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Роль электромиостимуляции в реабилитационных программах больных хронической обструктивной болезнью легких (клинические примеры)
Роль электромиостимуляции в реабилитационных программах больных хронической обструктивной болезнью легких (клинические примеры)
Мещерякова Н.Н., Кунафина Т.В., Белевский А.С. Роль электромиостимуляции в реабилитационных программах больных хронической обструктивной болезнью легких (клинические примеры). Consilium Medicum. 2017; 19 (3): 61–65.
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Аннотация
Дисфункция скелетной и дыхательной мускулатуры является одним из наиболее распространенных системных эффектов у больных хронической обструктивной болезнью легких (ХОБЛ). В настоящий момент только методы легочной реабилитации, такие как физическая тренировка, могут изменить функциональный статус больных, улучшить физическую активность за счет улучшения работы скелетной и дыхательной мускулатуры. Применение нейромышечной электрической стимуляции является важной программой реабилитации у пациентов с ХОБЛ при тяжелом ограничении физических возможностей. Это подтверждено результатами исследований и клиническими примерами.
Ключевые слова: дисфункция мускулатуры, легочная реабилитация, нейромышечная электричекая стимуляция.
Ключевые слова: дисфункция мускулатуры, легочная реабилитация, нейромышечная электричекая стимуляция.
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Dysfunction of skeletal and respiratory muscles is one of the most common systemic effects in patients with chronic obstructive pulmonary disease (COPD). Currently, only the methods of pulmonary reabilitation, such as physical exercise, can change the functional status of patients, to improve physical activity through the improvement of skeletal and respiratory muscles. The use of neuromuscular electrical stimulation is an important rehabilitation program in COPD patients with severe physical limitations. This is confirmed by the results of studies and clinical examples.
Key words: dysfunction of the muscles, pulmonary reabilitation, neuromuscular electrical stimulation.
Key words: dysfunction of the muscles, pulmonary reabilitation, neuromuscular electrical stimulation.
Полный текст
Список литературы
1. Agusti A. Systemic effects of chronic obstructive pulmonary disease. Proc Am Thorac Soc 2005; 2: 367–70.
2. Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in COPD. Am J Respir Crit Care Med 1996; 153: 976–80.
3. Maltais F, Simard AA, Simard C et al. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med 1996; 153 (1): 288–93.
4. Killian KJ, LeBlanc P, Martin DH et al. Exercise capacity and ventilator, circulatory, and symptom limitation in patients with chronic airflow limitation. Am Rev Respir Dis 1992; 142: 935–40.
5. Mador MJ, Kufel TJ, Pineda L. Quadriceps fatigue after cycle exercise in patients with chronic obstructive pulmonary disease. Am J Respire Crit Care Med 2000; 161: 447–53.
6. Seay D, Debigare R, LeBlanc P et al. Contractile leg fatigue after cycle exercise: a factor limiting exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003; 168: 425–30.
7. Eberstein A, Eberstein S. Electrical stimulation of denervated muscle: is it worthwhile? Med Sci Sports Exerc 1996; 28: 1463–9.
8. Vivodtzev I, Lacasse Y, Maltais F. Neuromuscular electrical stimulation of the lower limbs in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2008; 28: 79–91.
9. Sillen MJ, Speksnijder CM, Eterman RM et al. Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English – language literature. Chest 2009; 136: 44–61.
10. Maillefert JF, Eicher JC, Walker P et al. Effects of low-frequency electrical stimulation of quadriceps and calf muscles in patients with chronic heart failure. J Cardiopulm Rehabil 1998; 18: 277–82.
11. Quittan M, Wiesinger GF, Sturm B et al. Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2001; 80: 206–14; quiz 215–6, 224.
12. Bourjeily-Habr G, Rochester CL, Palermo F et al. Randomised controlled trial of transcutaneous electrical muscle stimulation of the lower extremities in patients with chronic obstructive pulmonary disease. Thorax 2002; 57: 1045–9.
