Prevention

Rare but regularly recurring complications are leading to ongoing regulation of the commercial, non-medical whole-body electromyostimulation (WB-EMS) market. In addition to the revised German Radiation Protection Statutes (NiSV), the Deutsche Industrie Norm (DIN) 33961-5 was recently published with...

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Autores principales:	Kemmler W, 11, Weissenfels A, Willert S, Fröhlich M, Ludwig O, Berger J, Zart S, Becker S, Backfisch M, Kleinöder H, Dörmann U, Wirtz N, Wegener B, 5, Konrad KL, Eifler C, Krug J, Zinner C, Müller S, Vatter J, Authenrieth S, Beisswenger T, Teschler M, von Stengel S
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2019
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/8295aedfe5974065a30521e2518bcf0e
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spelling	oai:doaj.org-article:8295aedfe5974065a30521e2518bcf0e2021-11-16T19:01:40ZPrevention0344-59252510-526410.5960/dzsm.2019.401https://doaj.org/article/8295aedfe5974065a30521e2518bcf0e2019-11-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archiv-2019/issue-11/recommended-contraindications-for-the-use-of-non-medical-wb-electromyostimulation/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Rare but regularly recurring complications are leading to ongoing regulation of the commercial, non-medical whole-body electromyostimulation (WB-EMS) market. In addition to the revised German Radiation Protection Statutes (NiSV), the Deutsche Industrie Norm (DIN) 33961-5 was recently published with safety policies for WB-EMS application, anchoring both relative and absolute contraindications for WB-EMS for the first time. The purpose of this article is to justify the rationale of contraindications in a commercial setting and to support their consistent application.While the relative contraindicationsappear plausible and uncritical, absolute contraindications for WB-EMS are much more debatable. In fact, some absolute contraindications (e.g. diabetes mellitus) could be safely addressed by WB-EMS at least after careful medical anamnesis and competent, close supervision. However, this requires sound knowledge of WB-EMS on the part of physicians and instructors, low user-trainer ratios and prompt medical care in an emergency.However, considering the multitude of different settings of commercial WB-EMS, in extreme cases with hardly supervised, only video-guided WB-EMS sessions, the necessary accurateness and expertise for safe WB-EMS is not always guaranteed. That there is no mandatory licensing of WB-EMS instructors, the key players in WB-EMS, underscores the concern. Whilst acknowledging the multitude of high-quality suppliers, it is advised thatthe commercial, non-medical WB-EMS sector as a whole to be wary of indications with significantly increased complication potential. Lastly, the mandatory acceptance of the contraindications listed in DIN 33961-5 might be considered as an inevitable step towards preventing overregulation by official authorities.KEY WORDS: Whole-Body Electromyostimulation, DIN 33961-5, Commercial Application, GuidelineKemmler W11Weissenfels A11Willert S11Fröhlich M11Ludwig O11Berger J11Zart S11Becker S11Backfisch M11Kleinöder H11Dörmann U11Wirtz N11Wegener B511Konrad KL511Eifler C11Krug J11Zinner C11Müller S11Vatter J11Authenrieth S11Beisswenger T11Teschler M11von Stengel S11Dynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 70, Iss 11 (2019)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Kemmler W 11 Weissenfels A 11 Willert S 11 Fröhlich M 11 Ludwig O 11 Berger J 11 Zart S 11 Becker S 11 Backfisch M 11 Kleinöder H 11 Dörmann U 11 Wirtz N 11 Wegener B 5 11 Konrad KL 5 11 Eifler C 11 Krug J 11 Zinner C 11 Müller S 11 Vatter J 11 Authenrieth S 11 Beisswenger T 11 Teschler M 11 von Stengel S 11 Prevention
