3．心臓リハビリ代替法としての神経筋電気刺激療法： 現況と将来展望
「はじめに」神経筋電気刺激療法 (neuromuscular electrical stimulation : NMES) は経皮的に電流を流すことで筋収縮を誘発し, それに伴う生理学的な反応を治療に応用した物理療法の一つである. NMESは随意努力を必要とせずに筋活動を誘発することができることから, 心臓リハビリテーション (心臓リハビリ) 領域では, 重症心不全や外科術後など安静を余儀なくされる患者における運動療法の代替法となることが期待されている. 本稿では, 心臓リハビリ領域における NMESの現況と今後の将来展望について, これまでの我々の検討を含めて概説する. 「NMESの歴史」電...
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| Published in | CIRCULATION CONTROL Vol. 38; no. 2; pp. 96 - 102 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本循環制御医学会
2017
Japan Society of Circulation Control in Medicine |
| Online Access | Get full text |
| ISSN | 0389-1844 |
| DOI | 10.11312/ccm.38.96 |
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| Abstract | 「はじめに」神経筋電気刺激療法 (neuromuscular electrical stimulation : NMES) は経皮的に電流を流すことで筋収縮を誘発し, それに伴う生理学的な反応を治療に応用した物理療法の一つである. NMESは随意努力を必要とせずに筋活動を誘発することができることから, 心臓リハビリテーション (心臓リハビリ) 領域では, 重症心不全や外科術後など安静を余儀なくされる患者における運動療法の代替法となることが期待されている. 本稿では, 心臓リハビリ領域における NMESの現況と今後の将来展望について, これまでの我々の検討を含めて概説する. 「NMESの歴史」電気刺激を医学的治療に応用した歴史は古く, 紀元前47年にまでさかのぼる. ローマ人医師のScribonius Largusがシビレエイの発生する電気を頭痛や痛風の治療に用いた記録が残っている. |
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| AbstractList | 「はじめに」神経筋電気刺激療法 (neuromuscular electrical stimulation : NMES) は経皮的に電流を流すことで筋収縮を誘発し, それに伴う生理学的な反応を治療に応用した物理療法の一つである. NMESは随意努力を必要とせずに筋活動を誘発することができることから, 心臓リハビリテーション (心臓リハビリ) 領域では, 重症心不全や外科術後など安静を余儀なくされる患者における運動療法の代替法となることが期待されている. 本稿では, 心臓リハビリ領域における NMESの現況と今後の将来展望について, これまでの我々の検討を含めて概説する. 「NMESの歴史」電気刺激を医学的治療に応用した歴史は古く, 紀元前47年にまでさかのぼる. ローマ人医師のScribonius Largusがシビレエイの発生する電気を頭痛や痛風の治療に用いた記録が残っている. |
| Author | 飯田, 有輝 小林, 聖典 山田, 純生 岩津, 弘太郎 |
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| References | Delitto A, Snyder-Mackler L: Two theories of muscle strength augmentation using percutaneous electrical stimulation. Phys Ther 1990; 70: 158-64. Cambridge NA: Electrical apparatus used in medicine before 1900. Proc R Soc Med 1977; 70: 635-41. Jubeau M, Zory R, Gondin J, et al: Late neural adaptations to electrostimulation resistance training of the plantar flexor muscles. Eur J Appl Physiol 2006; 98: 202-11. Liberson WT, Holmquest HJ, Scot D, et al: Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients. Arch Phys Med Rehabil 1961; 42: 101-5. Heidland A, Fazeli G, Klassen A, et al: Neuromuscular electrostimulation techniques: historical aspects and current possibilities in treatment of pain and muscle waisting. Clin Nephrol 2012; 79 (Suppl 1): S12-23. Blickenstorfer A, Kleiser R, Keller T, et al: Cortical and subcortical correlates of functional electrical stimulation of wrist extensor and flexor muscles revealed by fMRI. Hum Brain Mapp 2009; 30: 963-75. Wiener DH, Fink LI, Maris J, et al: Abnormal skeletal muscle bioenergetics during exercise in patients with heart failure: role of reduced muscle blood flow. Circulation 1986; 73: 1127-36. Parry SM, Berney S, Granger CL, et al: Electrical muscle stimulation in the intensive care setting: a systematic review. Crit Care Med 2013; 41: 2406-18. Mancini DM, Coyle E, Coggan A, et al: Contribution of intrinsic skeletal muscle changes to 31P NMR skeletal muscle metabolic abnormalities in patients with chronic heart failure. Circulation 1989; 80: 1338-46. Hortobágyi T, Scott K, Lambert J, et al: Cross-education of muscle strength is greater with stimulated than voluntary contractions. Motor Control 1999; 3: 205-19. Iwatsu K, Iida Y, Kono Y, et al: Neuromuscular electrical stimulation may attenuate muscle proteolysis after cardiovascular surgery: A preliminary study. J Thorac Cardiovasc Surg 2016; 153: 373-9.e1. Hortobágyi T, Maffiuletti NA: Neural adaptations to electrical stimulation strength training. Eur J Appl Physiol 2011; 111: 2439-49. Gomes Neto M, Oliveira FA, Reis HF, et al: Effects of neuromuscular electrical stimulation on physiologic