13. Sillen MJ, Janssen PP, Akkermans MA et al. The metabolic response during resistance training and neuromuscular electrical stimulation (NMES) in patients with COPD, a pilot study. Respir Med 2008; 102: 786–9.
14. Sillen MJ, Wouters EF, Franssen FM et al. Oxygen uptake, ventilation, and symptoms during low – frequency versua high-requency NMES in COPD: a pilot study. Lung 2011; 189: 21–6.
15. Neder JA, Sword D, Ward SA et al. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax 2002; 57: 333–7.
16. Adbellaoui A, Prefaut C, Gouze F et al. Skeletal muscle effects of electrostimulation after COPD exercerbation: a pilot study. Eur Respir J 2011; 38: 781–8.
17. Ngai SP, Jones AY, Hui-Chan CW et al. Effect of 4 weeks of Acu-TENS on functional capacity and b-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol 2010; 173: 29–36.
18. Vivodtzev I, Pepin JL, Vottero G et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006; 129: 1540–8.
19. Gregory CM, Bickel CS. Recruitment pattern in himan skeletal muscle during electrical stimulation. Phys Ther 2005; 85: 358–64.
20. Marquestle T, Hug F, Decherchi P, Jammes Y. Changes in neuromuscular function after training by functional electrical stimulation. Muscle Nerve 2003; 28: 181–8.
21. Requena Sanchez B, Padial Puche P, Gonzalez-Badillo JJ. Percutaneous electrical stimulation in strength training an update. J Strength Cond Assoc 2005; 19: 438–48.
22. Vanderthommen M, Duchateau J. Electrical stimulation as a modality to improve performance of the neuromuscular system. Exerc Sport Sci Rev 2007; 35: 180–5.
23. Kwende MM, Jarvis JC, Salmons S. The input-output relation of skeletal muscle. Proc Biol Sci 1995; 261: 193–201.
24. Selkowitz DM. Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation. Phys Ther 1985; 65: 186–96.
25. Zanotti E, Felicetti G, Maini M, Fracchia C. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003; 124: 292–6.
26. Dal Corso S, Napolis L, Malaguti C et al. Skeletal muscle structure and finction in response to electrical stimulation in moderately impaired COPD patients. Respir Med (In press).
2. Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in COPD. Am J Respir Crit Care Med 1996; 153: 976–80.
3. Maltais F, Simard AA, Simard C et al. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med 1996; 153 (1): 288–93.
4. Killian KJ, LeBlanc P, Martin DH et al. Exercise capacity and ventilator, circulatory, and symptom limitation in patients with chronic airflow limitation. Am Rev Respir Dis 1992; 142: 935–40.
5. Mador MJ, Kufel TJ, Pineda L. Quadriceps fatigue after cycle exercise in patients with chronic obstructive pulmonary disease. Am J Respire Crit Care Med 2000; 161: 447–53.
6. Seay D, Debigare R, LeBlanc P et al. Contractile leg fatigue after cycle exercise: a factor limiting exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003; 168: 425–30.
7. Eberstein A, Eberstein S. Electrical stimulation of denervated muscle: is it worthwhile? Med Sci Sports Exerc 1996; 28: 1463–9.
8. Vivodtzev I, Lacasse Y, Maltais F. Neuromuscular electrical stimulation of the lower limbs in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2008; 28: 79–91.
9. Sillen MJ, Speksnijder CM, Eterman RM et al. Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English – language literature. Chest 2009; 136: 44–61.
10. Maillefert JF, Eicher JC, Walker P et al. Effects of low-frequency electrical stimulation of quadriceps and calf muscles in patients with chronic heart failure. J Cardiopulm Rehabil 1998; 18: 277–82.
11. Quittan M, Wiesinger GF, Sturm B et al. Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2001; 80: 206–14; quiz 215–6, 224.
12. Bourjeily-Habr G, Rochester CL, Palermo F et al. Randomised controlled trial of transcutaneous electrical muscle stimulation of the lower extremities in patients with chronic obstructive pulmonary disease. Thorax 2002; 57: 1045–9.
