Estimulação elétrica funcional associada ao treinamento combinado pós-CRM: a randomized clinical tria

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DOI:

https://doi.org/10.1590/1809-2950/20031628012021

Keywords:

Electric Stimulation, Quality of Life, Heart Diseases, Randomized Controlled Trial

Abstract

The effects of adding functional electrical stimulation (FES) to short-term aerobic and resistance exercise
(combined training) in patients  undergoing coronary artery bypass graft (CABG) surgery have not yet  quality of life of post-CABG patients  participating in a cardiac rehabilitation program – Phase II. This is a  randomized, double-blind, clinical trial,  composed of 17 patients (54.8±10.5  years old, 12 men) randomized or in an intervention group (IG, n=8,) submitted to FES in the quadriceps muscle  associated with combined training, or in a sham group (SG, n=9), which  performed the FES sham in association
with the combined training. The  evaluated outcomes were: peripheral
arterial flow (ankle-brachial index),  functional capacity (distance covered in the six-minute walk test – 6MWT) and quality of life (MacNew questionnaire). In the comparison between the groups,
the increase in the ankle-brachial index (IG: 0.14±0.08mmHg vs. CG: 0.05±0.04mmHg; p=0.020) and the score of the global MacNew questionnaire (IG: 1.1±0.3 points vs.  CG: 0.6±0.4 points; p=0.020) was higher in the IG. However, no difference was observed between the groups for the 6MWT (IG: 130.9±73.7m vs. SG:  73.7±32.6m; p=0.072). The addition of FES, during a short period, potentiated the effects of aerobic and resistance exercise on peripheral arterial flow and quality of life in patients after CABG in Phase II of cardiac rehabilitation.

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Author Biography

  • Nubia Gonzatti, Universidade Federal de Santa Maria (UFSM) - Santa Maria (RS), Brasil.

    The effects of adding functional electrical
    stimulation (FES) to short-term aerobic and resistance exercise
    (combined training) in patients undergoing coronary artery
    bypass graft (CABG) surgery have not yet been established. This
    study aims to evaluate the effect of adding FES to combined
    training on peripheral arterial flow, functional capacity and

    quality of life of post-CABG patients participating in a cardiac
    rehabilitation program – Phase II. This is a randomized, double-blind,
    clinical trial, composed of 17 patients (54.8±10.5 years old, 12 men)
    randomized or in an intervention group (IG, n=8,) submitted to FES
    in the quadriceps muscle associated with combined training, or in a
    sham group (SG, n=9), which performed the FES sham in association
    with the combined training. The evaluated outcomes were: peripheral
    arterial flow (ankle-brachial index), functional capacity (distance
    covered in the six-minute walk test – 6MWT) and quality of life
    (MacNew questionnaire). In the comparison between the groups,
    the increase in the ankle-brachial index (IG: 0.14±0.08mmHg vs. CG:
    0.05±0.04mmHg; p=0.020) and the score of the global MacNew
    questionnaire (IG: 1.1±0.3 points vs. CG: 0.6±0.4 points; p=0.020) was
    higher in the IG. However, no difference was observed between the
    groups for the 6MWT (IG: 130.9±73.7m vs. SG: 73.7±32.6m; p=0.072).
    The addition of FES, during a short period, potentiated the effects of
    aerobic and resistance exercise on peripheral arterial flow and quality
    of life in patients after CABG in Phase II of cardiac rehabilitation

References

Organização Pan-Americana de Saúde. Doenças cardiovasculares [Internet]. Brasília; 2017 [cited 2020 July 29]. Available from: https://www.paho.org.braindex.php?option=com_content&v

iew=article&id=5253:doencas-cardiovasculares&Itemid=1096

Kandaswamy E, Zuo L. Recent advances in treatment of coronary artery disease: role of science and technology. Int J Mol Sci. 2018;19(2):424. doi: 10.3390/ijms19020424

Van Venrooij LM, Verberne HJ, de Vos R, Borgmeijer-Hoelen MM, van Leeuwen PA, de Mol BA. Postoperative loss of skeletal muscle mass, complications and quality of life in patients

undergoing cardiac surgery. Nutrition. 2012;28:40-5. doi: 10.1016/j.nut.2011.02.007

Iida Y, Yamazaki T, Arima H, Kawabe T, Yamada S. Predictors of surgery-induced muscle proteolysis in patients undergoing cardiac surgery. J Cardiol. 2016;68(6):536-41. doi: 10.1016/j.

jjcc.2015.11.011

Santos KM, Cerqueira Neto ML, Carvalho VO, Santana Filho VJ, Silva Junior WM, Araújo Filho AA, et al. Evaluation of peripheral muscle strength of patients undergoing elective cardiac surgery: a longitudinal study. Rev Bras Cir Cardiovasc. 2014;29(3):355-9. doi: 10.5935/1678-9741.20140043

Herdy AH, López-Jimenez F, Terzic CP, Milani M, Stein R, Carvalho T, et al. South American guidelines for cardiovascular disease prevention and rehabilitation. Arq Bras Cardiol. 2014;103(2 Suppl 1):1-31. doi: 10.5935/abc.2014s003

Smart NA, Dieberg G, Giallauria F. Functional electrical stimulation for chronic heart failure: a meta-analysis. Int J Cardiol. 2013;167(1):80-6. doi: 10.1016/j.ijcard.2011.12.019

Schardong J, Kuinchtner GC, Sbruzzi G, Plentz RDM, Silva AMVD. Functional electrical stimulation improves muscle strength and endurance in patients after cardiac surgery: a

randomized controlled trial. Braz J Phys Ther. 2017;21(4):268-73. doi: 10.1016/j.bjpt.2017.05.004.

