Effects of Microcurrent in a Cardiovascular Rehabilitation Home-based Program

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Andreia Noites, Escola Superior de Tecnologia da Saúde do Porto
ClinicalTrials.gov Identifier:
NCT01887080
First received: June 18, 2013
Last updated: January 29, 2014
Last verified: January 2014

June 18, 2013
January 29, 2014
September 2012
July 2013   (final data collection date for primary outcome measure)
  • Cardiorespiratory Fitness [ Time Frame: Change from Baseline in Cardiorespiratory Fitness at 8 weeks of Cardiac Rehabilitation Home-based Program ] [ Designated as safety issue: Yes ]

    The stress test was performed according to the Bruce protocol on a treadmill. The test begins with the treadmill set to a low speed (2.7 km/h) and a 10% incline, and every 3 minutes the speed and angle of incline are increased. Generally the incline is increased by 2% at every level, until exhaustion.

    It was measured resting, maximum and recovery heart rate; resting, maximum and recovery systolic blood pressure; resting, maximum and recovery diastolic blood pressure; resting, maximum and recovery double product; time and recovery time; speed; slope; and changes in functional capacity.

  • Blood tests [ Time Frame: Change from Baseline in blood tests at 8 weeks of Cardiac Rehabilitation Home-based Program ] [ Designated as safety issue: Yes ]

    They were performed in the morning after fasting for about 12 hours, to avoid the interference of postprandial lipemia.

    It was measured glucose, cholesterol and triglycerides.

  • Computerized axial tomography [ Time Frame: Change from Baseline in Computerized axial tomography at 8 weeks of Cardiac Rehabilitation Home-based Program ] [ Designated as safety issue: Yes ]
    It was measured subcutaneous, visceral and total abdominal fat.
Same as current
Complete list of historical versions of study NCT01887080 on ClinicalTrials.gov Archive Site
  • Bioimpedance values [ Time Frame: Change from Baseline in Bioimpedance values at 8 weeks of Cardiac Rehabilitation Home-Based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    I twas used a bioimpedance scale (BIO) InnerScan Tanita, TBF-300A, which uses four electrodes (two on each foot) for the passage of an electric current. People were told to undress her clothes and stay only shorts without metal objects.
  • Perimeters measurements [ Time Frame: Change from Baseline in Perimeters measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    The perimeters measurements were done, at the end of expiration, at waist level (below last rib), at navel level, at the point immediately above the iliac crests and at trochanters level. The waist-hip ratio was calculated using the waist level perimeter divided by trochanters level perimeter
  • Skinfolds measurements [ Time Frame: Change from Baseline in Skinfolds measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Subscapular, Triceps, Biceps, Suprailiac, vertical and horizontal abdominal skinfolds were performed three times in right hemi body, by Harpenden Caliper
  • Daily Physical Activity [ Time Frame: Change from Baseline in Daily Physical Activity at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Physical activity will be objectively measured for 7 consecutive days using the ActiGraph accelerometer (model GT3X, Florida, USA).
  • Flexicurve spinal measurement [ Time Frame: Change from Baseline in Flexicurve Spinal Measurement at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    It was proceeded 3 measurements with flexicurve, with references of C7 and L1 to calculate the thoracic index.
  • Y-Balance Test [ Time Frame: Change from Baseline in Y-Balance Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    The Y-balance test assesses anterior, posteromedial and posterolateral components.
  • One Leg Standing Test [ Time Frame: Change from Baseline in One Leg Standing Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    It was recorded the best time, for two lower extremities (until the maximum of 30 seconds), without unbalancing . It was made with the eye open and closed.
  • Bioimpedance values [ Time Frame: Change from Baseline in Bioimpedance values at 8 weeks of Cardiac Rehabilitation Home-Based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    I twas used a bioimpedance scale (BIO) InnerScan Tanita, TBF-300A, which uses four electrodes (two on each foot) for the passage of an electric current. People were told to undress her clothes and stay only shorts without metal objects.
  • Perimeters measurements [ Time Frame: Change from Baseline in Perimeters measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    The perimeters measurements were done, at the end of expiration, at waist level (below last rib), at navel level, at the point immediately above the iliac crests and at trochanters level. The waist-hip ratio was calculated using the waist level perimeter divided by trochanters level perimeter
  • Skinfolds measurements [ Time Frame: Change from Baseline in Skinfolds measurements at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Subscapular, Triceps, Biceps, Suprailiac, vertical and horizontal abdominal skinfolds were performed three times in right hemi body, by Harpenden Caliper
  • Daily Physical Activity [ Time Frame: Change from Baseline in Daily Physical Activity at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Physical activity will be objectively measured for 7 consecutive days using the ActiGraph accelerometer (model GT3X, Florida, USA).
  • Flexicurve spinal measurement [ Time Frame: Change from Baseline in Flexicurve Spinal Measurement at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    It was proceeded 3 measurements with flexicurve, with references of C7 and L1 to calculate the thoracic index.
  • Y-Balance Test [ Time Frame: Change from Baseline in Y-Balance Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    The Y-balance test assesses anterior, posteromedial and posterolateral components.
  • One Leg Standing Test [ Time Frame: Change from Baseline in One Leg Standing Test at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    It was recorded the best time, for two lower extermities (until the maximum of 30 seconds), without unbalancing . It was made with the eye open and closed.
  • Food Frequency Questionnaire [ Time Frame: Change from Baseline in Food Frequency Questionnaire at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Food Frequency Questionnaire was used to monitor lifestyle during sessions.
  • International Physical Activity Questionnaire [ Time Frame: Change from Baseline in International Physical Activity Questionnaire at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Moderate physical activity level was used to monitor lifestyle during sessions
  • Depression Anxiety Stress Scales (DASS-21) [ Time Frame: Change from Baseline in DASS-21 at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Depression Anxiety Stress Scales was used to monitor lifestyle during sessions
  • MacNew Heart Disease health-related quality of life instrument [ Time Frame: Change from Baseline in MacNew at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    MacNew was used to monitor lifestyle during sessions
  • EuroQoL Quality of Life Scale (EQ-5D) [ Time Frame: Change from Baseline in EQ-5D at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    EQ-5D was used to monitor lifestyle during sessions
  • Montreal Cognitive Assessment(MOCA) [ Time Frame: Change from Baseline in MOCA at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]
    Moca was used to monitor lifestyle during sessions
  • Transtheoretical Model Exercise Behavior [ Time Frame: Change from Baseline in Transtheoretical Model Exercise Behavior at 8 weeks of Cardiac Rehabilitation Home-based Program and 4 Weeks After Finishing the Protocol ] [ Designated as safety issue: Yes ]

