Laboratory for Comorbidity in Cardiovascular Diseases, Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases", 6, Sosnoviy blvd, 650002 Kemerovo, Russia.
Int J Environ Res Public Health. 2023 Feb 2;20(3):2678. doi: 10.3390/ijerph20032678.
We aimed to determine the effects of prehabilitation with neuromuscular electrical stimulation (NMES) on muscle status and exercise capacity in patients before cardiac surgery.
Preoperative elective cardiac surgery patients were randomly assigned to the NMES group or control group. Intervention in the NMES group was 7-10 sessions, whereas the control group carried out breathing exercises and an educational program. The outcome measures included a six-minute walk test (6MWT) and a muscle status assessment (knee extensor strength (KES), knee flexor strength (KFS), and handgrip strength (HS)) after the course of prehabilitation.
A total of 122 patients (NMES, n = 62; control, n = 60) completed the study. During the NMES course, no complications occurred. After the course prehabilitation KES, KFS, and 6MWT distance were significantly increased (all < 0.001) in the NMES group compared to the control. There was no significant difference in HS before surgery.
A short-term NMES course before cardiac surgery is feasible, safe, and effective to improve preoperative functional capacity (six-minute walk distance) and the strength of stimulated muscles.
我们旨在确定术前进行神经肌肉电刺激（NMES）对心脏手术前患者肌肉状况和运动能力的影响。
将择期行心脏手术的术前患者随机分为 NMES 组或对照组。NMES 组的干预措施为 7-10 次，而对照组则进行呼吸练习和教育计划。主要结局指标包括 6 分钟步行试验（6MWT）和预康复疗程后肌肉状况评估（膝关节伸肌力量（KES）、膝关节屈肌力量（KFS）和握力（HS））。
共有 122 名患者（NMES 组，n=62；对照组，n=60）完成了研究。在 NMES 疗程期间，未发生并发症。与对照组相比，NMES 组在预康复疗程后 KES、KFS 和 6MWT 距离明显增加（均<0.001）。术前 HS 无显著差异。
心脏手术前短期 NMES 疗程是可行、安全且有效的，可以提高术前功能能力（6 分钟步行距离）和受刺激肌肉的力量。
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