EXPLORE THE VAST BODY OF SCIENTIFIC LITERATURE ON ELECTRO MUSCULAR STIMULATION

EMS: Scientific Studies & Clinical Trials

Maximum Strength

Electrical muscle stimulation as whole-body training - multicenter study on the use of whole-body EMS in the gym

Aim of analysis

The study examined whether electrically stimulated whole-body training resulted in positive changes in strength, back pain, body image, anthropometry, mood, incontinence, and general health factors.

Methods

A total of 134 subjects, 102 women and 32 men with an average age of 42.5 years, were interviewed and tested before and after six weeks of training. They were compared with a control group consisting of 10 subjects (n=10) and by age and gender. Total whole-body EMS training sessions were performed twice a week for a total of 12 times. The training parameters were composed as follows: Pulse duration/pause 4 s/4 s, 85 Hz, square pulses, pulse width 350µs. A training session consisted of a 10-15 minute familiarization session followed by 25 minutes of training with static exercise positions. Subsequently, a five-minute training program was performed with the following training parameters: (pulse duration 1 s, pulse pause 1 s, 100Hz, rectangular pulses, pulse width 150 µs). 18 subjects terminated the training prematurely.

Results

Maximum strength increased by 12.2% and strength endurance by 69.3%. Female subjects benefited more from the training than male subjects (13.6% vs. 7.3%). BMI and body weight remained about the same. Among female subjects, body circumference significantly reduced at the chest (- 0.7 cm), thigh (- 0.4 cm), waist (- 1.4 cm), and hips (- 1.1 cm). Among male subjects, waist circumference decreased (- 1.1 cm) with simultaneous increases in upper arms (+ 1.5 cm), chest (+ 1.2 cm), and thigh (+0.3 cm). No improvements were noted in the control group, while subjects in the control group had gained in hips and waist over the period.

In addition, 86.8% reported positive body sculpting effects. 90% perceived the EMS training as positive. 83% stated that they felt less tense and 89.1% felt more stability. Stronger improvements, especially in patients with complaints, were noted with height and intensities. However, greater muscle soreness also occurred here.

University of Bayreuth, 2003. J. Vatter.

The effects of whole-body muscle stimulation on body composition and strength parameters: A protocol for systematic review and meta-analysis

Aim of analysis

The influence of whole-body electrostimulation on body composition as well as strength within the adult relationship was analyzed.

Methods

The analysis includes clinical randomized trials. Within the intervention groups, all subjects must have completed the same exercises with a whole-body electrical stimulation suit. Those data from adult subjects who had no prior experience with whole-body EMS should be considered. Primary endpoints of this study are muscle mass or fat-free mass and percent fat or fat mass. Secondary endpoints are muscle and maximal strength.

Results

Body composition in women (pre- and post-menopausal) and in trained subjects has been effectively altered by whole-body electrostimulation. Previous studies have also found an increase in performance and strength in the elderly, as well as in professional athletes. However, no systematic study has examined the effect of both variables in either group of persons.

2021. L. Rodriguez-Santana, J. C. Adsudar, G. Louro, J. Perez-Gomez.

The efficiency of EMS during tennis training: Antelope case study

Aim of analysis

The objective of the case study was to investigate the efficiency of EMS training during tennis training.

Methods

Antelope accompanied tennis player Sophia Bergner for three months. In addition to Sophia’s normal training, she performed EMS training two to three times a week. After the three months, Sophia’s strength and mobility were measured using FPZ equipment from the company DAVID.

Results

After the three months, the following strength gains were measured for Sophia: Trunk extension increased by 12 percent, trunk flexion decreased by 5.4 percent. The punching movement or rotation with her right arm increased by 25.2 percent, with her left arm it was even 51.9 percent. Strength gains in rotation of both outer shoulder joints improved by 19.5 percent. Strength gains were also observed in her legs: The strength in her right leg improved by 6.4 percent, and that of her left leg improved by 17.1 percent. An improved strength gain of 29.2 percent was observed on the leg press, and the strength gain of knee flexion on both sides was 11.5 percent.

Publication year: 2022

Short and long-term training effects of mechanical and electrical stimulation on strength diagnostic parameters

Methods

A total of 80 sports students from the German Sport University Cologne were randomized into the following 8 different training groups: EMS, maximal strength, rapid strength, strength endurance, vibration, hypertrophy, EMS/hypertrophy, vibration/hypertrophy. Subjects had strength training experience of at least two years and a sports fitness certificate. Training sessions were performed by the subjects twice a week for 4 weeks. Classical training and strength diagnostics were performed on the Leg Extension and a Leg Curl machine. After a warm-up on a bicycle ergometer, the strength diagnostic procedure was performed.

