O6.4 Neuromuscular electrical stimulation

A meta-analysis of the effects of neuromuscular electrical stimulation (NMES) in patients with moderate to severe COPD found benefits of NMES in terms of quadriceps strength and increased exercise capacity, with the aggregate random effect of NMES on walking distance (6MWD) being 51.5m (95% CI 20-83m). There was, however, no effect on quality of life. Ideally, pulmonary rehabilitation, which is known to improve both aspects, is preferable. It is unclear whether NMES added to pulmonary rehabilitation has an additive effect (Chen 2016).