Department of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.
Department of Motor, Human and Health Sciences, University of Rome "Foro Italico", 00197 Rome, Italy.
Int J Environ Res Public Health. 2021 May 20;18(10):5499. doi: 10.3390/ijerph18105499.
Parkinson's disease (PD) patients lead a sedentary lifestyle, being unable or unwilling to exercise conventionally, due to physical and mental limitations. The aim of this study was to assess the acute effects of a single session of whole-body electromyostimulation (WB-EMS) on the physical performances and serum levels of the neurotrophic factors in PD patients. Ten subjects (aged 72.60 ± 6.82) underwent 20 min of physical activity with superimposed WB-EMS and, after four weeks, the same protocol with no WB-EMS. WB-EMS was conducted with intermittent stimulation, with 4 s WB-EMS/4 s rest, at 85 Hz, 350 μs. A physical fitness assessment and blood samples collection, to evaluate neurotrophic factors' levels (BDNF, FGF21, proNGF, mNGF), were collected before and after the intervention. The RM-ANOVA showed significant improvements in sit-to-stand ( < 0.01), arm curl ( < 0.01), handgrip ( < 0.01) and soda pop test ( < 0.01) after the WB-EMS intervention. Higher proNFG serum levels were observed in the WB-EMS condition compared to the no WB-EMS after 60 min post-intervention ( = 0.0163). The effect of WB-EMS confirmed the electrostimulation ability to modulate the proNGF quantity. The positive impact of the WB-EMS protocol on physical functioning, and eye-hand coordination, makes this intervention a promising strategy to improve motor and non-motor symptoms in PD patients.
帕金森病(PD)患者由于身体和精神上的限制,往往无法或不愿意进行常规运动,导致生活习惯久坐不动。本研究旨在评估全身肌电刺激(WB-EMS)单次疗程对 PD 患者身体机能和神经营养因子血清水平的急性影响。10 名受试者(年龄 72.60 ± 6.82 岁)接受了 20 分钟的带叠加 WB-EMS 的身体活动,四周后,进行同样的方案但没有 WB-EMS。WB-EMS 采用间歇刺激,4 s WB-EMS/4 s 休息,频率为 85 Hz,脉宽为 350 μs。干预前后采集身体机能评估和血液样本,以评估神经营养因子水平(BDNF、FGF21、proNGF、mNGF)。重复测量方差分析显示,在接受 WB-EMS 干预后,坐站(<0.01)、手臂卷曲(<0.01)、握力(<0.01)和苏打水测试(<0.01)都有显著改善。与无 WB-EMS 条件相比,在干预后 60 分钟,WB-EMS 条件下的 proNFG 血清水平更高(=0.0163)。WB-EMS 的效果证实了电刺激能够调节 proNGF 的数量。WB-EMS 方案对身体机能和手眼协调的积极影响,使其成为改善 PD 患者运动和非运动症状的一种有前途的策略。