Results

An increase in maximum power could only be increased with the help of EMS training via the velocity component, with 40% additional load (29%). The velocity component, together with the strength component, determines dynamic performance. Even the training groups with typical maximal strength or rapid strength designs were able to significantly increase maximal performance only in conjunction with or exclusively via the strength component. Thus, at submaximal intensity, dynamic EMS training appears to offer new opportunities to increase practice-relevant maximal power.

German Sport University Cologne, 2009. J. Mester, S. Nowak, J. Schmithüsen, H. Kleinöder, U. Speicher.

Effects of Whole-Body Electromyostimulation versus High-Intensity Resistance Exercise on Body Composition and Strength: A Randomized Controlled Study

Aim of analysis
The object of the study was to investigate the influence of WB EMS (whole body ems) and HIT on muscle strength and body composition in middle-aged men. For this purpose, 48 untrained, healthy men aged between 30 and 50 years were randomly assigned to a WB-EMS group (3 sessions in two weeks) or a HIT group (2 sessions in one week). Both groups trained for a total of 16 weeks. The WB EMS group trained with intermittent stimulation (6 s WB-EMS, 4 s rest; 85 Hz, 350 µs) for 20 min and the HIT group as a “single-set-to-failure protocol.”

Results
In both groups, the changes in LBM (lean body mass) were significant (HIT 1.25% ± 1.44% vs. WB EMS). The differences between the groups were not significant. Back extensor strength and leg extensor strength increased in the WB EMS group and in the HIT group, but again no significant differences were recorded between groups. Corresponding to these changes, changes were also noted for body fat.

Conclusion
Based on the study results, WB EMS can be considered as a costly but at also time time-saving alternative to HIT resistance training for those individuals who want to achieve improvement in overall body and strength composition.

2016. W. Kemmler. M. Teschler, A. Weißenfels, M. Bebenek, M. Fröhlich, M. Kohl, S. von Stengel.

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Effect of electrical stimulation of high and low frequency on maximum isometric force and some morphological characteristics in men

Aim of analysis

The object of the study was to investigate the effects of two methods of electrical stimulation on calf circumference, skinfold thickness, and maximum isometric force of the stimulated and unstimulated (contralateral) legs.

Methods

The subjects consisted of 36 men who voluntarily participated in the study and were each assigned to one of three groups. Over a period of 21 days, subjects in groups 1 and 2 were stimulated daily with the electrical stimulation method of the triceps surae muscle. Group 1 was stimulated with a low frequency alternating current (50 Hz) and group 2 with a higher frequency alternating current (20000 Hz). The third group was the control group.

Results

The maximum isometric muscle strength of the stimulated (50.3% and 58.8%) and non-stimulated (contralateral) muscles in group 1 and group 2 increased significantly (39.7% and 32.2%). Such a significant increase in maximal isometric force was not observed in group 3 (control group). In both experimental groups, calf circumference also increased. In group 2, skinfold thickness decreased by 21.6%.

International Journal of Sports Medicine, 1987. M. Cabric, H. J. Appell.

Muscle training of the future: scientific and practical application of whole-body electromyostimulation training (WB EMS) with special emphasis on strength training

Methods
80 sports students trained the leg flexor and leg extensor muscles twice a week on training machines (company GYM80) in different groups (muscle building, strength endurance, maximum strength; in 3 series each). For this purpose, the subjects trained with different additional loads (30 to 90% of the individual maximum strength; 1 repetition maximum) with 3 to 15 repetitions. The sports students had at least 2 years of experience with strength training before the start of the study. Another group trained with whole-body EMS. For this, subjects in this group performed lunges and squats without additional load under electrical stimulation (3 series, 10 repetitions, load/pause 6 s/4s, pulse frequency 85Hz, pulse width350µs, rectangular pulse). Training would be twice weekly for 4 weeks. The subjects’ dynamics were measured by power, which is composed of force and velocity and can be increased via these components.

