This study was designed to test the following hypothesis: To investigate whether COPD muscles can respond to stimuli in terms of changes in fiber-type distribution.
Background: Muscle dysfunction is a major problem in chronic obstructive pulmonary disease (COPD). It is characterized by muscle fiber-type redistribution and oxidative stress. Classical training does not improve these features. Objectives: To investigate whether electrostimulation program following exacerbation can modify muscle structure and function in COPD patients. Method: We propose to conduct a controlled and randomized clinical trial comparing the efficacy of muscle electrostimulation training of the lower limbs to sham training in 15 patients with COPD. Patients are included in either 6 weeks of electrostimulation training (active treatment group) or 6 weeks of sham electrostimulation. Primary outcomes were changes in muscle structure, muscle oxidative stress and their relationship with quadriceps force and exercise tolerance.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
15
Electrostimulation: 35 Hz, 0.4 ms, 1 h; 5 times/week
Sham stimulation: 1 h; 5 times/week
Fiber-type distribution
Typology was evaluated by immunohistochemistry
Time frame: 6 to 8 weeks
Change in the strength of the quadriceps over the 6-week electrostimulation program
Time frame: 6 to 8 weeks
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