PTOtherJournal of physical therapy science2024

Kinesiophysiological analysis associated with changes in subjective intensities in belt electrode-skeletal muscle electrical stimulation: a prospective exploratory study.

Norikazu Hishikawa, Koshiro Sawada, Motonori Kubo and 4 others

PMID 38694009

WHAT IT FOUND

In 17 healthy adults, belt stimulation rated strong or maximum tolerated produced 3.9 and 5.0 METs, moderate activity.

Weak and normal produced 2.0 and 2.7 METs, below 3 METs. Heart rate and breathing rose with intensity.

Key findings

01METs increased significantly with subjective intensity: weak 2.0 ± 1.0, normal 2.7 ± 1.2, strong 3.9 ± 1.3, and maximum tolerated 5.0 ± 1.3.

02Heart rate, respiratory rate, and systolic blood pressure rose significantly with subjective intensity, while diastolic blood pressure did not show a significant difference.

03Actual current intensity increased significantly with subjective intensity: thigh 1.7 ± 0.7, 2.4 ± 0.8, 3.3 ± 1.2, and 4.0 ± 1.2 mA; lower leg 0.8 ± 0.3, 1.1 ± 0.3, 1.5 ± 0.5, and 1.9 ± 0.8 mA.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only 17 healthy adults without disabilities, so it does not show what happens in older, frail, or disabled patients. The sample was small and subjective intensity was not randomised, so the order of conditions may have influenced responses. Most participants were male and gender differences were not analysed, so METs values may not apply equally to females. Only the metabolic mode at 4 Hz was tested, so other frequencies may produce different responses. Each intensity condition lasted 5 minutes, and longer stimulation may cause habituation and lower subjective intensity. Physique and body fat were not considered, although thicker tissue may require higher current to reach muscle. The outcomes were physiological responses such as METs, oxygen uptake, vital signs, current, and tidal volume, not clinical function or patient benefit.

Declared interests

The authors declared no conflict of interest or financial interest to declare.

The easy way to misread this

Do not read this as evidence that B-SES improves health or function in older adults, frail patients, or disabled patients. The study measured only 17 healthy adults and reported physiological responses, not clinical outcomes.

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