School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland.
Disabil Rehabil. 2021 Oct;43(21):3117-3126. doi: 10.1080/09638288.2020.1726510. Epub 2020 Mar 2.
The aim of this narrative review is to explore design considerations for effective neuromuscular electrical stimulation exercise prescription in cancer rehabilitation, with simultaneous consideration for fundamental principles of exercise training and the current state of the art in neuromuscular electrical stimulation technologies and application methodologies.
Narrative review.
First, we consider the key neuromuscular electrical stimulation exercise design considerations, with a focus on training objectives and individual training requirements and constraints for individuals with cancer. Here, we contend that concurrent, low and high frequency neuromuscular electrical stimulation exercise, individually prescribed and progressed may be optimal for enhancing physical function. Second, we review the appropriate literature to identify the most appropriate stimulation parameters (pulse frequency, intensity, duration and duty cycle) to deliver effective neuromuscular electrical stimulation in cancer rehabilitation.
We propose an informed and innovative neuromuscular electrical stimulation exercise intervention design and provide practical information for clinicians and practitioners who may work with and implement neuromuscular electrical stimulation exercise in cancer.Implications for rehabilitationNeuromuscular electrical stimulation is an emerging technology in cancer rehabilitation to help provide an aerobic and muscle strengthening exercise stimulus.Neuromuscular electrical stimulation may help improve aerobic exercise capacity, muscle strength and augment quality of life.Current prescription in cancer lacks adherence to the fundamental principles of exercise training, which may negatively affect adherence.
本叙述性综述旨在探讨神经肌肉电刺激运动处方在癌症康复中的有效设计考虑因素，同时考虑运动训练的基本原则以及神经肌肉电刺激技术和应用方法的最新进展。
叙述性综述。
首先，我们考虑关键的神经肌肉电刺激运动设计考虑因素，重点是训练目标以及癌症患者的个体训练需求和限制。在这里，我们认为同时进行、低频率和高频率的神经肌肉电刺激运动，个体规定和进展可能是增强身体功能的最佳选择。其次，我们回顾了适当的文献，以确定在癌症康复中提供有效神经肌肉电刺激的最合适刺激参数（脉冲频率、强度、持续时间和占空比）。
我们提出了一种明智和创新的神经肌肉电刺激运动干预设计，并为可能在癌症中使用和实施神经肌肉电刺激运动的临床医生和从业者提供了实用信息。
神经肌肉电刺激是癌症康复中一种新兴的技术，可帮助提供有氧和肌肉强化运动刺激。神经肌肉电刺激可能有助于提高有氧运动能力、肌肉力量和提高生活质量。目前在癌症中的处方缺乏对运动训练基本原则的遵循，这可能会对依从性产生负面影响。
