Neuromuscular Electrical Stimulation (NMES) in the Management of Glioblastoma Multiforme

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dc.contributor.authorO'Connor, Dominic-
dc.contributor.authorCaulfield, Brian-
dc.contributor.authorWright, Sarah-
dc.contributor.authorLennon, Olive- Academy of Oncology Physical Therapyen_US
dc.identifier.citationRehabilitation Oncologyen_US
dc.description.abstractBackground and Purpose: Glioblastoma multiforme (GBM) is associated with debilitating physical and psychosocial side effects. Voluntary exercise recommended as an adjunct therapy is often limited by physical and neurological impairments. The potential effect of aerobic and muscle-strengthening neuromuscular electrical stimulation (termed concurrent NMES) exercise (4 weeks, 2-5 times/week, 30 minutes to 1 hour) delivered to the lower limbs in patients with GBM has not been examined. This case study explores the effect of a short-term concurrent NMES intervention progressing to NMES and supervised voluntary exercise (aerobic and resistance training) over a 10-week period in a patient with GBM undergoing adjuvant treatment. Case Description: The case was a 61-year-old man with GBM who had completed radiotherapy treatment (40 Gy) and was undergoing adjuvant chemotherapy. Eastern Cooperative Oncology Group level was 3. Assessments were conducted at baseline, and at weeks 4 and 10 of the intervention. Outcomes included 30-second sit-to-stand (30STS), Timed Up and Go (TUG), European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30, and Godin Leisure Time Questionnaire. Outcomes: The intervention was well tolerated, with more than 70% NMES exercise adherence over 10 weeks and progression to combined NMES and voluntary exercise at week 5. No adverse events were reported. Despite self-reported increases in fatigue levels, clinically meaningful improvements were observed at weeks 4 and 10 for 30STS, TUG, and physical quality of life (QoL). Self-report physical activity levels increased at week 10. Discussion: In this first clinical case report, a 10-week NMES/voluntary exercise intervention led to improvements in physical and QoL outcomes. This initial evidence suggests NMES exercise is safe and feasible and may act as a bridge to voluntary exercise. NMES demonstrated promise as an effective supportive intervention in the management of GBM. Future clinical trials are required to expand on these initial findings.en_US
dc.description.sponsorshipEuropean Commission Horizon 2020en_US
dc.publisherWolters Kluweren_US
dc.rightsThis is a non-final version of an article published in final form in O'Connor, Dominic M.Sc1,2; Caulfield, Brian PhD1,2; Wright, Sarah M.Sc3; Lennon, Olive PhD1 Neuromuscular Electrical Stimulation (NMES) in the Management of Glioblastoma Multiforme, Rehabilitation Oncology: November 05, 2019 - Volume Publish Ahead of Print - Issue - doi: 10.1097/01.REO.0000000000000189 .en_US
dc.subjectNeuromuscular electrical stimulationen_US
dc.subjectCancer rehabilitationen_US
dc.subjectSupportive careen_US
dc.titleNeuromuscular Electrical Stimulation (NMES) in the Management of Glioblastoma Multiformeen_US
dc.typeJournal Articleen_US
dc.statusPeer revieweden_US
dc.description.adminUpdate citation details during checkdate report - ACen_US
dc.description.admin2020-10-20 JG: PDF replaced to include H2020 acknowledgement at request of CATCH-ITN administration.en_US
item.fulltextWith Fulltext-
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection
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