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| ID | Type | Description | Link |
|---|---|---|---|
| EK_NO. 4184/2010 | |||
| EMS_Bone_2011/2012 | Other Grant/Funding Number | IMP_2011 |
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| Name | Class |
|---|---|
| City of Erlangen | UNKNOWN |
| Behinderten- und Versehrten-Sportverband Bayern e.V. | OTHER |
| Institute of Physical Education and Sports Sciences | OTHER |
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Although there is some evidence that whole body electromyostimulation(WB-EMS) affect bone via its acute and longitudinal effects on muscle mass and strength, the corresponding impact on bone density and falls in older adults has not been assessed yet. The investigators hypothesize that WB-EMS significantly affects bone parameters as assessed by DXA, and significantly reduce fall rate and ratio in a cohort of frail elderly women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| whole-body electromyostimulation | Active Comparator | 20 min of whole-body electromyostimulation with sequences of 6 sec of current and 4 sec at 85 Hz performed during low-intensity/low amplitude movements. 3 sessions / 14 days for 12 months |
|
| wellness control group | Placebo Comparator | Low intensity, low frequency exercise that focus on well being. 1 session/week for 10 weeks. 10 blocks of exercise with intermittent periods of 100 weeks of rest |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| wellness control group. | Other | Light physical exercise and relaxation program once a week in blocks of 10 weeks with breaks of 10 weeks between the blocks. The low-intensity, low-volume program was designed to avoid impact on our endpoints. |
| Measure | Description | Time Frame |
|---|---|---|
| Bone Mineral Density at the lumbar spine and femoral neck region | Bone Mineral Density as assessed by Dual Energy X-ray Absorptiometry | baseline - after 12 months |
| Falls | Fall frequency and fall related injuries as assessed by the calendar method | throughout the 12 month study period |
| Measure | Description | Time Frame |
|---|---|---|
| maximum strength (trunk and leg extension, grip strength) | baseline - after 12 months | |
| Pain frequency and magnitude at various skeletal sites (including low back pain) | as assessed by questionnaires |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Willi A Kalender, PhD, MD | University of Erlangen-Nürnberg Medical School | Study Chair |
| Wolfgang Kemmler, PhD | University of Erlangen-Nürnberg Medical School | Principal Investigator |
| Simon von Stengel, PhD | University of Erlangen-Nürnberg Medical School | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Medical Physics, University of Erlangen-Nürnberg | Erlangen | 91052 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20555279 | Background | Kemmler W, Schliffka R, Mayhew JL, von Stengel S. Effects of whole-body electromyostimulation on resting metabolic rate, body composition, and maximum strength in postmenopausal women: the Training and ElectroStimulation Trial. J Strength Cond Res. 2010 Jul;24(7):1880-7. doi: 10.1519/JSC.0b013e3181ddaeee. | |
| 20101013 | Background |
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| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| D055948 | Sarcopenia |
| D009043 | Motor Activity |
| D010146 | Pain |
| ID | Term |
|---|---|
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D018583 | Pliability |
| ID | Term |
|---|---|
| D055595 | Mechanical Phenomena |
| D055585 | Physical Phenomena |
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| whole-body electromyostimulation | Device | 3 sessions of 18 min/14 (1,5 x week)days over 12 months. 10 low-intensity/low amplitude exercises with electromyostimulation equipment with 85 Hz with periods of 6 sec of current and 4 sec of rest. |
|
|
| baseline - after 12 months |
| Kemmler W, von Stengel S, Engelke K, Haberle L, Kalender WA. Exercise effects on bone mineral density, falls, coronary risk factors, and health care costs in older women: the randomized controlled senior fitness and prevention (SEFIP) study. Arch Intern Med. 2010 Jan 25;170(2):179-85. doi: 10.1001/archinternmed.2009.499. |
| 20306017 | Background | von Stengel S, Kemmler W, Engelke K, Kalender WA. Effects of whole body vibration on bone mineral density and falls: results of the randomized controlled ELVIS study with postmenopausal women. Osteoporos Int. 2011 Jan;22(1):317-25. doi: 10.1007/s00198-010-1215-4. Epub 2010 Mar 20. |
| D009133 | Muscular Atrophy |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D001519 | Behavior |