Journal of Physical Therapy and Health Promotion
Journal of Physical Therapy and Health Promotion(PTHP)
ISSN:2376-1601(Print)
ISSN:2376-1636(Online)
Frequency: Annually
Website: www.bowenpublishing.com/pthp/
Benefits of Neuromuscular Electrical Stimulation Versus Vibration Training to Chronic Obstructive Pulmonary Disease Patients
Abstract:
Background: Decreased muscle strength and functional capacity are main problems in chronic obstructive pulmonary disease (COPD). Neuromuscular electrical stimulation (NMES) and whole-body vibration (WBV) training are used to overcome this problem. Objective: To compare the effect of NMES and WBV training when added to the traditional pulmonary rehabilitation (PR) on functional capacity, ventilatory functions, and quadriceps concentric torque in patients with COPD. Methods: Sixty male patients with COPD were randomly distributed into three equal groups; NMES group; received electrical stimulation (NMES) of the lower limbs in addition to traditional pulmonary rehabilitation (PR) and pharmacological treatment (PT); WBV group; received WBV training in addition to PR and PT; and control group received only PR and PT. The functional capacity, ventilatory functions, and quadriceps concentric torque were obtained at baseline and after 8 weeks of the intervention. Results: The functional capacity increased significantly in NMES and WBV groups (p=0.034, 0.019) respectively, without significant change in the control group (p=0.697). The improvement of WBV group was significantly higher than NMES group (p=0.037). There was no significant difference between groups for the ventilatory functions (p> 0.05). The quadriceps concentric torque of NMES and WBV groups increased significantly (p=0.046, 0.015) respectively, without significant change in the control group (p=0.896). The improvement of WBV group was significantly higher than NMES group (p=0.002). Conclusion: The addition of NMES or WBV training to the traditional PR improved the functional capacity and muscle strength in COPD patients. The improvement was higher after WBV training than NMES.
Keywords:Whole-body Vibration; Neuromuscular Electrical Stimulation; Pulmonary Rehabilitation; COPD
Author: Mostafa Sayed Abdel-fattah,Amr Almaz Abdel-aziem

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