The Insight Centre for Data Analytics, O'Brien Centre for Science, University College Dublin, Bellfield Campus, Dublin, Ireland.
Support Care Cancer. 2018 Nov;26(11):3661-3663. doi: 10.1007/s00520-018-4269-z. Epub 2018 May 22.
The plethora of treatment complications associated with cancer can be offset by regular exercise participation; however, adherence to current guidelines is poor, in particular in those unable or not allowed to participate in voluntary exercise due to their underlying disease. Alternative therapies such as neuromuscular electrical stimulation (NMES) are promising although previous results in cancer survivors have been equivocal. This is likely in response to methodological issues such as inappropriate NMES prescription. Therefore, the aim of this commentary is to propose three key areas which should be addressed to increase NMES effectiveness in cancer rehabilitation; (1) NMES exercise should target both the neuromuscular and cardiovascular systems through low- and high-frequency modalities, (2) technological advancements such as mobile app-based systems should be leveraged to improve at-home monitoring of home-based NMES exercise, and (3) prescription and progression should follow the fundamental principles of exercise to overcome the heterogeneity in daily physiological, functional, and psychological factors faced by survivors. Addressing these three key areas in future studies may help improve NMES exercise effectiveness and accelerate patient rehabilitation.
与癌症相关的大量治疗并发症可以通过定期运动来抵消；然而，目前的指南遵循情况不佳，特别是对于那些由于潜在疾病而无法或不允许参加自愿运动的患者。替代疗法，如神经肌肉电刺激 (NMES) 具有很大的发展潜力，尽管以前在癌症幸存者中的结果存在争议。这可能是由于 NMES 处方不当等方法学问题所致。因此，本评论的目的是提出三个应解决的关键领域，以提高 NMES 在癌症康复中的有效性；(1)NMES 运动应通过低频和高频模式同时针对神经肌肉和心血管系统，(2)应利用移动应用程序等技术进步来改善基于家庭的 NMES 运动的家庭监测，(3)处方和进展应遵循运动的基本原则，以克服幸存者面临的日常生理、功能和心理因素的异质性。在未来的研究中解决这三个关键领域可能有助于提高 NMES 运动的有效性并加速患者康复。