and functional measurements in patients with heart failure: a systematic review with meta-analysis. J Cardiopulm Rehabil Prev 2016; 36: 157-66. Colson SS, Martin A, Van Hoecke J: Effects of electromyostimulation versus voluntary isometric training on elbow flexor muscle strength. J Electromyogr Kinesiol 2009; 19: e311-9 Han TR, Chung SG, Shin HI: Gait patterns of transtibial amputee patients walking indoors barefoot. Am J Phys Med Rehabil 2003; 82: 96-100. Gondin J, Guette M, Ballay Y, et al: Electromyostimulation training effects on neural drive and muscle architecture. Med Sci Sport Exerc 2005; 37: 1291-9. Smart NA, Dieberg G, Giallauria F: Functional electrical stimulation for chronic heart failure: a meta-analysis. Int J Cardiol 2013; 167: 80-6. Afilalo J, Alexander KP, Mack MJ, et al: Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol 2014; 63: 747-62. Minetto MA, Botter A, Bottinelli O, et al: Variability in muscle adaptation to electrical stimulation. Int J Sports Med 2013; 34: 544-53. 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. Goldwater DS, Pinney SP: Frailty in advanced heart failure: A consequence of aging or a separate entity? Clin Med Insights Cardiol 2015; 9(Suppl 2): 39-46. Duvoisin MR, Convertino VA, Buchanan P, et al: Characteristics and preliminary observations of the influence of electromyostimulation on the size and function of human skeletal muscle during 30 days of simulated microgravity. Aviat Space Environ Med 1989; 60: 671-8. 岩津弘太郎, 小林聖典, 河野裕治, 他: LVAD 装着症例の早期リハビリテーション介入. 第 41 回日本集中治療医学会学術集会. 2014. Yamada S, Kamiya K, Kono Y: Frailty may be a risk marker for adverse outcome in patients with congestive heart failure. ESC Hear Fail 2015; 2: 168-70. Kerrigan DJ, Williams CT, Ehrman JK, et al: Muscular strength and cardiorespiratory fitness are associated with health status in patients with recently implanted continuous-flow LVADs. J Cardiopulm Rehabil Prev 2013; 33: 396-400. Delitto A, Brown M, Strube MJ, et al: Electrical stimulation of quadriceps femoris in an elite weight lifter: a single subject experiment. Int J Sports Med 1989; 10: 187-91. 山田純生: 急性心筋梗塞,慢性心不全のリハビリテーション. 診断と治療. 2014; 102: 367-76. Maffiuletti NA, Pensini M, Scaglioni G, et al: Effect of electromyostimulation training on soleus and gastrocnemii H- and T-reflex properties. Eur J Appl Physiol 2003; 90: 601-7. Nissinoff J, Tian F, Therattil M, et al: Acute inpatient rehabilitation after left ventricular assist device implantation for congestive heart failure. PM R 2011; 3: 586-9. Iida Y, Yamazaki T, Kawabe T, et al: Postoperative muscle proteolysis affects systemic muscle weakness in patients undergoing cardiac surgery. Int J Cardiol 2014; 172: 595-7. Sillen MJ, Franssen FM, Gosker HR, et al: Metabolic and structural changes in lower-limb skeletal muscle following neuromuscular electrical stimulation: a systematic review. PLoS One 2013; 8: e69391. 小林聖典, 六鹿雅登, 藤本和朗, 他: 重症心不全患者の下肢筋力は 植込型 LVAD 装着術前に改善可能か. 第22回日本臨床補助人工心臓研究会学術集会. 2016. Okita K, Kinugawa S, Tsutsui H: Exercise intolerance in chronic heart failure-skeletal muscle dysfunction and potential therapies. Circ J 2013; 77: 293-300. Maffiuletti NA: Physiological and methodological considerations for the use of neuromuscular electrical stimulation. Eur J Appl Physiol 2010; 110: 223-34. Smith GV, Alon G, Roys SR, et al: Functional MRI determination of a dose-response relationship to lower extremity neuromuscular electrical stimulation in healthy subjects. Exp brain Res 2003; 150: 33-9. 小林聖典, 六鹿雅登, 藤本和朗, 他: LVAD 装着周術期の上腕周囲径変化は 骨格筋蛋白分解を反映する可能性がある. 第81 回日本循環器学会学術集会. 2017. Eriksson E, Häggmark T: Comparison of isometric muscle training and electrical stimulation supplementing isometric muscle training in the recovery after major knee ligament surgery. A preliminary report. Am J Sports Med 1979; 7: 169-71. Iwatsu K, Yamada S, Iida Y, et al: Feasibility of Neuromuscular Electrical Stimulation Immediately After Cardiovascular Surgery. Arch Phys Med Rehabil 2015; 96: 63-8. Clegg A, Young J, Iliffe S, et al: Frailty in elderly people. Lancet 2013; 381: 752-62. |
