Safety, Adherence and Attractiveness of Whole-Body Electromyostimulation in Non-Athletic Cohorts. A Systematic Review

Vol.19,No.1(2025)

Abstract

Objective: Whole-body electromyostimulation (WB-EMS) is considered as a time efficient training technology particular suitable to increase function, fitness and health-related outcome in people unable or unmotivated to exercise conventionally. WB-EMS is frequently presented as being safe and attractive, however evidence for this description is vague. Thus, the present study aimed to provide an overview of different aspects related to safety, adherence and attractiveness of WB-EMS in non-athletic cohorts.

Methods: Our review was based on a systematic review of the literature according to PRISMA that searched five electronic databases, two study registers and google scholar without language restrictions. Briefly, WB-EMS studies that reported adverse effects, loss to follow, withdrawal or attendance rates in non-athletic cohorts were included.

Results: In total 58 eligible studies were identified. All studies applied low-frequency WB-EMS predominately 1-2x 20-25 min/week. Seventeen studies provided a superimposed protocol.  While no study (n=56) reported serious adverse effects, four studies observed abnormal laboratory findings, albeit without clinical relevance. Loss to follow-up (10±11%) and withdrawal rate (5±6%) of WB-EMS trials were low, but did not differ from data for the non-training (10±12% and 4±6%) or exercise control groups (12±11% and 7±8%). In parallel, we observed high attendance rates (94±7%) in the WB-EMS groups that again did not vary relevantly from findings for the exercising control groups (n=20; 91±7%).

Conclusion: WB-EMS can be considered as a safe and attractive training technology for non-athletic cohorts, be it with or without health problems.


Keywords:
Electromyostimulation; intervention; safety; adherence; attractiveness
Author biography

Simon von Stengel

University Hospital Erlangen

Institute of Radiology,

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