description	Rare but regularly recurring complications are leading to ongoing regulation of the commercial, non-medical whole-body electromyostimulation (WB-EMS) market. In addition to the revised German Radiation Protection Statutes (NiSV), the Deutsche Industrie Norm (DIN) 33961-5 was recently published with safety policies for WB-EMS application, anchoring both relative and absolute contraindications for WB-EMS for the first time. The purpose of this article is to justify the rationale of contraindications in a commercial setting and to support their consistent application.While the relative contraindicationsappear plausible and uncritical, absolute contraindications for WB-EMS are much more debatable. In fact, some absolute contraindications (e.g. diabetes mellitus) could be safely addressed by WB-EMS at least after careful medical anamnesis and competent, close supervision. However, this requires sound knowledge of WB-EMS on the part of physicians and instructors, low user-trainer ratios and prompt medical care in an emergency.However, considering the multitude of different settings of commercial WB-EMS, in extreme cases with hardly supervised, only video-guided WB-EMS sessions, the necessary accurateness and expertise for safe WB-EMS is not always guaranteed. That there is no mandatory licensing of WB-EMS instructors, the key players in WB-EMS, underscores the concern. Whilst acknowledging the multitude of high-quality suppliers, it is advised thatthe commercial, non-medical WB-EMS sector as a whole to be wary of indications with significantly increased complication potential. Lastly, the mandatory acceptance of the contraindications listed in DIN 33961-5 might be considered as an inevitable step towards preventing overregulation by official authorities.KEY WORDS: Whole-Body Electromyostimulation, DIN 33961-5, Commercial Application, Guideline
format	article
author	Kemmler W 11 Weissenfels A 11 Willert S 11 Fröhlich M 11 Ludwig O 11 Berger J 11 Zart S 11 Becker S 11 Backfisch M 11 Kleinöder H 11 Dörmann U 11 Wirtz N 11 Wegener B 5 11 Konrad KL 5 11 Eifler C 11 Krug J 11 Zinner C 11 Müller S 11 Vatter J 11 Authenrieth S 11 Beisswenger T 11 Teschler M 11 von Stengel S 11
author_facet	Kemmler W 11 Weissenfels A 11 Willert S 11 Fröhlich M 11 Ludwig O 11 Berger J 11 Zart S 11 Becker S 11 Backfisch M 11 Kleinöder H 11 Dörmann U 11 Wirtz N 11 Wegener B 5 11 Konrad KL 5 11 Eifler C 11 Krug J 11 Zinner C 11 Müller S 11 Vatter J 11 Authenrieth S 11 Beisswenger T 11 Teschler M 11 von Stengel S 11
author_sort	Kemmler W
title	Prevention
title_short	Prevention
title_full	Prevention
title_fullStr	Prevention
title_full_unstemmed	Prevention
title_sort	prevention
publisher	Dynamic Media Sales Verlag
publishDate	2019
url	https://doaj.org/article/8295aedfe5974065a30521e2518bcf0e
work_keys_str_mv	AT kemmlerw prevention AT 11 prevention AT weissenfelsa prevention AT 11 prevention AT willerts prevention AT 11 prevention AT frohlichm prevention AT 11 prevention AT ludwigo prevention AT 11 prevention AT bergerj prevention AT 11 prevention AT zarts prevention AT 11 prevention AT beckers prevention AT 11 prevention AT backfischm prevention AT 11 prevention AT kleinoderh prevention AT 11 prevention AT dormannu prevention AT 11 prevention AT wirtzn prevention AT 11 prevention AT wegenerb prevention AT 5 prevention AT 11 prevention AT konradkl prevention AT 5 prevention AT 11 prevention AT eiflerc prevention AT 11 prevention AT krugj prevention AT 11 prevention AT zinnerc prevention AT 11 prevention AT mullers prevention AT 11 prevention AT vatterj prevention AT 11 prevention AT authenrieths prevention AT 11 prevention AT beisswengert prevention AT 11 prevention AT teschlerm prevention AT 11 prevention AT vonstengels prevention AT 11 prevention
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Prevention

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