Results
The leg extension and leg flexor muscle performance improved significantly in all groups that performed strength training. These improvements occurred across the strength factor, except in the whole-body EMS group and the mixed WB-EMS/muscle-building group. Only these two groups showed significant improvements in speed. The improvement in measured performance was via increased speed by approximately 30. Thus, speed, which is not easy to target, was improved within a short period of time. This could be due to the fact that the fast muscle fibers are directly targeted via electrical stimulation during whole-body EMS training. Furthermore, the results could show that whole-body EMS in combination with a dynamic execution of a movement can be a promising way of speed and strength training, as long as the whole-body EMS training is used in a well-dosed way.

Medicalsports network, 2007. H. Kleinöder.

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Electrical stimulation and swimming performance

Aim of analysis
The effects of electrostimulation training of 14 competitive swimmers on their swimming performance and strength of the latissimus dorsi muscle were to be investigated in the study.

Methods
For this purpose, the subjects were assigned to an electrostimulated training group (7 subjects) and a control group (7 subjects). With the help of an isokinetic dynamometer, the peak torques at different speeds (from -60 deg.s(-1) to 360 deg.s(-1)) during extension as well as flexion of the arm were to be registered. The subjects’ performances were measured over a 50-meter freestyle swim as well as over a 25-meter pull buoy.

Results

A significant increase (P < .05) was recorded for peak torques under concentric, isometric, and eccentric conditions for the electrostimulated training group. There was also a significant decrease in swim times within the electrostimulation training group of 0.38 +/- 0.24 s for the 50-m freestyle and 0.19 +/- 0.14 s for the 25-m pull-buoy. No significant differences were found within the control group. Variations in peak torque (measured in the eccentric condition; -60 deg.s(-1)) were associated with variations in performance within the control group (r = 0.77; P < 0.01). Thus, it can be said that swimming performance as well as latissimus dorsi muscle strength of competitive swimmers can be improved with the help of an electrostimulated training program.

Medicine & Science in Sports & Exercise, 1995. F Pichon, J. C. Chatard, A. Martin, & G. Cometti.

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Strength training by electromyostimulation? Empirical study on the strength effects of electromyostimulation training with variation of training duration

Aim of analysis

The aim of this stury was to investigate whether electromyostimulation training lasting less than 15 minutes would improve muscle strength and other parameters. It was also intended to measure the degree of muscle tissue stress caused by EMS training, the intensity, and indirectly the effectiveness of the training.

Methods

Fifty-five male sport students with a mean age of 22.9 years were randomly divided into two training groups: Group 1 trained for 5 minutes with EMS, and Group 2 trained for 10 minutes with EMS (n = 22 for each). In addition, there was a control group (n = 11). For a total of 6 weeks, the subjects trained twice a week with the following stimulation parameters: Pulse duration 4 s, pulse pause 4 s, frequency 80 Hz, pulse width 350 μs, bipolar square pulses. Dynamic maximum strength, strength endurance, body weight, body fat percentage, and CK (creatine kinase) levels were determined 24 hours after training. Body perception, mood, and state of mind were also determined.

Results

The dynamic strength endurance and maximum strength were increased highly significantly (p ≤ 0.001) in both training groups: From up to 41% and 34%, respectively, in strength endurance and from up to 10% and 8%, respectively, in maximum strength. No significant difference in strength effects could be measured (p > 0.05). A significant weight gain of 0.83 % was determined for group 1 and 0.90 % for group 2. In contrast, no improvements were observed in body fat content. Creatine kinase levels were 595 U/l in group 1 and slightly higher at 761 U/l in group 2. Creatine kinase activity was primarily influenced by training intensity.
ConclusionThe strength increases did not improve with a shortened working time to 5 and 10 minutes, respectively, unlike with previous studies. The results indicate that a training duration of approximately 15 minutes is considered optimal to achieve strength gains. The high increase in creatine kinase levels after EMS training indicates that the muscles were subjected to a very intense load. However, a shortened training duration does not decisively change the activity of the creatine kinase enzyme, but rather it seems that the current intensity plays an important role in increasing creatine kinase.

Unpublished diploma thesis, University of Bayreuth, 2006. W.-U. Boeck-Behrens, D. Mainka.

Feasibility and Efficacy of Progressive Electrostimulation Strength Training for Competitive Tennis Players

Aim of analysis
The influence of electrostimulated strength exercises on anaerobic performance of tennis players during the preparation season was to be investigated in the study.