13. Sillen MJ, Janssen PP, Akkermans MA et al. The metabolic response during resistance training and neuromuscular electrical stimulation (NMES) in patients with COPD, a pilot study. Respir Med 2008; 102: 786–9.
14. Sillen MJ, Wouters EF, Franssen FM et al. Oxygen uptake, ventilation, and symptoms during low – frequency versua high-requency NMES in COPD: a pilot study. Lung 2011; 189: 21–6.
15. Neder JA, Sword D, Ward SA et al. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax 2002; 57: 333–7.
16. Adbellaoui A, Prefaut C, Gouze F et al. Skeletal muscle effects of electrostimulation after COPD exercerbation: a pilot study. Eur Respir J 2011; 38: 781–8.
17. Ngai SP, Jones AY, Hui-Chan CW et al. Effect of 4 weeks of Acu-TENS on functional capacity and b-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol 2010; 173: 29–36.
18. Vivodtzev I, Pepin JL, Vottero G et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006; 129: 1540–8.
19. Gregory CM, Bickel CS. Recruitment pattern in himan skeletal muscle during electrical stimulation. Phys Ther 2005; 85: 358–64.
20. Marquestle T, Hug F, Decherchi P, Jammes Y. Changes in neuromuscular function after training by functional electrical stimulation. Muscle Nerve 2003; 28: 181–8.
21. Requena Sanchez B, Padial Puche P, Gonzalez-Badillo JJ. Percutaneous electrical stimulation in strength training an update. J Strength Cond Assoc 2005; 19: 438–48.
22. Vanderthommen M, Duchateau J. Electrical stimulation as a modality to improve performance of the neuromuscular system. Exerc Sport Sci Rev 2007; 35: 180–5.
23. Kwende MM, Jarvis JC, Salmons S. The input-output relation of skeletal muscle. Proc Biol Sci 1995; 261: 193–201.
24. Selkowitz DM. Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation. Phys Ther 1985; 65: 186–96.
25. Zanotti E, Felicetti G, Maini M, Fracchia C. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003; 124: 292–6.
26. Dal Corso S, Napolis L, Malaguti C et al. Skeletal muscle structure and finction in response to electrical stimulation in moderately impaired COPD patients. Respir Med (In press).
2. Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in COPD. Am J Respir Crit Care Med 1996; 153: 976–80.
3. Maltais F, Simard AA, Simard C et al. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med 1996; 153 (1): 288–93.
4. Killian KJ, LeBlanc P, Martin DH et al. Exercise capacity and ventilator, circulatory, and symptom limitation in patients with chronic airflow limitation. Am Rev Respir Dis 1992; 142: 935–40.
5. Mador MJ, Kufel TJ, Pineda L. Quadriceps fatigue after cycle exercise in patients with chronic obstructive pulmonary disease. Am J Respire Crit Care Med 2000; 161: 447–53.
6. Seay D, Debigare R, LeBlanc P et al. Contractile leg fatigue after cycle exercise: a factor limiting exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003; 168: 425–30.
7. Eberstein A, Eberstein S. Electrical stimulation of denervated muscle: is it worthwhile? Med Sci Sports Exerc 1996; 28: 1463–9.
8. Vivodtzev I, Lacasse Y, Maltais F. Neuromuscular electrical stimulation of the lower limbs in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2008; 28: 79–91.
9. Sillen MJ, Speksnijder CM, Eterman RM et al. Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English – language literature. Chest 2009; 136: 44–61.
10. Maillefert JF, Eicher JC, Walker P et al. Effects of low-frequency electrical stimulation of quadriceps and calf muscles in patients with chronic heart failure. J Cardiopulm Rehabil 1998; 18: 277–82.
11. Quittan M, Wiesinger GF, Sturm B et al. Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2001; 80: 206–14; quiz 215–6, 224.