    Transtheoretical Model Exercise Behavior consists of four subscales:

    1. Identify the stages of exercise behavior
    2. Processes of change of exercise behavior
    3. Decisional balance of exercise behavior
    4. Self-efficacy of exercise behavior
Same as current
 
Effects of Microcurrent in a Cardiovascular Rehabilitation Home-based Program
Effects of Microcurrent in a Cardiovascular Rehabilitation Home-based Program in Patients With Acute Myocardial Infarction

The aim of this study was to investigate the effects of electric stimulation (electrolipolysis) in a home-based cardiovascular rehabilitation program in patients with acute myocardial infarction

Cardiovascular disease is the leading cause of death in most industrialized countries.

It is widely accepted that cardiac rehabilitation has a beneficial role in the control of modifiable cardiovascular risk factors. However, these cardiovascular rehabilitation programs are scarce and only a small fraction of the population who needs has access. So, it is pertinent to the displacement of these programs to the community context.

Obesity has become a truly global epidemic among children and adults, as well as changing the metabolic profile: when occurs an excessive accumulation of adipose tissue (mainly central distribution) there are a set of changes / adjustments to the cardiac structure and function. The electrical stimulation of abdominal subcutaneous (electrolipolysis) is a procedure often used in physical therapy clinics to reduce waist circumference. However, the effectiveness of this intervention, the selection of parameters, and the duration of its effects in cardiac patients are not yet clarified in the literature.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Treatment
Acute Myocardial Infarction
  • Other: Exercise

    This group had the exercise program, thrice a week for eight weeks.

    The exercise protocol consists of 10 exercises: aerobic and resistance exercises. It was used a moderate intensity (60% of maximum heart rate of stress test with progression until 80%). Subjects were taught to monitor exercise intensity by measuring the manual heart rate, by using the scale of perceived exertion Borg (11-13), and by observation of signs.

    The exercise protocol was done with supervision from a distance, using information technologies (SMS, phone, email ...), and when necessary it was resorted to routine meetings.

  • Device: Microcurrent

    This group had the exercise program after electrolipolysis, thrice a week for eight weeks.

    The electrolipolysis consisted of 30-minute sessions: the first 15 minutes with a frequency of 30 Hz and the final 15 minutes with a frequency of 10 Hz; with a pulse time of 10 ms; and an intensity below the threshold of sensitivity (with a maximum of 750 μA). There were used 4 transcutaneous electrodes in the abdominal region (parallel position).

    Microcurrent was done with supervision from a distance, using information technologies (SMS, phone, email ...), and when necessary it was resorted to routine meetings.

  • Other: Cardiovascular Risk Factors
    It was handed flyers on major cardiovascular risk factors: cholesterol, obesity, diabetes, smoking and hypertension.
  • Experimental: Exercise
    Experimental group 1 performed cardiovascular rehabilitation home-based program
    Interventions:
    • Other: Exercise
    • Other: Cardiovascular Risk Factors
  • Experimental: Exercise afther Microcurrent
    Experimental group 2 performed cardiovascular rehabilitation home-based program just after microcurrent.
    Interventions:
    • Other: Exercise
    • Device: Microcurrent
    • Other: Cardiovascular Risk Factors
  • Cardiovascular Risk Factors
    Education about risk factors
    Intervention: Other: Cardiovascular Risk Factors

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
September 2013
July 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Individuals admitted to the coronary care unit for acute myocardial infarction for more than one year;
  • Individuals of both sexes;
  • Ages between 40 and 75 years;
  • Heart disease stabilized;
  • Motivation to perform physical activity for 8 weeks;
  • Cognitive level sufficient to understand the particulars of the study.

Exclusion Criteria:

  • Contraindications of micro-current (pacemaker, osteosynthesis material, tumor areas and open wounds or skin changes in the abdominal region);
  • Pregnant at the time, in the preceding 6 months or wishing to become pregnant during the intervention period;
  • Neurological, musculoskeletal or respiratory disorders;
  • Individuals who are to carry out other therapies.
Both
40 Years to 75 Years
No
Contact information is only displayed when the study is recruiting subjects
Portugal
 
NCT01887080
AN-002
Yes
Andreia Noites, Escola Superior de Tecnologia da Saúde do Porto
Escola Superior de Tecnologia da Saúde do Porto
Not Provided
Principal Investigator: Andreia Noites, MSc Escola Superior de Tecnologia da Saúde do Porto
Principal Investigator: Carla Patricia Freitas, MSc Escola Superior de Tecnologia da Saúde do Porto
Principal Investigator: Joana Moura Pinto, MSc Escola Superior de Tecnologia da Saúde do Porto
Escola Superior de Tecnologia da Saúde do Porto
January 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP