COMPARISON OF NEUROMUSCULAR ELECTRICAL STIMULATION OF THE LOWER LIMBS COMBINED WITH PULMONARY REHABILITATION VERSUS PULMONARY REHABILITATION ALONE TO IMPROVE EXERCISE TOLERANCE AND QUALITY OF LIFE IN SUBJECTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Registration ID: IJNRD_218786

Published ID: IJNRD2404472

DOI: Click Here to Get

Kokkiligadda Keerti varma , Dr. s. Jyothi , Dr. Patchava Apparao , Dr. Ch. Ganapati Swamy

Chronic Obstructive Pulmonary Disease, Quality of life, Exercise Tolerance, Neuro Muscular Electrical Stimulation, Pulmonary rehabilitation

Background and Objective: Chronic Obstructive Pulmonary is a lung disease characterized by chronic obstruction of lung airflow that interferes with normal breathing and is not fully reversible. The prevalence of Chronic Obstructive Pulmonary Disease in India was reported in between 6.6 to 7.7%. In Chronic Obstructive Pulmonary Disease there is reduction of expiratory flow rate and slowed emptying of lungs which leads to reduction in Exercise Tolerance and Quality of life. It is important to improve Exercise Tolerance and Quality of life in Chronic Obstructive Pulmonary Disease patients using a multidisciplinary approach tailored according to the patient’s needs. Neuro Muscular Electrical Stimulation and Pulmonary Rehabilitation are proved to be effective in improving Exercise Tolerance and Quality of life in Chronic Obstructive Pulmonary Disease patients. To our knowledge there were no studies done comparing Neuro Muscular Electrical Stimulation of the lower limbs and Pulmonary Rehabilitation. Hence need of the study arises. Methods: Quasi Experimental study design, there were 108 subjects with average age of over 45 years, having a clinical diagnosis of Chronic Obstructive Pulmonary Disease were randomly allocated into two groups. Group A (n=54) received Neuro Muscular Electrical Stimulation of lower limb and combined with Pulmonary Rehabilitation and Group B (n=54) received Pulmonary Rehabilitation alone for intervention was given to participants 5 sessions per week for 4 weeks. The outcomes of this Neuro Muscular Electrical Stimulation of the lower limbs combined with Pulmonary Rehabilitation were measured by 6-Minute Walk Test for Exercise Tolerance and St. George Respiratory Questionnaire for Quality of life in subjects with chronic obstructive pulmonary disease. RESULTS: Independent ‘t’ test was used to compare the mean significance difference between continuous variables. Paired ‘t’ test was used to assess the Statistical difference between pre and post test scores of Neuro Muscular Electrical Stimulation of the lower limb. Statistical analysis of this data revealed that within group comparison both groups showed significant improvement in all parameters whereas in between groups Neuro Muscular Electrical Stimulation of the lower limb combined with Pulmonary Rehabilitation group improved better than the Pulmonary rehabilitation alone group. CONCULSION: The present study concludes Neuro Muscular Electrical Stimulation of the lower limbs combined with Pulmonary Rehabilitation and pulmonary rehabilitation alone group showed significant improvements in reduction of Exercise Tolerance and Quality of life in subjects with Chronic Obstructive Pulmonary Disease. However, Neuro Muscular Electrical Stimulation of the lower limbs combined with Pulmonary Rehabilitation is more effective than Pulmonary Rehabilitation alone group. Therefore, it may be recommended from these findings that Neuromuscular Electrical Stimulation that may be used as an adjunct to Pulmonary Rehabilitation for treatment of Quality of life in Chronic Obstructive Pulmonary Disease subjects.

Published Paper   E-Certificate

Kokkiligadda Keerti varma, Dr. s. Jyothi, Dr. Patchava Apparao, & Dr. Ch. Ganapati Swamy (April-2024). COMPARISON OF NEUROMUSCULAR ELECTRICAL STIMULATION OF THE LOWER LIMBS COMBINED WITH PULMONARY REHABILITATION VERSUS PULMONARY REHABILITATION ALONE TO IMPROVE EXERCISE TOLERANCE AND QUALITY OF LIFE IN SUBJECTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(4), e668-e703. https://ijnrd.org/papers/IJNRD2404472.pdf

Volume 9 Issue 4, April-2024

Pages : e668-e703

Paper Reg. ID: IJNRD_218786

Published Paper Id: IJNRD2404472

Downloads: 000121979

Research Area: Engineering

Country: -, -, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2404472.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2404472

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJNRD (IJ Publication) Janvi Wave | IJNRD.ORG | IJNRD.COM | IJPUB.ORG

This work is licensed under a Creative Commons Attribution 4.0 International License and The Open Definition

Call For Paper - Volume 10 | Issue 10 | October 2025

IJNRD is a Scholarly Open Access, Peer-reviewed, and Refereed Journal with a High Impact Factor of 8.76 (calculated by Google Scholar & Semantic Scholar | AI-Powered Research Tool). It is a Multidisciplinary, Monthly, Low-Cost Journal that follows UGC CARE 2025 Peer-Reviewed Journal Policy norms, Scopus journal standards, and Transparent Peer Review practices to ensure quality and credibility. IJNRD provides indexing in all major databases & metadata repositories, a citation generator, and Digital Object Identifier (DOI) for every published article with full open-access visibility.

The INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (IJNRD) aims to advance applied, theoretical, and experimental research across diverse fields. Its goal is to promote global scientific information exchange among researchers, developers, engineers, academicians, and practitioners. IJNRD serves as a platform where educators and professionals can share research evidence, models of best practice, and innovative ideas, contributing to academic growth and industry relevance.

Indexing Coverage includes Google Scholar, SSRN, ResearcherID-Publons, Semantic Scholar (AI-Powered Research Tool), Microsoft Academic, Academia.edu, arXiv.org, ResearchGate, CiteSeerX, ResearcherID (Thomson Reuters), Mendeley, DocStoc, ISSUU, Scribd, and many more recognized academic repositories.

How to submit the paper?

By Our website

Click Here to Submit Paper Online

By Mail

Send your paper to editor@ijnrd.org

Important Dates for Current issue

Paper Submission Open For: October 2025

Current Issue: Volume 10 | Issue 10 | October 2025

Impact Factor: 8.76

Last Date for Paper Submission: Till 31-Oct-2025

Notification of Review Result: Within 1-2 Days after Submitting paper.

Publication of Paper: Within 01-02 Days after Submititng documents.

Frequency: Monthly (12 issue Annually).

Journal Type: IJNRD is an International Peer-reviewed, Refereed, and Open Access Journal with Transparent Peer Review as per the new UGC CARE 2025 guidelines, offering low-cost multidisciplinary publication with Crossref DOI and global indexing.

Subject Category: Research Area

Call for Paper: More Details