nach oben

Erschienen in:

23.08.2018 | review

Side effects of whole-body electro-myo-stimulation

verfasst von: Univ. Prof. Dr. Claudia Stöllberger, Univ. Prof. Dr. Josef Finsterer

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 7-8/2019

Einloggen, um Zugang zu erhalten

Summary

Whole-body-electro-myo-stimulation (WB-EMS) has been introduced as an alternative to physical training. The aim of the review is to summarize the data about indications and side effects of WB-EMS.

A literature search in PubMed disclosed 11 randomized trials, 3 cohort studies, and 7 case reports. From healthy volunteers, enormous creatine kinase (CK) elevations were reported. There is a lack of data about biological consequences of WB-EMS on other organs. In randomized trials, CK levels were not investigated, but several patients discontinued WB-EMS because of “muscular discomfort.” Contraindications for WB-EMS are not clearly defined. Nine cases of rhabdomyolysis after WB-EMS were found, preferentially after the first application.

Regulatory authorities should increase the safety of WB-EMS. Patients with a history of rhabdomyolysis should not undergo WB-EMS and those experiencing rhabdomyolysis should be neurologically investigated. Since the value of WB-EMS as an alternative to physical exercise is uncertain, we need to proof or disproof its benefit.

Vorheriger Artikel Sarcopenia

Nächster Artikel Acute myopathy as a side effect of electrostimulation

Herzig D, Maffiuletti NA, Eser P. The application of neuromuscular electrical stimulation training in various non-neurologic patient populations: a narrative review. Pm R. 2015;7:1167–78.CrossRefPubMed

Filipovic A, Grau M, Kleinöder H, et al. Effects of a whole-body electrostimulation program on strength, sprinting, jumping, and kicking capacity in elite soccer players. J Sports Sci Med. 2016;15:639–48.PubMedPubMedCentral

Fritzsche D, Fruend A, Schenk S, et al. Electromyostimulation (EMS) in cardiac patients. Will EMS training be helpful in secondary prevention? Herz. 2010;35:34–40.CrossRefPubMed

van Buuren F, Mellwig KP, Prinz C, et al. Electrical myostimulation improves left ventricular function and peak oxygen consumption in patients with chronic heart failure: results from the exEMS study comparing different stimulation strategies. Clin Res Cardiol. 2013;102:523–34.CrossRefPubMed

Kemmler W, Grimm A, Bebenek M, et al. Effects of combined whole-body electromyostimulation and protein supplementation on local and overall muscle/fat distribution in older men with sarcopenic obesity: the randomized controlled Franconia Sarcopenic obesity (FranSO) study. Calcif Tissue Int. 2018; https://doi.org/10.1007/s00223-018-0424-2.CrossRefPubMed

Kemmler W, Kohl M, Freiberger E, et al. Effect of whole-body electromyostimulation and/or protein supplementation on obesity and cardiometabolic risk in older men with sarcopenic obesity: the randomized controlled FranSO trial. Bmc Geriatr. 2018;18:70. https://doi.org/10.1186/s12877-018-0759-6.CrossRefPubMedPubMedCentral

Kemmler W, Weissenfels A, Teschler M, et al. Whole-body electromyostimulation and protein supplementation favorably affect sarcopenic obesity in community-dwelling older men at risk: the randomized controlled FranSO study. Clin Interv Aging. 2017;12:1503–13.CrossRefPubMedPubMedCentral

Wittmann K, Sieber C, von Stengel S, et al. Impact of whole body electromyostimulation on cardiometabolic risk factors in older women with sarcopenic obesity: the randomized controlled FORMOsA-sarcopenic obesity study. Clin Interv Aging. 2016;11:1697–706.CrossRefPubMedPubMedCentral

Kemmler W, Teschler M, Weissenfels A, et al. Whole-body electromyostimulation to fight sarcopenic obesity in community-dwelling older women at risk. Results of the randomized controlled FORMOsA-sarcopenic obesity study. Osteoporos Int. 2016;27:3261–70.CrossRefPubMed

10.

