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癌症患者的短期全身震动训练:运动2周后的积极效果——一项单臂试验

Short-term WB-EMS in Cancer Patients: Positive Effects After 2 Weeks of Exercise-A Single-arm Trial.

作者信息

Kersten Jane, Niels Timo, Tomanek Annika, Baumann Freerk T

机构信息

University Hospital of Cologne, Cologne, Germany.

出版信息

Integr Cancer Ther. 2025 Jan-Dec;24:15347354241304415. doi: 10.1177/15347354241304415.

Abstract

CONTEXT

Due to therapeutic side effects and physical weakness, patients are not always able to carry out strenuous and lengthy exercises. Hence, this study investigated the effectiveness and feasibility of a short-term Whole-body electromyostimulation (WB-EMS) for oncological patients during and after anticancer treatment. The primary aim was to ensure the feasibility of WB-EMS training. Furthermore, the effects of WB-EMS training were investigated over a period of 2 weeks on parameters such as quality of life, body composition and physical performance.

METHOD

Thirteen cancer patients with different diagnosis, disease stages and treatment state were included. They participated in supervised WB-EMS sessions 4 times over a 2-week period. Physical functioning, body composition, depression, fatigue, and quality of life were measured before and after the intervention period. Moreover, a pre-post measurement of the patients' perceived body constitution was conducted in every exercise session.

RESULTS

All included patients (n = 13) were able to complete the 4 WB-EMS sessions. At the end of the 2 weeks, a significant increase of the muscle strength could be observed. Additionally, patients improved their cardiovascular fitness. The body composition analyses showed significant reductions in body lean mass and extracellular water. Muscle mass remained unchanged. Furthermore, patients reported an improved perceived body constitution reduced pain and discomfort following all 4 WB-EMS sessions.

CONCLUSION

This study suggests that WB-EMS is safe and feasible for cancer patients. Furthermore, it showed that even after 2 weeks, improvements concerning the physical performance and patient-reported outcomes can be achieved. This study indicates benefits of WB-EMS as short-term exercise methode in cancer patients, that could be utelised in fields such as cancer prehabilitation.

TRIAL REGISTRATION

This trial has been registered with the ISRCTN-Registry (ISRCTN68069634).

摘要

背景

由于治疗副作用和身体虚弱,患者并非总能进行剧烈且长时间的锻炼。因此,本研究调查了短期全身肌电刺激(WB-EMS)在抗癌治疗期间及之后对肿瘤患者的有效性和可行性。主要目的是确保WB-EMS训练的可行性。此外,在为期2周的时间内,研究了WB-EMS训练对生活质量、身体成分和身体机能等参数的影响。

方法

纳入了13名患有不同诊断、疾病阶段和治疗状态的癌症患者。他们在2周内参加了4次有监督的WB-EMS课程。在干预期前后测量身体机能、身体成分、抑郁、疲劳和生活质量。此外,在每次锻炼课程中对患者的感知身体状况进行前后测量。

结果

所有纳入的患者(n = 13)都能够完成4次WB-EMS课程。在2周结束时,可以观察到肌肉力量显著增加。此外,患者的心血管健康状况有所改善。身体成分分析显示身体瘦体重和细胞外液显著减少。肌肉质量保持不变。此外,患者报告在所有4次WB-EMS课程后,感知身体状况有所改善,疼痛和不适减轻。

结论

本研究表明WB-EMS对癌症患者是安全可行的。此外,研究表明即使在2周后,身体机能和患者报告的结果也能得到改善。本研究表明WB-EMS作为癌症患者的短期锻炼方法具有益处,可应用于癌症康复前准备等领域。

试验注册

本试验已在ISRCTN注册中心(ISRCTN68069634)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/11705350/61a7fb545ab3/10.1177_15347354241304415-fig1.jpg

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