School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland; Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland,.
Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland,; Beacon Hospital, Dublin, Ireland.
Maturitas. 2018 Jul;113:13-20. doi: 10.1016/j.maturitas.2018.04.009. Epub 2018 Apr 25.
Exercise participation and activity levels are low in many older adults, and when paired with the multi-systemic effects of ageing, such as sarcopenia and decreased cardiovascular function, can result in a loss of functional independence. Voluntary exercise may not always be feasible for these individuals, highlighting a need for alternative therapies. There is a growing body of literature that recognises the positive effects of neuromuscular electrical stimulation (NMES) on muscle strength, muscle mass and cardiorespiratory function in older adults. However, NMES suffers from poor clinical acceptability due to multiple barriers to its use, and poor patient engagement and adherence have been noted. Technology-based supports to exercise, such as biofeedback and 'gamification', have been effectively paired with a variety of rehabilitation interventions. This suggests that these supports could be promising additions to an NMES exercise system to reduce barriers to its use and maximise clinical outcomes.
许多老年人的运动参与度和活动水平都很低，再加上衰老的多系统影响，如肌肉减少症和心血管功能下降，可能导致功能丧失独立性。对于这些人来说，自愿运动可能并不总是可行的，这凸显了对替代疗法的需求。越来越多的文献认识到神经肌肉电刺激 (NMES) 对老年人肌肉力量、肌肉质量和心肺功能的积极影响。然而，NMES 由于使用方面的多种障碍，临床接受度较差，并且已经注意到患者参与度和依从性较差。基于技术的运动支持，如生物反馈和“游戏化”，已经与各种康复干预措施有效地结合在一起。这表明，这些支持可以作为 NMES 运动系统的有希望的补充，以减少使用障碍并最大限度地提高临床效果。
