title: Neuromuscular electrical stimulation training: a safe and effective treatment for facioscapulohumeral muscular dystrophy patients.
abstract: OBJECTIVE
  To investigate the feasibility, safety, and effectiveness of neuromuscular electrical stimulation (NMES) strength training in facioscapulohumeral muscular dystrophy (FSHD) patients.
  
  
  METHODS
  Uncontrolled before-after trial.
  
  
  METHODS
  Neuromuscular disease center in a university hospital and a private-practice physical therapy office.
  
  
  METHODS
  FSHD patients (N=9; 3 women, 6 men; age 55.2+/-10.4y) clinically characterized by shoulder girdle and quadriceps femoris muscle weakness.
  
  
  METHODS
  Patients underwent 5 months of strength training with NMES bilaterally applied to the deltoideus, trapezius transversalis, vastus lateralis, and vastus medialis muscles for five 20-minute sessions per week.
  
  
  METHODS
  Plasma creatine kinase (CK) activity; scores for pain and fatigue on visual analog scales (VAS), manual muscle testing (MMT), maximal voluntary isometric contraction (MVIC), 6-minute walking tests (6MWT), and self-reported changes in daily living activities.
  
  
  RESULTS
  NMES strength training was well tolerated (CK activity and pain and fatigue scores on VAS were not modified). Most of the muscle functions (shoulder flexion and extension and knee extension) assessed by MMT were significantly increased. MVIC of shoulder flexion and abduction and the 6MWT distance were also improved.
  
  
  CONCLUSIONS
  In FSHD, NMES strength training appears to be safe with positive effects on muscle function, strength, and capacity for daily activities.
authors.affiliation: University of Nice-Sophia Antipolis, Laboratory of Human Motricity, Education, and Health, Faculty of Sports Sciences, Nice Cedex, France.
authors.forename: Serge S
authors.initials: SS
authors.lastname: Colson
authors.forename: Michaël
authors.initials: M
authors.lastname: Benchortane
authors.forename: Véronique
authors.initials: V
authors.lastname: Tanant
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Faghan
authors.forename: Manuela
authors.initials: M
authors.lastname: Fournier-Mehouas
authors.forename: Charles
authors.initials: C
authors.lastname: Benaïm
authors.forename: Claude
authors.initials: C
authors.lastname: Desnuelle
authors.forename: Sabrina
authors.initials: S
authors.lastname: Sacconi
mesh_terms: D000328:Adult; D000368:Aged; D004599:Electric Stimulation Therapy; D005221:Fatigue / Q000503:physiopathology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020391:Muscular Dystrophy, Facioscapulohumeral / Q000503:physiopathology / Q000628:therapy*; D010146:Pain / Q000503:physiopathology; D055070:Resistance Training; D016138:Walking