G. Gennimatas' General Hospital of Athens, Mesogion 156, Athens, Greece.
Heart Fail Rev. 2010 Nov;15(6):563-79. doi: 10.1007/s10741-010-9171-9.
Physical training is an important component of therapy for patients with chronic heart failure (CHF) and is considered complementary to their pharmacological treatment. The majority of conventional rehabilitation programs include aerobic training, which has been demonstrated to induce significant beneficial effects on the neurohumoral, immunoreactive and functional status of patients with moderate CHF. Functional electrical stimulation (FES) of skeletal muscles constitutes an alternative training mode with beneficial effects comparable to classical aerobic exercise, suitable for patients with CHF who cannot participate in traditional training programs due to either advanced grades of CHF or the presence of comorbidities. We present a review of the numerous studies evaluating the effects of FES in CHF, focusing on its main effects on skeletal myopathy reversal, exercise tolerance improvement and quality of life modification.
体能训练是慢性心力衰竭（CHF）患者治疗的一个重要组成部分，被认为是对药物治疗的补充。大多数常规康复计划包括有氧运动训练，已证明其对中度 CHF 患者的神经激素、免疫反应和功能状态有显著的有益影响。骨骼肌功能性电刺激（FES）是一种替代训练模式，具有与传统有氧运动相当的有益效果，适用于因 CHF 晚期或合并症而无法参加传统训练计划的 CHF 患者。我们回顾了许多评估 FES 在 CHF 中的作用的研究，重点介绍了其在逆转骨骼肌病、提高运动耐量和改善生活质量方面的主要作用。