| References_xml | – reference: Parry SM, Berney S, Granger CL, et al: Electrical muscle stimulation in the intensive care setting: a systematic review. Crit Care Med 2013; 41: 2406-18. – reference: Minetto MA, Botter A, Bottinelli O, et al: Variability in muscle adaptation to electrical stimulation. Int J Sports Med 2013; 34: 544-53. – reference: Cambridge NA: Electrical apparatus used in medicine before 1900. Proc R Soc Med 1977; 70: 635-41. – reference: Mancini DM, Coyle E, Coggan A, et al: Contribution of intrinsic skeletal muscle changes to 31P NMR skeletal muscle metabolic abnormalities in patients with chronic heart failure. Circulation 1989; 80: 1338-46. – reference: Smart NA, Dieberg G, Giallauria F: Functional electrical stimulation for chronic heart failure: a meta-analysis. Int J Cardiol 2013; 167: 80-6. – reference: Sillen MJ, Franssen FM, Gosker HR, et al: Metabolic and structural changes in lower-limb skeletal muscle following neuromuscular electrical stimulation: a systematic review. PLoS One 2013; 8: e69391. – reference: Heidland A, Fazeli G, Klassen A, et al: Neuromuscular electrostimulation techniques: historical aspects and current possibilities in treatment of pain and muscle waisting. Clin Nephrol 2012; 79 (Suppl 1): S12-23. – reference: Iwatsu K, Yamada S, Iida Y, et al: Feasibility of Neuromuscular Electrical Stimulation Immediately After Cardiovascular Surgery. Arch Phys Med Rehabil 2015; 96: 63-8. – reference: 山田純生: 急性心筋梗塞,慢性心不全のリハビリテーション. 診断と治療. 2014; 102: 367-76. – reference: Wiener DH, Fink LI, Maris J, et al: Abnormal skeletal muscle bioenergetics during exercise in patients with heart failure: role of reduced muscle blood flow. Circulation 1986; 73: 1127-36. – reference: Han TR, Chung SG, Shin HI: Gait patterns of transtibial amputee patients walking indoors barefoot. Am J Phys Med Rehabil 2003; 82: 96-100. – reference: Yamada S, Kamiya K, Kono Y: Frailty may be a risk marker for adverse outcome in patients with congestive heart failure. ESC Hear Fail 2015; 2: 168-70. – reference: Afilalo J, Alexander KP, Mack MJ, et al: Frailty assessment in the cardiovascular care of older adults. J Am Coll Cardiol 2014; 63: 747-62. – reference: 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. – reference: Maffiuletti NA: Physiological and methodological considerations for the use of neuromuscular electrical stimulation. Eur J Appl Physiol 2010; 110: 223-34. – reference: Iida Y, Yamazaki T, Kawabe T, et al: Postoperative muscle proteolysis affects systemic muscle weakness in patients undergoing cardiac surgery. Int J Cardiol 2014; 172: 595-7. – reference: 小林聖典, 六鹿雅登, 藤本和朗, 他: LVAD 装着周術期の上腕周囲径変化は 骨格筋蛋白分解を反映する可能性がある. 第81 回日本循環器学会学術集会. 2017. – reference: 小林聖典, 六鹿雅登, 藤本和朗, 他: 重症心不全患者の下肢筋力は 植込型 LVAD 装着術前に改善可能か. 第22回日本臨床補助人工心臓研究会学術集会. 2016. – reference: Delitto A, Brown M, Strube MJ, et al: Electrical stimulation of quadriceps femoris in an elite weight lifter: a single subject experiment. Int J Sports Med 1989; 10: 187-91. – reference: Nissinoff J, Tian F, Therattil M, et al: Acute inpatient rehabilitation after left ventricular assist device implantation for congestive heart failure. PM R 2011; 3: 586-9. – reference: Eriksson E, Häggmark T: Comparison of isometric muscle training and electrical stimulation supplementing isometric muscle training in the recovery after major knee ligament surgery. A preliminary report. Am J Sports Med 1979; 7: 169-71. – reference: Hortobágyi T, Scott K, Lambert J, et al: Cross-education of muscle strength is greater with stimulated than voluntary