Methods
12 tennis players (7 female and 5 male) completed 9 training sessions for the quadriceps over 3 weeks, each lasting 16 minutes (frequency: 85 Hz; on-off ratio: 5.25-25 seconds). For this purpose, electrostimulated training sessions were integrated into the tennis training sessions. Shuttle sprint time, maximum quadriceps force, and vertical jump height were measured.

Results
Compared to the start of the study, jump height from countermovement was significantly higher at week five (+5.3%) and week six (+6.4%) (p < 0.05). In the sixth week, subjects showed a significantly shortened 2 x 10-meter sprint time (-3.3%) compared to pre-training (p = 0.004). The training parameters were linearly progressive within the 3-week training period. Thus, electrostimulated strength training was successfully integrated into the training. Anaerobic power and stretch-shortening cycle power exhibited delayed improvement throughout the study period. The study results indicate that progressive electrostimulated strength training can be integrated into the early tennis season and improve anaerobic performance for both women and men.

2009. N. Maffiuletti, J. Bramanti, M. Jubeau, M. Bizzini, G. Deley, G. Cometti.

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EMS: Scientific Studies & Clinical Trials

Speed Strength

Muscle training of the future: scientific and practical application of whole-body electromyostimulation training (WB EMS) with special emphasis on strength training.

Methods
80 sports students trained the leg flexor and leg extensor muscles twice a week on training machines (company GYM80) in different groups (muscle building, strength endurance, maximum strength; in 3 series each). For this purpose, the subjects trained with different additional loads (30 to 90% of the individual maximum strength; 1 repetition maximum) with 3 to 15 repetitions. The sports students had at least 2 years of experience with strength training before the start of the study. Another group trained with whole-body EMS. For this, subjects in this group performed lunges and squats without additional load under electrical stimulation (3 series, 10 repetitions, load/pause 6 s/4s, pulse frequency 85Hz, pulse width350µs, rectangular pulse). Training would be twice weekly for 4 weeks. The subjects’ dynamics were measured by power, which is composed of force and velocity and can be increased via these components.

Results
The leg extension and leg flexor muscle performance improved significantly in all groups that performed strength training. These improvements occurred across the strength factor, except in the whole-body EMS group and the mixed WB-EMS/muscle-building group. Only these two groups showed significant improvements in speed. The improvement in measured performance was via increased speed by approximately 30. Thus, speed, which is not easy to target, was improved within a short period of time. This could be due to the fact that the fast muscle fibers are directly targeted via electrical stimulation during whole-body EMS training. Furthermore, the results could show that whole-body EMS in combination with a dynamic execution of a movement can be a promising way of speed and strength training, as long as the whole-body EMS training is used in a well-dosed way.

Medicalsports network, 2007. H. Kleinöder.

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The efficiency of EMS during tennis training: case study by Antelope

Aim of analysis
The objective of the case study was to investigate the efficiency of EMS training during tennis training.

Methods
Antelope accompanied tennis player Sophia Bergner for three months. In addition to Sophia’s normal training, she performed EMS training two to three times a week. After the three months, Sophia’s strength and mobility were measured using FPZ equipment from the company DAVID.

Results
After the three months, the following strength gains were measured for Sophia: Trunk extension increased by 12 percent, trunk flexion decreased by 5.4 percent. The punching movement or rotation with her right arm increased by 25.2 percent, with her left arm it was even 51.9 percent. Strength gains in rotation of both outer shoulder joints improved by 19.5 percent. Strength gains were also observed in her legs: The strength in her right leg improved by 6.4 percent, and that of her left leg improved by 17.1 percent. An improved strength gain of 29.2 percent was observed on the leg press, and the strength gain of knee flexion on both sides was 11.5 percent.

Publication year: 2022

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Effects of an Electrostimulation Training Program on Strength, Jumping, and Kicking Capacities in Soccer Players

Aim of analysis
To investigate the effects of a 5-week electrostimulation training program on shooting speed, muscle strength, sprinting as well as vertical jump performance of soccer players.

Methods
Twenty amateur soccer players participated in the study and were assigned to an electrostimulation group (n = 10) and a control group (n = 10). Electrostimulation was performed on the quadriceps muscles for 5 weeks. Measurements were taken before, during (week 3), and after (week 5) the EMS training program.

Results

An increase in eccentric maximal as well as isometric knee extension moments was observed in week 3. Additionally, improved ball speed without run-up was measured in week 3. The results suggest that EMS training should be performed for at least 3 weeks to achieve positive effects on specific soccer skills, such as ball speed.

