# Electromyostimulation-Induced Rhabdomyolysis: A Case Report and Comprehensive Literature Review

## TL;DR

A man developed a severe muscle condition after a high-intensity electromyostimulation session, highlighting the risks of improper use.

## Contribution

This case report documents rhabdomyolysis caused by a single high-intensity WB-EMS session and emphasizes the importance of hydration.

## Key findings

- A 36-year-old male developed rhabdomyolysis after a 25-minute high-intensity WB-EMS session.
- Creatine kinase levels peaked at 19,534 IU/L but normalized within six days with rest and hydration.
- No renal impairment was observed despite elevated muscle enzymes.

## Abstract

Whole-body electromyostimulation (WB-EMS) is a training method that activates multiple muscle groups through electrical impulses, offering time-efficient benefits for fitness and rehabilitation. However, improper use, particularly at high intensities, poses risks, including rhabdomyolysis. We report the case of a 36-year-old male who developed WB-EMS-induced rhabdomyolysis, which is a complication that may be induced by a single 25-minute session at high intensity. Laboratory findings revealed significantly elevated creatine kinase (19,534 IU/L) and liver enzymes without renal impairment. The patient was managed with rest and oral hyperhydration, leading to a progressive decline in muscle enzyme levels by the fourth day and total normalization after six days. Users and health professionals should be aware that rhabdomylysis is a complication of WB-EMS and should mitigate risks by monitoring and emphasizing adequate hydration.