Effect of Functional Electrical Stimulation on Muscle Mass, Fatigue, and Quality of Life in Older Patients With COVID-19: A Randomized Clinical Trial Study

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Manipulative and Physiological Therapeutics Pub Date : 2023-02-01 DOI:10.1016/j.jmpt.2023.06.004

Mona Ramezani MS , Fatemeh Ehsani PT, PhD , Ali Gohari MD

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引用次数: 0

Abstract

Objective

This study aimed to evaluate the effects of functional electrical stimulation (FES) on muscle strength, fatigue, muscle mass, and quality of life (QoL) in older patients with COVID-19.

Methods

Older patients with COVID-19 were randomly divided into the following 2 groups: real FES (intervention group, n = 20) and sham FES (control group, n = 20). These patients received FES concurrent with the voluntary contraction of muscles for 10 consecutive sessions. Ultrasound imaging, pressure biofeedback, Chalder fatigue scale, and QoL were utilized to measure muscle mass, muscle strength, chronic fatigue, and QoL, respectively. Evaluations were performed at the beginning, immediately, and 1 month after the end of intervention.

Results

All variables showed statistically significant improvement immediately and 1 month after the intervention in the real FES group (P < .05). However, the tibialis anterior muscle mass and fatigue significantly improved immediately after the intervention in the sham FES group. However, the tibialis anterior and rectus femoris muscles strength and rectus femoris muscle mass were not significantly changed immediately and 1 month after the intervention (P > .05). There were significant differences in muscle mass, physical fatigue, muscle strength, and QoL between groups with more efficacy of real FES (P < .05).

Conclusion

For this sample of patients, FES improved fatigue, muscle strength, muscle mass, and QoL in older adults with COVID-19.

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功能性电刺激对老年新冠肺炎患者肌肉质量、疲劳和生活质量的影响：一项随机临床试验研究。

目的：探讨功能性电刺激（FES）对老年COVID-19患者肌肉力量、疲劳、肌肉质量和生活质量（QoL）的影响。这些患者接受了FES，同时进行了连续10次的肌肉自主收缩。超声成像、压力生物反馈、Chalder疲劳量表和生活质量分别用于测量肌肉质量、肌肉力量、慢性疲劳和生活质量。在干预开始、立即和结束后1个月进行评估。结果：在真正的FES组中，所有变量在干预后立即和1个月都显示出统计学上显著的改善（P＜0.05）。然而，在假FES组干预后，胫骨前肌质量和疲劳立即显著改善。然而，干预后即刻和1个月，胫骨前肌和股直肌的力量和股直肌质量没有显著变化（P>0.05）。在真正的FES疗效更高的组之间，肌肉质量、身体疲劳、肌肉力量和生活质量有显著差异（P<0.05）。结论：对于该样本的患者，FES改善了疲劳，新冠肺炎老年人的肌肉力量、肌肉质量和生活质量。

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

Journal of Manipulative and Physiological Therapeutics 医学-康复医学

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

29 weeks

期刊介绍： The Journal of Manipulative and Physiological Therapeutics (JMPT) is an international and interdisciplinary journal dedicated to the advancement of conservative health care principles and practices. The JMPT is the premier biomedical publication in the chiropractic profession and publishes peer reviewed, research articles and the Journal''s editorial board includes leading researchers from around the world. The Journal publishes original primary research and review articles of the highest quality in relevant topic areas. The JMPT addresses practitioners and researchers needs by adding to their clinical and basic science knowledge and by informing them about relevant issues that influence health care practices.