Impact of the association of strength training with neuromuscular electrostimulation on the functionality of individuals with functional decline during senescence: A systematic review and meta-analysis

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Clinics Pub Date : 2025-01-01 DOI:10.1016/j.clinsp.2025.100586

Dhianey de Almeida Neves , Leonardo Costa Pereira , Kerolyn Ramos Garcia , Frederico Santos de Santana , Rhenan Yoshio de Caldas Fujita , Beatriz dos Santos Faria , José Antônio Alves de Oliveira , Carlos James Zeidan Silva Filho , Margô Gomes de Oliveira Karnikowski

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引用次数: 0

Abstract

Introduction

One of the parameters observed in functional capacity over the years is the decrease in neuromuscular responses, a fact that is attributed to the contemporary lifestyle. Thus, there is a need to carry out interventions that induce the improvement of functional capacity. Some studies have associated electrostimulation (NMES) with Strength Training (ST) to enhance the results in improving neuromuscular function. However, little is known about the effects of this association due to the numerous protocols to be manipulated. Furthermore, adaptive responses to strength training are dependent on volume and intensity manipulation.

Objective

To investigate the influence of ST, concomitant with NMES (NMES+) on functional capacity.

Methods

This is a systematic review with meta-analysis. For the search of the articles, descriptors associated with functional capacity and NMES+ were selected in the Cochrane, PubMed, Embase and VHL meta-searcher databases. Inclusion criteria were articles that presented neuromuscular electrostimulation superimposed on voluntary contraction and ST intensity control; and that did not have a therapeutic purpose. The analysis of titles, abstracts and data extraction were performed by trios of reviewers. To assess the qualities of scientific evidence, the risk of bias was analyzed through the ROB2 tool, meta- analysis and evaluation of the quality of evidence (GRADE).

Results

This meta-analysis selected 3 studies. The main outcomes observed in the studies were agility, balance, cardiorespiratory capacity and strength and power. A significant improvement in effect estimates for cardiorespiratory capacity alone was observed between the two studies.

Conclusion

Despite the significant effect of the use of NMES+, in relation to ST in isolation, the quality of the evidence was considered low, probably due to the limited number of scientific evidence found, requiring further studies to identify the real effect of this association.

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力量训练与神经肌肉电刺激对衰老过程中功能衰退个体的影响：一项系统回顾和荟萃分析

多年来观察到的功能能力参数之一是神经肌肉反应的减少，这一事实归因于当代生活方式。因此，有必要采取干预措施，促进功能能力的改善。一些研究将电刺激（NMES）与力量训练（ST）联系起来，以提高神经肌肉功能的改善效果。然而，由于有许多需要操纵的协议，人们对这种关联的影响知之甚少。此外，对力量训练的适应性反应取决于量和强度的操作。目的探讨ST联合NMES （NMES+）对功能能力的影响。方法：采用meta分析的系统综述。在Cochrane、PubMed、Embase和VHL元检索数据库中选择与功能能力和NMES+相关的描述符进行文章检索。纳入标准为神经肌肉电刺激叠加自主收缩和ST强度控制的文章；这并没有治疗的目的。题目分析、摘要分析和数据提取由三位审稿人完成。为了评估科学证据的质量，我们通过ROB2工具、meta分析和证据质量评价（GRADE）来分析偏倚风险。结果本荟萃分析选取了3项研究。研究中观察到的主要结果是敏捷性、平衡性、心肺功能和力量。在两项研究中，仅心肺功能的效果估计有显著改善。结论尽管使用NMES+对单独的ST有显著的影响，但证据的质量被认为很低，可能是由于发现的科学证据数量有限，需要进一步的研究来确定这种关联的真正影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinics 医学-医学：内科

CiteScore

4.10

自引率

3.70%

发文量

129

审稿时长

52 days

期刊介绍： CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.