Forty healthy, sedentary, premenopausal women were entered into a rand
omized, single-blind, controlled study to determine the effects of cap
acitively coupled electrical stimulation on the strength of the lumbar
paraspinal muscles and the bone mineral in the lumbar spine. All were
between 35 and 45 years of age and had normal physiologic estrogen. T
he study group received electrical stimulation over the lower lumbar p
araspinal muscles for 30 minutes twice a day. Isometric strength of th
e lumbar paraspinal muscles was assessed with a strain-gauge dynamomet
er at entry and again after 3, 6, 9, and 12 months. Bone mineral was m
easured in the lumbar spine by dual-energy x-ray absorptiometry at ent
ry and at 6 and 12 months. After 3 months, the median increase in isom
etric strength was 8.1% in the study group and 1.6% in the control gro
up (P < 0.03). This initial difference was maintained during the remai
nder of the study. No further changes were seen between the two groups
at 6, 9, and 12 months. It was concluded that capacitively coupled el
ectrical muscle stimulation can, throughout a 1-year period, improve a
nd maintain isometric strength of the lumbar paraspinal muscles indepe
ndent of exercise, but it has no measurable effect on bone mass in the
lumbar spine.