Evidence map›Paper›PMID 27350745›Full record

Observational studyInternational journal of chronic obstructive pulmonary disease2016

Home-based neuromuscular electrical stimulation improves exercise tolerance and health-related quality of life in patients with COPD.

Jérémy B Coquart, Jean-Marie Grosbois, Cecile Olivier, Frederic Bart, Ingrid Castres, Benoit Wallaert

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jérémy B CoquartFaculté des Sciences du Sport, Université de Rouen, CETAPS, EA 3832, Mont Saint Aignan, Beuvry, France.
Jean-Marie GrosboisService de Pneumologie, Centre Hospitalier de Béthune, Beuvry, France; Formaction Santé, Perenchies, France.
Cecile OlivierService de Pneumologie et Immunoallergologie, Centre Hospitalier Universitaire de Lille, Hôpital Calmette, Université de Lille 2, France.
Frederic BartService de Pneumologie, Centre Hospitalier de Béthune, Beuvry, France.
Ingrid CastresFaculté des Sciences du Sport, Université de Rouen, CETAPS, EA 3832, Mont Saint Aignan, Beuvry, France.
Benoit WallaertService de Pneumologie et Immunoallergologie, Centre Hospitalier Universitaire de Lille, Hôpital Calmette, Université de Lille 2, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis retrospective, observational study of a routine clinical practice reports the feasibility and efficiency of home-based pulmonary rehabilitation (PR), including transcutaneous neuromuscular electrical stimulation (NMES) or usual endurance physical exercise (UEPE), on exercise tolerance, anxiety/depression, and health-related quality of life (HRQoL) in patients with COPD.

methodsSeventy-one patients with COPD participated in home-based PR with NMES (Group NMES [GNMES]), while 117 patients participated in home-based PR with the UEPEs (Group UEPE [GUEPE]). NMES was applied for 30 minutes twice a day, every day. The endurance exercises in GUEPE began with a minimum 10-minute session at least 5 days a week, with the goal being 30-45 minutes per session. Three upper and lower limb muscle strengthening exercises lasting 10-15 minutes were also proposed to both the groups for daily practice. Moreover, PR in both the groups included a weekly 90-minute session based on an educational needs assessment. The sessions comprised endurance physical exercise for GUEPE, NMES for GNMES, resumption of physical daily living activities, therapeutic patient education, and psychosocial support to facilitate health behavior changes. Before and after PR, functional mobility and physical exercise capacity, anxiety, depression, and HRQoL were evaluated at home.

resultsThe study revealed that NMES significantly improved functional mobility (-18.8% in GNMES and -20.6% in GUEPE), exercise capacity (+20.8% in GNMES and +21.8% in GUEPE), depression (-15.8% in GNMES and -30.1% in GUEPE), and overall HRQoL (-7.0% in GNMES and -18.5% in GUEPE) in the patients with COPD, regardless of the group (GNMES or GUEPE) or severity of airflow obstruction. Moreover, no significant difference was observed between the groups with respect to these data (P>0.05).

conclusionHome-based PR including self-monitored NMES seems feasible and effective for severely disabled COPD patients with severe exercise intolerance.

Indexed as

Exercise ToleranceHome Care Services, Hospital-BasedQuality of LifeActivities of Daily LivingAgedCombined Modality TherapyDepressionExercise TherapyFemaleHealth Knowledge, Attitudes, PracticeHealth StatusHumansMaleMiddle AgedMuscle ContractionMuscle, Skeletalchronic obstructive pulmonary diseaseglobal management programNMESpulmonary rehabilitationseverity of airflow obstruction

Identifiers

PMID27350745
PMCPMC4902151

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.