Acute Effect of Whole-body Electrical Stimulation in COPD Patients
Condition: Chronic Obstructive Pulmonary Disease
MeSH terms: Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
Study type: Interventional

Summary: 
      Patients with chronic respiratory diseases present in addition to respiratory symptoms,
      peripheral muscle dysfunction, which contributes to functional impairment. The aim of the
      study is to investigate the safety of whole-body electrical stimulation in patients with
      chronic obstructive pulmonary disease (COPD). Patients will perform two whole body
      electrostimulation protocols, with an interval of one week between them. The primary outcome
      will be the safety of electrical stimulation through peripheral oxygen saturation,
      respiratory rate, systolic blood pressure, diastolic blood pressure, heart rate, dyspnea and
      fatigue (Borg subjective perceived exertion scale), autonomic control (rate variability
      cardiac arrest) and occurrence of adverse events. Secondary outcomes will be muscle damage
      assessed by serum creatine kinase level, muscle fatigue assessed by serum lactate level,
      delayed onset muscle soreness assessed by visual numerical scale, and peripheral muscle
      strength by dynamometry.
    

Detailed description: 
      Patients with COPD will be submitted to two whole body electrostimulation protocols, with an
      interval of one week between them. Miha Bodytec equipment will be properly calibrated, with
      electrodes on the quadriceps, hamstrings, glutes, biceps, triceps, pectorals, abdomen,
      trapezius, latissimus dorsi and quadratus lumborum muscles. Symmetric pulsed biphasic current
      will be used, pulse width of 400µs, frequency of 75Hz, contraction time of five seconds, rest
      time of 10 seconds. Protocol 1 will take eight minutes resulting in 32 muscle contractions,
      and protocol 2 will take 16 minutes resulting in 64 muscle contractions. Initially, patients
      will undergo an assessment of autonomic control. Then, blood collection will be performed,
      the serum lactate level will be checked and muscle strength will be measured. Verification of
      systolic blood pressure, diastolic blood pressure, peripheral oxygen saturation, heart rate,
      respiratory rate and perception of dyspnea and fatigue (BORG) will occur immediately before
      and after the whole body electrical stimulation session. During the protocol, peripheral
      oxygen saturation, heart rate, respiratory rate and BORG will be checked. After the session,
      the serum lactate level will be checked, a new blood collection will be performed and
      autonomic control and muscle strength will be reassessed. After 24, 48 and 72 hours, new
      blood samples will be collected and muscle pain will be measured.
    

Intervention name(s): Whole-body electrical stimulation
Intervention type(s): Other
Intervention description(s): Performed using Miha Bodytec equipment, properly calibrated, with electrodes on the quadriceps, hamstrings, glutes, biceps, triceps, pectorals, abdomen, trapezius, latissimus dorsi and quadratus lumborum muscles.
Other intervention name(s): Whole-body electromyostimulation
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: None (Open Label)
Primary purpose: Treatment