2010. M. Billot, A. Martin, C. Paizis, C. Cometti, N. Babault.

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Effects of simultaneously combined whole-body electrostimulation and plyometric training on vertical jump performance, 20 m sprint-time and handgrip strength

Aim of analysis
The object of the study was to investigate the influence of a 6-week training program combined of low-intensity plyometric training (PT) and whole-body electrical stimulation on 20-meter jump time, handgrip strength, and vertical jump performance. The results needed to be compared with those of traditional plyometric training.

Methods
20 sports students (10 female and 10 male) were randomly assigned to an experimental group or a control group. Over a 6-week period, both groups trained three times a week at low intensity. On the third day, the training in the experimental group was simultaneously combined with whole-body EMS. Peak counter movement jump (CMJ) performance, 20-meter sprint time, handgrip strength, and CMJ height were measured before and after the training period.

Results

CMJ height and peak CMJ power increased significantly in both groups, although the effect size was larger in the experimental group (p < 0.001, g = 0.68; p < 0.001, g = 0.70, respectively). No significant differences were measured between groups at follow-up. Handgrip strength increased in both groups. However, the effect sizes were minimal. In addition, a significant improvement in 20-meter sprint time was observed, but the effect size was larger in the control group (p < 0.001, g = -1.68). The combined program of plyometric training and whole-body EMS produced the best results for improving CMJ performance, and traditional plyometric training showed the most effective results for 20-meter sprint time.

2022. M. Á. Martín-Simón, D. Rojano-Ortega.

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Effects of Electromyostimulation Training on Muscle Strength and Power of Elite Rugby Players

Aim of analysis
The object of the study was to examine the effects of a 12-week electromyostimulation training program on the performance of elite rugby players.

Methods
The subjects consisted of 25 rugby players. 15 of them were assigned to an electrostimulated group and 10 others to a control group. The training sessions were performed three times a week for the first six weeks and only once a week for the next six weeks. Electrical stimulation was performed on the glutes, foot flexors, and knee extensors. Sprint run times, vertical jump height, and knee flexor strength were also measured.

Results

Squat jump (+10.0 +/- 9.5%; p < 0.01), fall jump from a height of 40 centimeters (+6.6 +/- 6.1%; p < 0.05), knee flexion strength (+15.0 +/- 8.0%; < p 0.001), and maximum concentric torque (p < 0.05) improved in the electrostimulation group. There were no significant changes within the control group. Performance and muscle strength in elite rugby players improved after a 12-week electrostimulated training at least in certain tests, but rugby skills such as sprinting or scrummaging showed no such improvements.

Journal of Strength and Conditioning Research, 2007. N. Babault, G. Cometti, M. Bernardin, M. Pousson, J.-C. Chatard.

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EMS: Scientific Studies & Clinical Trials

Power Endurance

Electrical muscle stimulation as whole-body training - multicenter study on the use of whole-body EMS in the gym

Aim of analysis

The study examined whether electrically stimulated whole-body training resulted in positive changes in strength, back pain, body image, anthropometry, mood, incontinence, and general health factors.

Methods

A total of 134 subjects, 102 women and 32 men with an average age of 42.5 years, were interviewed and tested before and after six weeks of training. They were compared with a control group consisting of 10 subjects (n=10) and by age and gender. Total whole-body EMS training sessions were performed twice a week for a total of 12 times. The training parameters were composed as follows: Pulse duration/pause 4 s/4 s, 85 Hz, square pulses, pulse width 350µs. A training session consisted of a 10-15 minute familiarization session followed by 25 minutes of training with static exercise positions. Subsequently, a five-minute training program was performed with the following training parameters: (pulse duration 1 s, pulse pause 1 s, 100Hz, rectangular pulses, pulse width 150 µs). 18 subjects terminated the training prematurely.

Results

Maximum strength increased by 12.2% and strength endurance by 69.3%. Female subjects benefited more from the training than male subjects (13.6% vs. 7.3%). BMI and body weight remained about the same. Among female subjects, body circumference significantly reduced at the chest (- 0.7 cm), thigh (- 0.4 cm), waist (- 1.4 cm), and hips (- 1.1 cm). Among male subjects, waist circumference decreased (- 1.1 cm) with simultaneous increases in upper arms (+ 1.5 cm), chest (+ 1.2 cm), and thigh (+0.3 cm). No improvements were noted in the control group, while subjects in the control group had gained in hips and waist over the period.