12. Bourjeily-Habr G, Rochester CL, Palermo F et al. Randomised controlled trial of transcutaneous electrical muscle stimulation of the lower extremities in patients with chronic obstructive pulmonary disease. Thorax 2002; 57: 1045–9.
13. Sillen MJ, Janssen PP, Akkermans MA et al. The metabolic response during resistance training and neuromuscular electrical stimulation (NMES) in patients with COPD, a pilot study. Respir Med 2008; 102: 786–9.
14. Sillen MJ, Wouters EF, Franssen FM et al. Oxygen uptake, ventilation, and symptoms during low – frequency versua high-requency NMES in COPD: a pilot study. Lung 2011; 189: 21–6.
15. Neder JA, Sword D, Ward SA et al. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax 2002; 57: 333–7.
16. Adbellaoui A, Prefaut C, Gouze F et al. Skeletal muscle effects of electrostimulation after COPD exercerbation: a pilot study. Eur Respir J 2011; 38: 781–8.
17. Ngai SP, Jones AY, Hui-Chan CW et al. Effect of 4 weeks of Acu-TENS on functional capacity and b-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol 2010; 173: 29–36.
18. Vivodtzev I, Pepin JL, Vottero G et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006; 129: 1540–8.
19. Gregory CM, Bickel CS. Recruitment pattern in himan skeletal muscle during electrical stimulation. Phys Ther 2005; 85: 358–64.
20. Marquestle T, Hug F, Decherchi P, Jammes Y. Changes in neuromuscular function after training by functional electrical stimulation. Muscle Nerve 2003; 28: 181–8.
21. Requena Sanchez B, Padial Puche P, Gonzalez-Badillo JJ. Percutaneous electrical stimulation in strength training an update. J Strength Cond Assoc 2005; 19: 438–48.
22. Vanderthommen M, Duchateau J. Electrical stimulation as a modality to improve performance of the neuromuscular system. Exerc Sport Sci Rev 2007; 35: 180–5.
23. Kwende MM, Jarvis JC, Salmons S. The input-output relation of skeletal muscle. Proc Biol Sci 1995; 261: 193–201.
24. Selkowitz DM. Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation. Phys Ther 1985; 65: 186–96.
25. Zanotti E, Felicetti G, Maini M, Fracchia C. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003; 124: 292–6.
26. Dal Corso S, Napolis L, Malaguti C et al. Skeletal muscle structure and finction in response to electrical stimulation in moderately impaired COPD patients. Respir Med (In press).
________________________________________________
2. Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in COPD. Am J Respir Crit Care Med 1996; 153: 976–80.
3. Maltais F, Simard AA, Simard C et al. Oxidative capacity of the skeletal muscle and lactic acid kinetics during exercise in normal subjects and in patients with COPD. Am J Respir Crit Care Med 1996; 153 (1): 288–93.
4. Killian KJ, LeBlanc P, Martin DH et al. Exercise capacity and ventilator, circulatory, and symptom limitation in patients with chronic airflow limitation. Am Rev Respir Dis 1992; 142: 935–40.
5. Mador MJ, Kufel TJ, Pineda L. Quadriceps fatigue after cycle exercise in patients with chronic obstructive pulmonary disease. Am J Respire Crit Care Med 2000; 161: 447–53.
6. Seay D, Debigare R, LeBlanc P et al. Contractile leg fatigue after cycle exercise: a factor limiting exercise in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2003; 168: 425–30.
7. Eberstein A, Eberstein S. Electrical stimulation of denervated muscle: is it worthwhile? Med Sci Sports Exerc 1996; 28: 1463–9.
8. Vivodtzev I, Lacasse Y, Maltais F. Neuromuscular electrical stimulation of the lower limbs in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2008; 28: 79–91.
9. Sillen MJ, Speksnijder CM, Eterman RM et al. Effects of neuromuscular electrical stimulation of muscles of ambulation in patients with chronic heart failure or COPD: a systematic review of the English – language literature. Chest 2009; 136: 44–61.
