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According to Professor Dr Wolfgang Kemmler, a German training and sports scientist, the application of whole-body Electro Muscle Stimulation (WB-EMS) in physiotherapy is especially beneficial for seniors and is opening up a new target market.

“Dear Mr Kemmler, I haven’t done any sports in 50 years and I won’t start now at 70,” commented an elderly lady in one of the briefing sessions for a recent scientific study. This statement perfectly captures the lack of motivation and insight that the majority of seniors have for the idea of starting with regular body workouts at their age.

This anti-exercise attitude is present in 50% of all men and women over the age of 70, which accounts for approx. 12.5 million (15%) of the German population.

Physical exercise, which is beneficial at any given life stage, is often neglected due to time constraints, embarrassment, sweating, exertion, low fitness levels, joint pain and lack of personalised training.


Positive Effects Across the Board

 Whole-Body Electromyostimulation (WB-EMS) is a time-efficient, discreet, joint-friendly and safe option for the less active, older population, plus it has a positive impact on their general well-being.

Numerous research studies focusing on the elderly and the unfit show that WB-EMS training is ideal for this specific group of people. Even scientific critics agree with these findings.

Further analysis of EMS research confirms that positive effects can also be seen regarding various cardiometabolic factors, such as cardiac output, metabolic syndrome and blood pressure, as well as abdominal and total body fat. Notably, with regards to muscle-mass and muscle-functionality the positive results of WB-EMS training equates to the effects of intensive strength-training. 

Sarcopenia (the loss of skeletal muscle mass and strength as a result of ageing) goes hand in hand with an elderly person’s decrease in functional ability, loss of independence and an increase in morbidity and mortality. Fractures resulting from a fall and particularly the loss of one’s independence have a devastating impact on the life of an elderly person. Recent studies which were centred around sarcopenia sufferers clearly indicate that there is an increase in the functional capacity of elderly people (70+) with regular WB-EMS training.

WB-EMS training also has a considerable positive influence on muscle mass which, in addition to muscle function, also plays an important part in thermoregulation and problems with obesity. The effects of this training can be enhanced by consuming protein in the range of 1.5 – 1.7 g/kg per day.

In addition, studies with elderly people have shown that there are no negative side effects from doing WB-EMS training.

 It is important to note that, besides clinical effectiveness, there is a high acceptance rate of WB-EMS training amongst seniors, especially when conducted in a supportive environment (that is, with personal training). In this respect, WB-EMS appears to be an ideal tool for boosting fitness in the elderly.


Medical Cooperation Facilitates Access to EMS – Training

There are, however, a few important factors to consider when training seniors. Safety and getting a sense of a person’s resilience are vital when applying WB-EMS training to an often-fragile group of elderly people who may experience a lack of body sensation and misjudge their abilities.

An assessment taking into account the medical contraindications is mandatory when looking into giving seniors the required medical clearance for WB-EMS training. For those who seek medical clearance, even a GP who is not familiar with WB-EMS training can find relevant information via specific websites (such as to facilitate the decision-making process.

Cooperation and sharing of knowledge between doctors and the EMS-Training institutions is crucial when making individualised decisions regarding the patients. It goes without saying that the application of the Industry Standards for EMS Training (DIN 33961-5) is absolutely essential.


The Physiotherapist’s Focus is on Personal Attention

One of the key elements in following the industry guidelines is close supervision whereby a maximum of two participants are in the care of one trainer at any given point. Elderly people benefit from such an individualised interaction.

The greater the personal attention, the better a session will be in terms of safety and efficacy, thereby resulting in higher quality sessions.

A qualified and licensed EMS-Trainer plays an integral part; not only as the physical trainer but also as a source of information regarding physical exercise and nutrition.



In Germany the certification of WB-EMS studios takes into account the above-mentioned factors when steering the elderly to the facility that will suit them best. When taking into account the benefits and the positive effects that WB-EMS training has for seniors it is astonishing that such a beneficial training method is still largely unknown in the healthcare industry.


Author: Professor Dr. Wolfgang Kemmler

Dr Wolfgang Kemmler is a professor and research director at the Institute of Medical Physics, Friedrich-Alexander- University, Erlangen-Nürnberg, Germany. He is a leading expert on the effects of exercise on osteoporosis and sarcopenia, having carried out extensive research within these areas. Exercise interventions, as part of the research carried out by Professor Kemmler’s research group, have included resistance training as well as whole-body electromyostimulation.