...

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Published in:Physiotherapy Theory & Practice Vol. 37; no. 12; pp. 1360 - 1368
Main Authors: Lopez-Lopez, Laura, Torres-Sanchez, Irene, Rodriguez-Torres, Janet, Cabrera-Martos, Irene, Cahalin, Lawrence P., Valenza, Marie C.
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd Dec 2021
Online Access:View this record in EBSCOhost
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      dt: Dec 2021
      vid: 37
      iid: 12
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2019.1694611
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        atl: Randomized feasibility study of twice a day functional electrostimulation in patients with severe chronic obstructive pulmonary disease hospitalized for acute exacerbation.
      aug:
        au:
          Lopez-Lopez, Laura
          Torres-Sanchez, Irene
          Rodriguez-Torres, Janet
          Cabrera-Martos, Irene
          Cahalin, Lawrence P.
          Valenza, Marie C.
        affil: Department of Physical Therapy, School of Health Sciences, University of Granada, Granada, Spain
      sug:
        subj:
          Electric Stimulation Methods
          Severity of Illness
          Pulmonary Disease, Chronic Obstructive Therapy
          Acute Disease
          Hospitalization
          Program Evaluation
          Treatment Outcomes
          Human
          Randomized Controlled Trials
          Random Sample
          Comparative Studies
          Pretest-Posttest Design
          Pilot Studies
          Functional Status
          Quadriceps Muscles Physiology
          Exercise
          Physical Therapy
          Descriptive Statistics
          Two-Way Analysis of Variance
          Post Hoc Analysis
          Funding Source
          Kruskal-Wallis Test
          Data Analysis Software
          Confidence Intervals
          Aged
          Middle Age
          Aged: 65+ years
          Middle Aged: 45-64 years
      ab: Introduction:Pulmonary rehabilitation is an effective intervention for individuals who have Chronic Obstructive Pulmonary Disease (COPD). The adequate intensity, components, and number of sessions are difficult to determine, specifically in patients who have severe ventilatory limitations in order to produce true physiological training effects without adverse events. Objective:Our aim is to assess the feasibility and possible effects of a daily versus a twice-daily functional electrostimulation program in hospitalized individuals who have a severe COPD. Methods:In this randomized controlled trial, 48 severe patients with COPD were randomized into three groups: Control Group (CG; n = 16), daily functional electrostimulation group (DFEG; n = 15) or twice-daily functional electrostimulation group (TFEG; n = 17). The main outcome measures were quadriceps strength, symptoms at rest and after exercise, and adverse events measured before and after the intervention. Results:After eight sessions, DFEG and TFEG showed significant differences when compared to the CG in all measured variables at discharge (p ≤.001), no adverse events were observed in any of the treatment groups. Significant improvements were found in strength (p ≤.05) between DFEG and TFEG groups. However, lower limb function did not present significant differences in spite of the fact that the mean change favored the TFEG (23.53 ± 3.53 vs. 19.56 ± 11.89). Conclusion:Further examination of twice per day functional electrostimulation in hospitalized patients with COPD with acute exacerbation appears warranted.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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