The effects of a 2-week whole-body electromyostimulation in cancer patients

ISRCTN ISRCTN68069634
DOI https://doi.org/10.1186/ISRCTN68069634
Secondary identifying numbers 17-165
Submission date
06/11/2024
Registration date
07/11/2024
Last edited
10/01/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Various studies show that regular physical activity is an efficient approach to increase medical therapy tolerance and may even improve its effectiveness in cancer patients. However, it is not always possible for patients to perform strenuous and time-consuming exercise programs. For that reason, whole-body electromyostimulation (WB-EMS) may be an interesting alternative form of exercise for cancer patients. In contrast to voluntary muscle contraction caused by small electrical impulses from the central nervous system, WB-EMS generates muscle contraction by an external EMS device. Therefore, the primary aim of this study was to examine whether 2 weeks of WB-EMS exercise are feasible and effective in cancer patients during medical treatment.

Who can participate?
Patients aged over 18 years with different types of cancer and disease stages, undergoing acute therapy and after medical treatment

What does the study involve?
Patients participated in supervised WB-EMS sessions four times over 2 weeks. Before and after the WB-EMS exercise period, patients were assessed regarding physical performance, body composition and patient-reported outcomes.

What are the possible benefits and risks of participating?
The participants were able to try out a new exercise method over the course of the study's 2 weeks, which can be described as very time-efficient and not too strenuous. Besides the known risks associated with any physical activity, no additional risks were expected with this exercise method.

Where is the study run from?
University of Cologne (Germany)

When is the study starting and how long is it expected to run for?
May to September 2019

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Ms Jane Kersten, jane.kersten@uk-koeln.de

Contact information

Prof Freerk T. Baumann
Principal Investigator

Kerpener Straße 62
Cologne
50937
Germany

ORCiD logoORCID ID 0000-0002-4450-7351
Phone +49 (0)221-47842646
Email freerk.baumann@uk-koeln.de
Ms Jane Kersten
Public, Scientific

Kerpener Straße 62
Cologne
50937
Germany

ORCiD logoORCID ID 0000-0003-1062-9745
Phone +49 (0)22147842646
Email jane.kersten@uk-koeln.de
Dr Timo Niels
Public, Scientific

Kerperner Str. 62
Cologne
50937
Germany

Phone +49 (0)22147842646
Email timo.niels@uk-koeln.de

Study information

Study designSingle-arm non-randomized trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Fitness/sport facility, Hospital
Study typePrevention, Quality of life, Safety
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleShort-term whole-body electromyostimulation in cancer patients: a single-arm trial
Study objectivesWhole-body electromyostimulation (WB-EMS) could be an interesting and promising exercise technology for cancer patients, even for shorter periods such as the prehabilitation phase.

As an effective and beginner-friendly exercise method, WB-EMS could be considered in patients whose operation is imminent.

The primary aim of this study was to examine whether 2 weeks of WB-EMS exercise are feasible and effective in cancer patients during medical treatment.

As a secondary objective, the study aimed to examine whether short-term WB-EMS could already have a positive impact on body composition, physical performance, quality of life, anxiety and depression, fatigue syndrome, and perceived physical condition
Ethics approval(s)

Approved 05/03/2018, Medizinische Fakultät der Universität zu Köln (Kerpener Straße 62, Cologne, 50937, Germany; +49 (0)221-478-82900; ek-med@uni-koeln.de), ref: 17-165

Health condition(s) or problem(s) studiedCancer patients, with diverse entities, disease stages, under acute therapy and after medical treatment
InterventionThe patients performed four WB-EMS exercise sessions in 2 weeks. The training duration was 15 minutes in the first week, increasing to 17 minutes in the second week. The training was performed with an EMS device from Miha-Bodytech (Augsburg, Germany). During the electrical impulse stimulation, patients performed active body-weight movements such as Squats. The recovery time between two sessions was at least 48 hours.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)EMS device from Miha-Bodytech (Augsburg, Germany)
Primary outcome measureFeasibility is measured using drop-out rate, training adherence and adverse events at the end of the intervention
Secondary outcome measures1. Body composition measured using Bioelectrical Impedance Analysis (BIA) at baseline and post-test
2. Physical performance measured using modified step test according to the World Health Organization (WHO) scheme, the hypothetical one-repetition maximum and the handgrip method at baseline and post-test
3. Quality of life measured using the Quality-of-Life Questionnaire (EORTC-QLQ-C30) developed by the European Organisation for Research and Treatment of Cancer at baseline and post-test
4. Anxiety and depressive symptoms measured using the Anxiety and Depression Scale at baseline and post-test
5. Fatigue syndrome measured using the Multidimensional Fatigue Inventory at baseline and post-test
6. Perceived physical condition measured using the German WKV-Questionnaire before and after every WB-EMS exercise session
Overall study start date01/05/2019
Completion date11/09/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants15
Total final enrolment13
Key inclusion criteria1. Diagnosed with a solid tumor
2. Receive concurrent medical therapy, including chemotherapy, radiation, immunotherapy or were cancer survivors, including receiving endocrine therapy
3. Over 18 years of age
4. Gave informed consent
5. Received medical clearance to exercise by a physician
Key exclusion criteria1. Acute severe cardiovascular or neurological diseases
2. Patients with electrical implants (s.a. pacemaker or defibrillation)
3. Osteosynthesis-related metal in the body or ongoing pregnancy
4. Patients with acute venous thrombosis
5. Major surgeries in stimulation areas (e.g. heart surgery, abdominal or pelvic surgeries, orthopedic surgeries, neurosurgical procedures) within the last 3 months
Date of first enrolment01/06/2019
Date of final enrolment01/09/2019

Locations

Countries of recruitment

  • Germany

Study participating centre

Center of Integrated Oncology Aachen Bonn Cologne Düsseldorf, University Hospital of Cologne
Kerpener Str. 62
Cologne
50937
Germany

Sponsor information

University Hospital Cologne
Hospital/treatment centre

Kerpener Str. 62
Cologne
50937
Germany

Phone +49 (0)221 47839700
Email info@uk-koeln.de
Website https://www.cio-koeln-bonn.de/
ROR logo "ROR" https://ror.org/05mxhda18

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/02/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe study is planned to be published in the journal integrative cancer therapies.
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Jane Kersten (jane.kersten@uk-koeln.de)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 07/01/2025 10/01/2025 Yes No

Editorial Notes

10/01/2025: Publication reference added.
06/11/2024: Study's existence confirmed by the Medizinische Fakultät der Universität zu Köln.