In addition, 86.8% reported positive body sculpting effects. 90% perceived the EMS training as positive. 83% stated that they felt less tense and 89.1% felt more stability. Stronger improvements, especially in patients with complaints, were noted with height and intensities. However, greater muscle soreness also occurred here.

University of Bayreuth, 2003. J. Vatter.

Changes in neuromuscular function after training by functional electrical stimulation

Aim of analysis
The aim of this study was to investigate whether there would be a change in the neuromuscular function of the flexor digitorium brevis (FDB) and rectus femoris (RF) after 6 weeks of training with functional electrical stimulation (FES). Also, whether the effects would persist after a recovery period of 6 weeks needed to be investigated..

Methods
Muscles were stimulated over a 6-week period (30 min/day, 5 days/week, total of 30 sessions). The stimulation pattern consisted of a biphasic symmetrical pulse current (10 V, i.e., submaximal) with ramp modulation of frequency (4-75-4 HZ) and pulse duration (400-100-400 μs). FES was administered via a clinical neurostimulator (Multiprocess 16+, Physitech; Electronique Médicale, Marseille, France).

Results
Immediately after functional electrical stimulation, a significant increase in maximum voluntary contraction (MVC) was observed in the recuts femoris and flexor digitorum brevis. This significant increase was still observed after 6 weeks of functional electrical stimulation. Functional electrical stimulation also resulted in a significant increase in endurance time to exhaustion (+18 ± 7%). In contrast, the unstimulated muscles showed no changes in endurance time to exhaustion and MCV. The results suggest that muscle function can be improved using functional electrical stimulation and that central muscle activation can be altered. For flexor digitorium brevis, the benefits of functional electrical stimulation were greater. Furthermore, in the present results, the benefits lasted longer in the FDB.

2003. T. Marqueste, F. Hug, P. Decherchi, Y. Jammes.

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Strength training by electromyostimulation? Empirical study on the strength effects of electromyostimulation training with variation of training duration

Aim of analysis

The aim of this stury was to investigate whether electromyostimulation training lasting less than 15 minutes would improve muscle strength and other parameters. It was also intended to measure the degree of muscle tissue stress caused by EMS training, the intensity, and indirectly the effectiveness of the training.

Methods

Fifty-five male sport students with a mean age of 22.9 years were randomly divided into two training groups: Group 1 trained for 5 minutes with EMS, and Group 2 trained for 10 minutes with EMS (n = 22 for each). In addition, there was a control group (n = 11). For a total of 6 weeks, the subjects trained twice a week with the following stimulation parameters: Pulse duration 4 s, pulse pause 4 s, frequency 80 Hz, pulse width 350 μs, bipolar square pulses. Dynamic maximum strength, strength endurance, body weight, body fat percentage, and CK (creatine kinase) levels were determined 24 hours after training. Body perception, mood, and state of mind were also determined.
ResultsThe dynamic strength endurance and maximum strength were increased highly significantly (p ≤ 0.001) in both training groups: From up to 41% and 34%, respectively, in strength endurance and from up to 10% and 8%, respectively, in maximum strength. No significant difference in strength effects could be measured (p > 0.05). A significant weight gain of 0.83 % was determined for group 1 and 0.90 % for group 2. In contrast, no improvements were observed in body fat content. Creatine kinase levels were 595 U/l in group 1 and slightly higher at 761 U/l in group 2. Creatine kinase activity was primarily influenced by training intensity.

Conclusion

The strength increases did not improve with a shortened working time to 5 and 10 minutes, respectively, unlike with previous studies. The results indicate that a training duration of approximately 15 minutes is considered optimal to achieve strength gains. The high increase in creatine kinase levels after EMS training indicates that the muscles were subjected to a very intense load. However, a shortened training duration does not decisively change the activity of the creatine kinase enzyme, but rather it seems that the current intensity plays an important role in increasing creatine kinase.

Unpublished diploma thesis, University of Bayreuth, 2006. W.-U. Boeck-Behrens, D. Mainka.

The effects of neuromuscular electrical stimulation training on abdominal strength, endurance and selected anthropometric measures

Aim of analysis
The aim was to investigate the influence of neuromuscular electrical stimulation, self-administered, on changes in endurance, strength, selected anthropometric measures, as well as in satisfaction and shape of the abdominal region, perceived by the subjects,

Methods

On 5 days per week, 24 subjects stimulated their abdominal muscles for 20 to 40 minutes per session. The stimulation took place over a period of 8 weeks. The subjects refrained from further exercise during this time. 16 additional subjects were assigned to a control group and refrained from abdominal training or other exercise during the period.

Results

Abdominal endurance increased by 100% in the stimulation group and by 28% in the control group. Within the stimulation group, abdominal muscle strength also increased by 58%, while the control group showed no change in this regard. Waist circumference decreased by 3.5 cm within the stimulation group. No significant change in waist circumference was observed in the control group. The feeling that their midsection appeared “firmer” and more toned was experienced by all 24 subjects in the stimulation group. In addition, they reported noticing improved posture as a result of the stimulation. Within the control group, none of the subjects reported this. Regarding body weight, BMI, and skinfold thickness, no significant differences were found in the stimulation and control groups. In the study, NMES led to significant improvements in endurance and muscle strength, as well as perceived satisfaction and
Shape of the abdominal region by subjects in the stimulation group.

2005. J. P. Porcari , J. Miller, K. Cornwell, C. Foster, M. Gibson, K. McLean, T. Kernoze.

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Oxygen Consumption

Prolonged Electrical Muscle Stimulation Exercise Improves Strength, Peak VO2, and Exercise Capacity in Patients With Stable Chronic Heart Failure

Aim of analysis
The study was designed to find out what effects electrical muscle stimulation training has on patients with stable chronic heart failure.

Methods
10 Patients were randomly assigned to an 8-week exercise program or habitual activity for a crossover study (9 men, age 66 +/- 6.5 years).

Results
The mean values of maximal oxygen consumption, 6-minute walking distance, quadriceps strength, and body mass index at baseline were 19.5 +/- 3.5 mL x kg x min, 415.1 +/- 56.6m, 377.9 +/- 110.4N, and 27.9 +/- 3.1 kg/m, respectively(2). After finishing the training program, peak maximal oxygen consumption had increased to 21.2 +/- 5.1 mL x kg x min (P < .05), 6-min walking distance had increased to 454.9 +/- 54.5M (P < .005), and quadriceps strength had increased to 404.9 +/- 108.6N (P < .005). No significant effect was found for BMI (P > .05).

Conclusion
For sedentary adults who have stable chronic heart failure, EMS could improve physical fitness and functional performance. EMS may be an exercise alternative for patients who are unable to perform more conventional forms of physical activity.

2009. P. Banerjee, B. Caulfield, L.Crowe, A. L. Clark.

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Electromyostimulation (EMS) improves exercise capacity and left ventricular function in patients with chronic heart failure

Aim of analysis

The purpose of the study was to investigate the influence of different stimulation options on important parameters of exercise tolerance in individuals with chronic heart failure.

Methods

Twenty-four stable patients (NYHA II-III) with chronic heart failure were recruited for an EMS training program. An EMS training program was performed twice weekly for 10 weeks. Per session, the training lasted 20 minutes. An EMS training device was used for the study. Electrical stimulation took place simultaneously on 8 major muscle areas (extensive EMS training; 12 patients; 9 male; mean age 62.17±12.6 years). These results were to be compared with a group in which patients received limited electrical stimulation to gluteal and thigh muscles (limEMS; 12 patients; 10 male; mean age 62.17±12.6 years). The effects on oxygen consumption, left ventricular function, exercise tolerance, and recognized biomarkers of chronic heart failure were investigated.

Results

The oxygen uptake at the anaerobic threshold increased significantly in both groups. In the exEMS group from 14.7±3.42 to 19.6±4.5 ml/kg/min (+32.65%, p<0.001) and in the limEMS group from 13.6±3.0 to 16.0±3.8 ml/kg/min (+17.6%, p=0.003). In the exEMS group, left ventricular ejection fraction increased from 38.42±7.6 to 45.21±8.6% (+18.42%, p=0.001) and in the limEMS group from 37.1±3.0 to 39.5±5.3% (+6.5%, p=0.27). The changes in terms of oxygen consumption and ejection fraction were greater in the exEMS group than in the limEMS group. The difference between the groups was not significant.

PERFUSION, 2013. F. van Buuren, K. P. Mellwig, C. Prinz, T. Kottmann, B. Körber, A. Fründ, L. Faber, N. Bogunovic, J. Dahm, D. Horstkotte, D. Fritzsche.

Oxygen consumption and muscle fatigue induced by whole-body electromyostimulation compared to equal-duration body weight circuit training.

Aim of analysis
The study aimed to investigate the extent to which training with WB-EMS (whole-body electromystimulation) affects muscle fatigue and metabolic demand.

Methods
A total of 10 subjects participated in the study. An experimental group trained with whole-body EMS (5 exercises) and a control group performed five bodyweight exercises. The training sessions were 15 minutes each, they were based on isometric intermittent contractions (6 contractions with 4 seconds rest). Tests were performed to measure muscle fatigue using determination of force decrease: jump with countermovement, isometric mid-thigh pull, plyometric push-up. With the help of a measurement of respiratory gas exchange, the energy expenditure and oxygen consumption during the exercises were measured.

Results

A greater amount of energy consumption (WB-EMS 470 ± 71 kcal/h; control group 438 ±61 kcal/h, p = 0.013) and oxygen consumption (WB-EMS 1584 ± 251 ml/min; control group 1465 ± 216 ml/min, p = 0.006) was detected in the whole-body EMS group than in the control group. Whole-body EMS training resulted in muscle fatigue (all PRE vs. POST tests p ≤ 0.02), but not in the control group (all p > 0.14).

Sport Sciences for Health, 2016. G. Boccia, A. Fornasiero, A.Savoldelli, L. Bortolan, A. Rainoldi, F. Schena & B. Pellegrini.

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HIT and EMS

Whole-body electromyostimulation versus HIT strength training - impact on body composition and muscle strength

Aim of analysis
The object of the study was to compare the effects of WB-EMS (whole body EMS) and HIT (high intensity training) on muscular parameters in healthy, untrained and working middle-aged men. For this purpose, 46 men aged between 30 and 50 years were randomly assigned to a WB-EMS and a HIT group. The study is to be understood as a training studio in parallel group design, which was conducted for 16 weeks.

Results
Total lean mass (LBM) changed significantly (p≤.003) in both groups (HIT: 1.24±1.40% vs. WB-EMS: 0.91±1.12%). No significant difference was found between the groups. Abdominal body fat mass (AF) and total body fat percentage (TF) also reduced significantly in both groups (-4.1±7.4% to 5.9±6.2%; p=.031 – p<.001). Again, there were no significant differences between the groups (TF: p=.975; AF: p=499). Favorable changes were noted in dynamic maximum strength of the leg extensors (HIT: 13.5±13.9%, p<.001 vs. WB-EMS: 8.0±10.2%, p=.008), but no significant differences (p=.332) were found between groups. This effect remained consistent even after adjusting for borderline (non) significant differences in basal values (p=.348). Static maximum strength of trunk extensors also showed no significant differences (HIT: 10.4±9.0%, p<.001 versus 11.7±9.9%, p<001) between the two groups.

2015. W. Kemmler, M. Teschler, A. Weissenfels M. Froehlich, M. Kohl, S. von Stengel.

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Effects of HIT Vs. WB-EMS on cardiometabolic risk in untrained men at the age between 30 to 50

Aim of analysis

The aim of the study was to compare the influence of HIT (High Intensity Training) and WB-EMS (Whole Body EMS Training) on cardiometabolic risk factors in untrained middle-aged men (30-50 years).


Methods

Untrained men were randomized into two groups. One group trained for 16 weeks (bipolar, 20min, 85Hz, 350ms, intermittent), the other group also trained for 16 weeks with HIT training.

Results

Time effectiveness between the two groups showed comparable results in terms of net training time (~30min/TE; HIT: 60min/wk vs. WB-EMS: 30min/wk). The WB-EMS and also the HIT training showed significant improvements (p=.096) in terms of MetS-Z score (HIT: p=.031 vs. W B-EMS: p=.001) and abdominal fat content (HIT :-4.5±8.1%, p=.014 vs. W B-EMS:-4.0±5.2%, p=.002). Cholesterol/HDL-C rates did not show significant changes between groups, although this was initially hypothesized (HIT: -2.7±7.4, p=.216 vs. W B-EMS: -2.2±10.2, p=.441).
ConclusionThe results indicate that both HIT and WB-EMS are comparably effective, economical, and attractive methods to reduce cardiometabolic risk factors in untrained middle-aged men. WB-EMS can be considered a training option that may be effective but high-cost and suitable for a target group that has low time resources and cannot perform classic HIT training.

Imp Erlangen, 2016. A. Weissenfels, M. Teschler, S. von Stengel, W. Kemmler, M. Bebenek.