contractions. Motor Control 1999; 3: 205-19. – reference: Liberson WT, Holmquest HJ, Scot D, et al: Functional electrotherapy: stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients. Arch Phys Med Rehabil 1961; 42: 101-5. – reference: Duvoisin MR, Convertino VA, Buchanan P, et al: Characteristics and preliminary observations of the influence of electromyostimulation on the size and function of human skeletal muscle during 30 days of simulated microgravity. Aviat Space Environ Med 1989; 60: 671-8. – reference: Maffiuletti NA, Pensini M, Scaglioni G, et al: Effect of electromyostimulation training on soleus and gastrocnemii H- and T-reflex properties. Eur J Appl Physiol 2003; 90: 601-7. – reference: Jubeau M, Zory R, Gondin J, et al: Late neural adaptations to electrostimulation resistance training of the plantar flexor muscles. Eur J Appl Physiol 2006; 98: 202-11. – reference: Delitto A, Snyder-Mackler L: Two theories of muscle strength augmentation using percutaneous electrical stimulation. Phys Ther 1990; 70: 158-64. – reference: Hortobágyi T, Maffiuletti NA: Neural adaptations to electrical stimulation strength training. Eur J Appl Physiol 2011; 111: 2439-49. – reference: Okita K, Kinugawa S, Tsutsui H: Exercise intolerance in chronic heart failure-skeletal muscle dysfunction and potential therapies. Circ J 2013; 77: 293-300. – reference: Blickenstorfer A, Kleiser R, Keller T, et al: Cortical and subcortical correlates of functional electrical stimulation of wrist extensor and flexor muscles revealed by fMRI. Hum Brain Mapp 2009; 30: 963-75. – reference: Clegg A, Young J, Iliffe S, et al: Frailty in elderly people. Lancet 2013; 381: 752-62. – reference: Goldwater DS, Pinney SP: Frailty in advanced heart failure: A consequence of aging or a separate entity? Clin Med Insights Cardiol 2015; 9(Suppl 2): 39-46. – reference: Colson SS, Martin A, Van Hoecke J: Effects of electromyostimulation versus voluntary isometric training on elbow flexor muscle strength. J Electromyogr Kinesiol 2009; 19: e311-9 – reference: Gondin J, Guette M, Ballay Y, et al: Electromyostimulation training effects on neural drive and muscle architecture. Med Sci Sport Exerc 2005; 37: 1291-9. – reference: Smith GV, Alon G, Roys SR, et al: Functional MRI determination of a dose-response relationship to lower extremity neuromuscular electrical stimulation in healthy subjects. Exp brain Res 2003; 150: 33-9. – reference: 岩津弘太郎, 小林聖典, 河野裕治, 他: LVAD 装着症例の早期リハビリテーション介入. 第 41 回日本集中治療医学会学術集会. 2014. – reference: Kerrigan DJ, Williams CT, Ehrman JK, et al: Muscular strength and cardiorespiratory fitness are associated with health status in patients with recently implanted continuous-flow LVADs. J Cardiopulm Rehabil Prev 2013; 33: 396-400. – reference: Iwatsu K, Iida Y, Kono Y, et al: Neuromuscular electrical stimulation may attenuate muscle proteolysis after cardiovascular surgery: A preliminary study. J Thorac Cardiovasc Surg 2016; 153: 373-9.e1. – reference: Gomes Neto M, Oliveira FA, Reis HF, et al: Effects of neuromuscular electrical stimulation on physiologic and functional measurements in patients with heart failure: a systematic review with meta-analysis. J Cardiopulm Rehabil Prev 2016; 36: 157-66. |
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| Snippet | 「はじめに」神経筋電気刺激療法 (neuromuscular electrical stimulation : NMES) は経皮的に電流を流すことで筋収縮を誘発し, それに伴う生理学的な反応を治療に応用した物理療法の一つである. NMESは随意努力を必要とせずに筋活動を誘発することができることから,... |
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| Title | 3．心臓リハビリ代替法としての神経筋電気刺激療法： 現況と将来展望 |
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| ispartofPNX | 循環制御, 2017, Vol.38(2), pp.96-102 |
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| linkProvider | Geneva Foundation for Medical Education and Research |
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