Personalised and progressive neuromuscular electrical stimulation (NMES) in patients with cancera clinical case series

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Title: Personalised and progressive neuromuscular electrical stimulation (NMES) in patients with cancera clinical case series
Authors: O'Connor, Dominic
Mora Fernandez, Matilde
Signorelli, Gabriel
Caulfield, Brian
Valero, Pedro
Permanent link: http://hdl.handle.net/10197/10777
Date: 8-Feb-2019
Online since: 2019-06-10T13:49:54Z
Abstract: Purpose Neuromuscular electrical stimulation (NMES) may be a pragmatic short-term alternative to voluntary exercise to augment cancer rehabilitation. However, previous attempts to use NMES as an exercise modality in this cohort have been unsuccessful, largely due to the use of NMES protocols that were developed for other rehabilitation contexts. We assessed the effects of a personalised and progressive NMES exercise intervention, designed with early stage cancer rehabilitation in mind, on exercise capacity, lower body functional strength and quality of life in (QoL) in patients who are currently undergoing or have recently completed treatment for cancer. Methods Ten adult patients were recruited. A personalised and progressive NMES exercise intervention was implemented in each case over a 4 – 8-week period. The 30 seconds sit to stand test (STS), 6-minute walk test (6MWT), and EORTC QLQ C-30 were performed pre-and post-intervention. Patients completed semi structured interviews post intervention to explore their experiences and views on the intervention, and its impact on their daily lives. Results Six of the 10 recruited patients completed the intervention and completed pre-and post assessments. Four of 6 patients improved STS, 5 of 6 patients improved 6MWT and 4 of 6 patients improved Global QoL. Perceived benefits included improved muscle strength and more confidence when walking. Conclusion A personalised and progressive NMES exercise intervention appears safe and may improve functional capacity and QoL in adults who are undergoing or have recently completed treatment for cancer. Replication of these results in a controlled prospective study is warranted prior to clinical implementation.
Funding Details: European Commission Horizon 2020
Type of material: Journal Article
Publisher: Springer
Journal: Supportive Care in Cancer
Start page: 1
End page: 9
Copyright (published version): 2019 Springer
Keywords: Neuromuscular electrical stimulationAdult cancer survivorsRehabilitationOncologyPhysical function
DOI: 10.1007/s00520-019-04679-3
Language: en
Status of Item: Peer reviewed
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection
Insight Research Collection

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