10. Maillefert JF, Eicher JC, Walker P et al. Effects of low-frequency electrical stimulation of quadriceps and calf muscles in patients with chronic heart failure. J Cardiopulm Rehabil 1998; 18: 277–82.
11. Quittan M, Wiesinger GF, Sturm B et al. Improvement of thigh muscles by neuromuscular electrical stimulation in patients with refractory heart failure: a single-blind, randomized, controlled trial. Am J Phys Med Rehabil 2001; 80: 206–14; quiz 215–6, 224.
12. Bourjeily-Habr G, Rochester CL, Palermo F et al. Randomised controlled trial of transcutaneous electrical muscle stimulation of the lower extremities in patients with chronic obstructive pulmonary disease. Thorax 2002; 57: 1045–9.
13. Sillen MJ, Janssen PP, Akkermans MA et al. The metabolic response during resistance training and neuromuscular electrical stimulation (NMES) in patients with COPD, a pilot study. Respir Med 2008; 102: 786–9.
14. Sillen MJ, Wouters EF, Franssen FM et al. Oxygen uptake, ventilation, and symptoms during low – frequency versua high-requency NMES in COPD: a pilot study. Lung 2011; 189: 21–6.
15. Neder JA, Sword D, Ward SA et al. Home based neuromuscular electrical stimulation as a new rehabilitative strategy for severely disabled patients with chronic obstructive pulmonary disease (COPD). Thorax 2002; 57: 333–7.
16. Adbellaoui A, Prefaut C, Gouze F et al. Skeletal muscle effects of electrostimulation after COPD exercerbation: a pilot study. Eur Respir J 2011; 38: 781–8.
17. Ngai SP, Jones AY, Hui-Chan CW et al. Effect of 4 weeks of Acu-TENS on functional capacity and b-endorphin level in subjects with chronic obstructive pulmonary disease: a randomized controlled trial. Respir Physiol Neurobiol 2010; 173: 29–36.
18. Vivodtzev I, Pepin JL, Vottero G et al. Improvement in quadriceps strength and dyspnea in daily tasks after 1 month of electrical stimulation in severely deconditioned and malnourished COPD. Chest 2006; 129: 1540–8.
19. Gregory CM, Bickel CS. Recruitment pattern in himan skeletal muscle during electrical stimulation. Phys Ther 2005; 85: 358–64.
20. Marquestle T, Hug F, Decherchi P, Jammes Y. Changes in neuromuscular function after training by functional electrical stimulation. Muscle Nerve 2003; 28: 181–8.
21. Requena Sanchez B, Padial Puche P, Gonzalez-Badillo JJ. Percutaneous electrical stimulation in strength training an update. J Strength Cond Assoc 2005; 19: 438–48.
22. Vanderthommen M, Duchateau J. Electrical stimulation as a modality to improve performance of the neuromuscular system. Exerc Sport Sci Rev 2007; 35: 180–5.
23. Kwende MM, Jarvis JC, Salmons S. The input-output relation of skeletal muscle. Proc Biol Sci 1995; 261: 193–201.
24. Selkowitz DM. Improvement in isometric strength of the quadriceps femoris muscle after training with electrical stimulation. Phys Ther 1985; 65: 186–96.
25. Zanotti E, Felicetti G, Maini M, Fracchia C. Peripheral muscle strength training in bed-bound patients with COPD receiving mechanical ventilation: effect of electrical stimulation. Chest 2003; 124: 292–6.
26. Dal Corso S, Napolis L, Malaguti C et al. Skeletal muscle structure and finction in response to electrical stimulation in moderately impaired COPD patients. Respir Med (In press).
Авторы
Н.Н.Мещерякова*, Т.В.Кунафина, А.С.Белевский
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*m_natalia1967@inbox.ru
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*m_natalia1967@inbox.ru
________________________________________________
N.N.Meshcheriakova*, T.V.Kunafina, A.S.Belevskii
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*m_natalia1967@inbox.ru
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*m_natalia1967@inbox.ru
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