Maffiuletti NA, Gondin J, Place N, Stevens-Lapsley J, Vivodtzev I, Minetto MA. Clinical use of neuromuscular electrical stimulation for neuromuscular rehabilitation: what are we overlooking? Arch Phys Med Rehabil. 2018;99:806-12. doi: 10.1016/j.apmr.2017.10.028

Hill K, Cavalheri V, Mathur S, Roig M, Janaudis-Ferreira T, Robles P, Dolmage TE, Goldstein R. Neuromuscular electrostimulation for adults with chronic obstructive pulmonary disease (Review). Cochrane Database Syst Rev. 2018;29(5):1-76. doi: 10.1007/BF00581062

Gomes Neto M, Oliveira FA, Reis HFC, Rodrigues ES, Bittencourt HS, Carvalho VO. Effects of neuromuscular electrical stimulation on physiologic and functional measurements in patients

with heart failure: a systematic review with meta-analysis. J Cardiopulm Rehabil Prev. 2016;36(3):157-66. doi: 10.1097/HCR.0000000000000151

American Thoracic Society. ATS Statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102

Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 1998;158(5):1384-7. doi: 10.1164/ajrccm.158.5.9710086

Nakajima KM, Rodrigues RC, Gallani MC, Alexandre NM, Oldridge N. Psychometric properties of MacNew Heart Disease Health-related Quality of Life Questionnaire: Brazilian version. J Adv

Nurs. 2009;65(5):1084-94. doi: 10.1080/ac.67.1.2146563

Giollo Júnior LT, Martin JFV. Índice tornozelo-braquial no diagnóstico da doença aterosclerótica carotídea. Rev Bras Hipertens. 2010;17(2):117-8.

Resnick HE, Lindsay RS, McDermott MM, Devereux RB, Jones KL, Fabsitz RR, et al. Relationship of high and low ankle brachial index to all-cause and cardiovascular disease mortality:

The strong heart study. Circulation. 2004;109(6):733-9. doi: 10.1161/01.CIR.0000112642.63927.54

Hermes BM, Cardoso DM, Gomes TJN, dos Santos TD, Vicente MS, Pereira SN, et al. Short-term inspiratory muscle training potentiates the benefits of aerobic and resistance training in patients undergoing CABG in phase II cardiac rehabilitation program. Rev Bras Cir Cardiovasc. 2015;30(4):474-81. doi: 10.5935/1678-9741.20150043

Karavidas A, Driva M, Parissis JT, Farmakis D, Mantzaraki V, Varounis C, et al. Functional electrical stimulation of peripheral muscles improves endothelial function and clinical and

emotional status in heart failure patients with preserved left ventricular ejection fraction. Am Heart J. 2013;166(4):760-7. doi: 10.1016/j.ahj.2013.06.021

Parissis J, Karavidas A, Farmakis D, Papoutsidakis N, Matzaraki V, Arapi S, et al. Efficacy and safety of functional electrical stimulation of lower limb muscles in elderly patients with chronic

heart failure: A pilot study. Eur J Prev Cardiol. 2015;22(7):831-6. doi: 10.1177/2047487314540546

Karavidas A, Parissis JT, Matzaraki V, Arapi S, Varounis C, Ikonomidis I, et al. Functional electrical stimulation is more effective in severe symptomatic heart failure patients and

improves their adherence to rehabilitation programs. J Card Fail. 2010;16(3): 244-9. doi: 10.1016/j.cardfail.2009.10.023

Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C, et al. Measurement and interpretation of the Ankle-Brachial Index: A scientific statement from the American

Heart Association. Circulation. 2012,126:2890-909. doi: 10.1161/CIR.0b013e318276fbcb

Sasaki M, Mitsutake Y, Ueno T, Fukami A, Sasaki KI, Yokoyama S, et al. Low ankle brachial index predicts poor outcomes including target lesion revascularization during the long-term

follow up after drug-eluting stent implantation for coronary artery disease. J Cardiol. 2020;75(3):250-4. doi: 10.1016/j.jjcc.2019.07.015

Medeiros AHO, Chalegre ST, Carvalho CC. Eletroestimulação muscular: alternativa de tratamento coadjuvante para pacientes com doença arterial obstrutiva periférica. J Vasc

Bras. 2007;6(2):152-62.

Hellsten Y, Nyberg M. Cardiovascular adaptations to exercise training. Compr Physiol. 2015;15;6(1):1-32. doi: 10.1002/cphy.c140080

Pačarić S, Turk T, Erić I, Orkić Z, Erić AP, Milostić-Srb A, et al. Assessment of the quality of life in patients before and after coronary artery bypass grafting (CABG): A Prospective Study.

Int J Environ Res Public Health. 2020;17(4):1417. doi: 10.3390/ijerph17041417

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Published

2023-02-23

Issue

Vol. 28 No. 1 (2021)

Section

Original Research

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Copyright (c) 2021 Gonzatti N, Castagna L, Carvalho MTX, Santos TD, Cardoso DM, Callegaro CC, Albuquerque IM

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Estimulação elétrica funcional associada ao treinamento combinado pós-CRM: a randomized clinical tria. (2023). Fisioterapia E Pesquisa, 28(1), 101-108. https://doi.org/10.1590/1809-2950/20031628012021