Abstract
Objective: The aim of the current research is to evaluate the benefits of electrical stimulation of quadriceps for patients with chronic obstructive pulmonary disease (COPD) patients.
 Methods: Ten COPD patients were willing to get enrolled in the study and after baseline screening procedure received neuromuscular electrical stimulation (NMES) with exercises for the bilateral lower limb. NMES is cost-effective and best be available to the population with COPD at the bedside.
 Results: There exist a significant increase in five sit to stand test (p<0.01), 6-min walk test (p<0.05), and clinical COPD questionnaire (p<0.05), followed by the application of NMES.
 Conclusion: NMES has no impact and stress over the respiratory system and it is a gold standard exercise training modality in improving quality of life and satisfaction for people with COPD in rural locations where access to hospitalization is limited.
Highlights
Chronic obstructive pulmonary disease (COPD) can cause mild, moderate, severe and very severe respiratory distress, and extrapulmonary manifestations
It is considered to be the low cost appropriate early rehabilitative strategy to use before severe muscle atrophy and weakness develops in patients with COPD
Researchers were focused on pulmonary rehabilitation of COPD patients instead of the simple and most effective rehabilitation tool Neuromuscular electrical stimulation (NMES)
Summary
Chronic obstructive pulmonary disease (COPD) can cause mild, moderate, severe and very severe respiratory distress, and extrapulmonary manifestations. It is more prevalent in males than in females. The patients with moderate and severe COPD commonly have difficulty performing activities of daily living and this will have an impact on their workplace and another daily routine, etc. Common medications used in the management are arformoterol (Brovana) and formoterol. NMES is a bedside therapeutic intervention to enhance the pulmonary and extrapulmonary (clinical and physiological) function in COPD patients. NMES is a new advanced technique to be incorporated in the management of severely disabled patients with COPD [3,4]. NMES was applied to manage the skeletal muscle dysfunctions of COPD
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