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Table 2 Changes in functional capacity, serum biochemistry (albumin level), muscle strength, muscle circumference and body composition

From: Intradialytic neuromuscular electrical stimulation with optional virtual reality distraction improves not only muscle strength and functional capacity but also serum albumin level in haemodialysis patients: a pilot randomized clinical trial

  

n

Baseline (t0)

12 weeks (t1)

Time* (p value)

Repeated measures ANOVA* (p value)

Functional capacity

STS-60 (n)

    

Group 0.022

Time 0.962

Interaction 0.447

NMES

11

27.82 ± 9.49

29.50 (19.25–32.00)

28.09 ± 14.31

27.00 (21.00–32.00)

 
  

0.97%

 

NMES + VR

9

20.33 ± 5.59

22.00 (14.50–25.00)

22.89 ± 6.94

26.00 (14.50–27.50)

 
  

12.59%

 

control

11

18.00 ± 9.24

16.00 (13.00–27.00)

15.40 ± 9.28

18.00 (8.25–19.75)

 
  

-14.44%

 

Serum biochemistry

Serum albumin level (g/dl)

    

Interaction 0.008

NMES

12

4.10 ± 0.26

4.10 (4.00–4.35)

4.33 ± 0.45

4.35 (4.025–4.48)

0.030

  

5.61%

 

NMES + VR

9

3.99 ± 0.34

4.10 (3.65–4.30)

4.08 ± 0.35

4.00 (3.75–4.40)

0.347

  

2.26%

 

control

11

4.04 ± 0.40

4.10 (3.80–4.20)

3.71 ± 0.71

3.90 (3.60–4.00)

0.081

  

-8.17%

 

Group* (p value)

0.747

0.032

 

Muscle strength

QFM force right (kgf)

    

Group 0.807

Time 0.021

Interaction 0.082

NMES

7

13,30 ± 5,65

12.70 (9.10–19.80)

17,77 ± 3,27

18.30 (15.30–19.90)

 
  

33.61%

 

NMES + VR

7

14.05 ± 4.31

15.70 (10.30–16.66)

15.21 ± 6.09

14.20 (10.50–18.40)

 
  

8.26%

 

control

10

12.81 ± 3.75

10.90 (9.64–16.80)

12.98 ± 5.09

12.45 (9.53–17.18)

 
  

1.33%

 

QFM force left (kgf)

    

Interaction 0.026

NMES

7

14.26 ± 5.20

15.20 (10.10–17.86)

17.91 ± 3.61

17.80 (15.20–20.60)

0.059

  

25.60%

 

NMES + VR

7

15.75 ± 5.86

16.76 (11.70–18.73)

13.74 ± 4.71

13.10 (9.10–19.10)

0.130

  

-12.76%

 

control

10

11.07 ± 3.96

9.77 (8.09–15.85)

13.08 ± 3.19

13.95 (10.70–15.20)

0.132

  

18.16%

 

Group* (p value)

0.157

0.044

 

Muscle acircumference

QFM circumference right (cm)

   

Group 0.402

Time 0.090

Interaction 0.534

NMES

12

46.67 ± 7.45

44.50 (41.50–50.25)

44.54 ± 7.35

45.00 (39.13–46.00)

 
  

-4.56%

 

NMES + VR

9

42.72 ± 3.87

42.00 (38.75–46.00)

42.39 ± 3.66

43.00 (39.25–45.50)

 
  

-0.77%

 

control

11

43.68 ± 4.83

45.00 (38.00–47.00)

42.68 ± 5.34

44.00 (38.00–47.00)

 
  

-2.29%

 

QFM circumference left (cm)

   

Group 0.281

Time 0.291

Interaction 0.157

NMES

12

46.33 ± 6.29

46.00 (42.50–48.75)

44.88 ± 7.21

45.50 (38.88–47.00)

 
  

-3.13%

 

NMES + VR

9

42.06 ± 2.86

42.00 (39.00–44.50)

42.89 ± 3.68

44.00 (39.00–45.75)