Kemmler W, Teschler M, Weißenfels A, et al. Effects of whole-body electromyostimulation versus high-intensity resistance exercise on body composition and strength: a randomized controlled study. Evid Based Complement Alternat Med. 2016;2016:9236809.CrossRefPubMedPubMedCentral

11.

von Stengel S, Bebenek M, Engelke K, et al. Whole-body electromyostimulation to fight osteopenia in elderly females: the randomized controlled training and electrostimulation trial (TEST-III). J Osteoporos. 2015;2015:643520.

12.

Kemmler W, Bebenek M, Engelke K, et al. Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III). Age (dordr). 2014;36:395–406.CrossRef

13.

Kemmler W, von Stengel S. Whole-body electromyostimulation as a means to impact muscle mass and abdominal body fat in lean, sedentary, older female adults: subanalysis of the TEST-III trial. Clin Interv Aging. 2013;8:1353–64. https://doi.org/10.2147/CIA.S52337.CrossRefPubMedPubMedCentral

14.

Jee YS. The efficacy and safety of whole-body electromyostimulation in applying to human body: based from graded exercise test. J Exerc Rehabil. 2018;14:49–57. https://doi.org/10.12965/jer.1836022.011.CrossRefPubMedPubMedCentral

15.

Kemmler W, Fröhlich M, von Stengel S, et al. Whole-Body electromyostimulation—the need for common sense! Rationale guideline for a safe and effective training. Dtsch Z Sportmed. 2016;67:218–20.CrossRef

16.

Kemmler W, Weissenfels A, Willert S, et al. Efficacy and safety of low frequency whole-body electromyostimulation (WB-EMS) to improve health-related outcomes in non-athletic adults. A systematic review. Front Physiol. 2018;9:573. https://doi.org/10.3389/fphys.2018.00573.CrossRefPubMedPubMedCentral

17.

Gondin J, Brocca L, Bellinzona E, et al. Neuromuscular electrical stimulation training induces atypical adaptations of the human skeletal muscle phenotype: a functional and proteomic analysis. J Appl Physiol. 2011;110:433–50.CrossRefPubMed

18.

Nosaka K, Aldayel A, Jubeau M, et al. Muscle damage induced by electrical stimulation. Eur J Appl Physiol. 2011;111:2427–37.CrossRefPubMed

19.

Jubeau M, Muthalib M, Millet GY, et al. Comparison in muscle damage between maximal voluntary and electrically evoked isometric contractions of the elbow flexors. Eur J Appl Physiol. 2012;112:429–38.CrossRefPubMed

20.

Crameri RM, Aagaard P, Qvortrup K, et al. Myofibre damage in human skeletal muscle: effects of electrical stimulation versus voluntary contraction. J Physiol. 2007;583:365–80.CrossRefPubMedPubMedCentral

21.

Foure A, Duhamel G, Wegrzyk J, et al. Heterogeneity of muscle damage induced by electrostimulation: a multimodal MRI study. Med Sci Sports Exerc. 2015;47:166–75.CrossRefPubMed

22.

Foure A, Wegrzyk J, Le Fur Y, et al. Impaired mitochondrial function and reduced energy cost as a result of muscle damage. Med Sci Sports Exerc. 2015;47:1135–44.CrossRefPubMed

23.

Malnick SD, Band Y, Alin P, et al. It’s time to regulate the use of whole body electrical stimulation. BMJ. 2016;352:i1693. https://doi.org/10.1136/bmj.i1693.CrossRefPubMed

24.

Ministry of Health has taken actions to regulate the use of EMS devices. 2017. https://www.health.gov.il/English/News_and_Events/Spokespersons_Messages/Pages/11022016_1.aspx. Accessed 09.12.

25.

Kemmler W, Teschler M, Bebenek M, et al. (Very) high Creatinkinase concentration after exertional whole-body electromyostimulation application: health risks and longitudinal adaptations. Wien Med Wochenschr. 2015;165:427–35.CrossRefPubMed

26.

Herzog A, Büchele F, Keller DI. Muskelschmerzen nach Elektromyostimulationstraining. Praxis. 2017;106:1121–4.CrossRefPubMed

27.

Kästner A, Braun M, Meyer T. Two cases of rhabdomyolysis after training with electromyostimulation by 2 young male professional soccer players. Clin J Sport Med. 2015;25:e71–e3.PubMed

28.

Guillén Astete CA, Zegarra Mondragón S, Medina Quiñones C. Rhabdomiolysis secondary to physical activity and simultaneous electrostimulation. A case report. Reumatol Clin. 2015;11:262–3.CrossRefPubMed

29.

Finsterer J, Stöllberger C. Severe rhabdomyolysis after MIHA-bodytec® electrostimulation with previous mild hyper-CK-emia and noncompaction. Int J Cardiol. 2015;180:100–2. https://doi.org/10.1016/j.ijcard.2014.11.148.CrossRefPubMed

30.

Hong JY, Hyeok Oh J, Shin JH. Rhabdomyolysis caused by knee push-ups with whole body electromyostimulation. Br J Hosp Med (lond). 2016;77:542–3.CrossRef

31.

Guarascio P, Lusi EA, Soccorsi F. Electronic muscular stimulators: a novel unsuspected cause of rhabdomyolysis. Br J Sports Med. 2004;38:505.CrossRefPubMedPubMedCentral

32.

Boa BCS, Yudkin JS, van Hinsbergh VWM, et al. Exercise effects on perivascular adipose tissue: endocrine and paracrine determinants of vascular function. Br J Pharmacol. 2017;174:3466–81.CrossRefPubMedPubMedCentral

33.

Batouli SAH, Saba V. At least eighty percent of brain grey matter is modifiable by physical activity: a review study. Behav Brain Res. 2017;332:204–17. https://doi.org/10.1016/j.bbr.2017.06.002.CrossRefPubMed

34.

Ponikowski P, Voors AA, Anker SD, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Eur Heart J. 2016;37:2129–200. Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.CrossRefPubMed

35.

Cervellin G, Comelli I, Benatti M, et al. Non-traumatic rhabdomyolysis: background, laboratory features, and acute clinical management. Clin Biochem. 2017;50:656–62.CrossRefPubMed

36.

Fong Yan A, Cobley S, Chan C, et al. The effectiveness of dance interventions on physical health outcomes compared to other forms of physical activity: A systematic review and meta-analysis. Sports Med. 2017; https://doi.org/10.1007/s40279-017-0853-5.CrossRef

Titel: Side effects of whole-body electro-myo-stimulation
verfasst von: Univ. Prof. Dr. Claudia Stöllberger
Univ. Prof. Dr. Josef Finsterer
Publikationsdatum: 23.08.2018
Verlag: Springer Vienna
Erschienen in: Wiener Medizinische Wochenschrift / Ausgabe 7-8/2019
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI: https://doi.org/10.1007/s10354-018-0655-x

Response to the letter of Stoellberger et al. “Acute myopathy as a side effect of electromyostimulation”

letter to the editor

Acute myopathy as a side effect of electrostimulation

letter to the editor

Lip creams with propolis special extract GH 2002 0.5% versus aciclovir 5.0% for herpes labialis (vesicular stage)

Open Access
original article

A comparative brief on conducted electrical weapon safety

review

Sarcopenia

review

Springer Medizin Österreich

Side effects of whole-body electro-myo-stimulation

Summary

Weitere Artikel der Ausgabe 7-8/2019

Response to the letter of Stoellberger et al. “Acute myopathy as a side effect of electromyostimulation”

Acute myopathy as a side effect of electrostimulation

Lip creams with propolis special extract GH 2002 0.5% versus aciclovir 5.0% for herpes labialis (vesicular stage)

A comparative brief on conducted electrical weapon safety

Sarcopenia

Springer Medizin Österreich

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Response to the letter of Stoellberger et al. “Acute myopathy as a side effect of electromyostimulation”

Acute myopathy as a side effect of electrostimulation

Lip creams with propolis special extract GH 2002 0.5% versus aciclovir 5.0% for herpes labialis (vesicular stage)

A comparative brief on conducted electrical weapon safety

Sarcopenia