Effects of neuromuscular electrostimulation in patients with heart failure admitted to ward
1 Hospital Ana Neri, Universidade Federal da Bahia, Avenida Saldanha Marinho s/n, Salvador Bahia, CEP:40320-010, Brazil
2 Faculdade de Medicina da Universidade Federal da Bahia (UFBa), Salvador-BA, Brazil
3 Unidade de Cirurgia Cardíaca Pediátrica do Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da USP, São Paulo, Brazil
4 The GREAT Group (GRupo de Estudos em Atividade física), São Paulo, Brazil
Journal of Cardiothoracic Surgery 2012, 7:124 doi:10.1186/1749-8090-7-124Published: 15 November 2012
Neuromuscular electrostimulation has become a promising issue in cardiovascular rehabilitation. However there are few articles published in the literature regarding neuromuscular electrostimulation in patients with heart failure during hospital stay.
This is a randomized controlled pilot trial that aimed to investigate the effect of neuromuscular electrostimulation in the walked distance by the six-minute walking test in 30 patients admitted to ward for heart failure treatment in a tertiary cardiology hospital. Patients in the intervention group performed a conventional rehabilitation and neuromuscular electrostimulation. Patients underwent 60 minutes of electrostimulation (wave frequency was 20 Hz, pulse duration of 20 us) two times a day for consecutive days until hospital discharge.
The walked distance in the six-minute walking test improved 75% in the electrostimulation group (from 379.7 ± 43.5 to 372.9 ± 46.9 meters to controls and from 372.9 ± 62.4 to 500 ± 68 meters to electrostimulation, p<0.001). On the other hand, the walked distance in the control group did not change.
The neuromuscular electrostimulation group showed greater improvement in the walked distance in the six-minute walking test in patients admitted to ward for compensation of heart failure.