 
  

1.97%

 

control

11

43.18 ± 4.21

43.00 (39.50–47.00)

42.23 ± 5.26

44.00 (39.00–45.00)

 
  

-2.20%

 

Body composition

Weight (kg)

    

Group 0.586

Time 0.684

Interaction 0.146

NMES

12

77.13 ± 22.54

73.75 (57.43–88.48)

77.66 ± 22.78

73.05 (58.73–89.33)

 
  

0.69%

 

NMES + VR

9

71.64 ± 13.61

68.30 (63.10–81.35)

71.81 ± 13.41

68.60 (63.20–80.95)

 
  

0.24%

 

control

11

70.86 ± 12.68

70.80 (62.70–76.60)

69.70 ± 12.24

71.10 (60.90–76.00)

 
  

-1.64%

 

BMI (kg/m2)

    

Group 0.160

Time 0.390

Interaction—(violation of equality test of covariance matrices)

NMES

12

25.69 ± 6.9

24.45 (21.00–28.68)

25.78 ± 6.93

24.30 (21.35–28.95)

 
  

0.35%

 

NMES + VR

9

24.61 ± 2.77

24.10 (23.10–26.45)

24.63 ± 2.81

24.10 (22.90–26.45)

 
  

0.08%

 

control

11

24.94 ± 4.08

24.90 (21.30–29.50)

24.60 ± 3.78

24.90 (21.07–28.00)

 
  

-1.36%

 

Fat proportion (%)

    

Group 0.821

Time 0.849

Interaction 0.373

NMES

7

31.54 ± 6.14

31.70 (24.45–36.40)

27.01 ± 7.32

29.30 (20.70–32.15)

 
  

-14.36%

 

NMES + VR

6

29.28 ± 4.54

28.30 (27.40–34.00)

33.65 ± 10.54

31.25 (27.78–38.23)

 
  

14.92%

 

control

9

29.49 ± 5.12

30.50 (25.70–31.90)

31.10 ± 12.86

33.20 (17.65–39.80)

 
  

5.46%

 

Muscle proportion (%)

    

No ANOVA no variance of homogeneity (If the variances are unequal. this can affect the Type I error rate.)

NMES

7

34.50 ± 3.34

33.80 (31.40–37.30)

37.93 ± 2.35

38.20 (37.35–39.05)

 
  

9.94%

 

NMES + VR

6

34.37 ± 1.42

34.70 (34.20–35.00)

34.15 ± 4.87

36.40 (28.58–37.45)

 
  

-0.64%

 

control

9

34.14 ± 2.17

33.95 (31.73–35.43)

32.61 ± 6.87

28.10 (27.20–41.05)

 
  

-4.48%

 

Water proportion (%)

    

Group 0.821

Time 0.966

Interaction 0.312

NMES

7

50.59 ± 4.55

50.50 (46.95–55.85)

53.94 ± 5.40

52.30 (50.15–58.60)

 
  

6.62%

 

NMES + VR

6

52.27 ± 3.34

53.00 (48.50–53.70)

49.90 ± 5.73

50.75 (47.00–53.33)

 
  

-4.53%

 

control

9

53.17 ± 3.77

52.75 (51.05–55.40)

51.98 ± 8.73

53.60 (42.95–60.85)

 
  

-2.24%

 
  1. Results expressed as mean (standard deviation), median (interquartile range)and differences of means from t0 to t1 in %
  2. ANOVA: analysis of variance: t0: baseline; t1: after 12 weeks; QFM: Quadriceps femoris muscle; BMI: Body mass index; STS-60: 1-Minute Sit-to-Stand Test; NMES: Neuromuscular electrical stimulation; NMES + VR: Neuromuscular electrical stimulation + virtual reality; CO: control; Statistical significance: *p < 0.05
  3. *The two-way repeated measures analysis of variance was the major method used. The main effects of group and time were only reported if there was no significant interaction. If the interaction was significant. the one-way repeated measures analysis of variance was used for each simple main effect