A Review of the Evidence to Support Neuromuscular Electrical Stimulation in the Prevention and Management of Venous Disease

Williams, Katherine J.; Ravikumar, R.; Gaweesh, Ahmed S.; Moore, Hayley; Lifsitz, A. D.; Lane, Tristan; Shalhoub, J.; Babber, Adarsh; Davies, Alun H.

doi:10.1007/13780_2016_30

Cited by 11 publications

(19 citation statements)

References 46 publications

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“…56 Simultaneously, contractions (and possibly stretching) of the large muscle groups (triceps, quadriceps) create a pump-effect increasing venous circulation towards the heart. 4,61 One of the observed limitations of the FES-garments presented here is their compression (tightness). Depending on the functional level of the user, putting the garments on may be difficult and/or require assistance from a caregiver.…”

Section: Discussionmentioning

confidence: 96%

“…1 NMES produces artificial contractions of muscles by applying sequences of short and low-energy pulses to the peripheral nerves. 2 NMES has been shown beneficial for knee ligament surgery, 3 prevention and management of venous diseases, 4 muscle weakness with advanced progressive disease (e.g. chronic respiratory disease, chronic heart failure, thoracic cancer), 5 critically ill patients confined to bed, 6,7 and neurorehabilitation after spinal cord injury (SCI) or stroke.…”

Section: Introductionmentioning

confidence: 99%

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Garments for functional electrical stimulation: Design and proofs of concept

Moineau

Márquez-Chin

Alizadeh-Meghrazi

et al. 2019

Journal of Rehabilitation and Assistive Technologies Engineerin

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Introduction Repeated use of functional electrical stimulation can promote functional recovery in individuals with neurological paralysis. We designed garments able to deliver functional electrical stimulation. Methods Shirts and pants containing electrodes knitted with a conductive yarn were produced. Electrodes were moistened with water before use. Stimulation intensity at four thresholds levels (sensory, movement, full range of motion, and maximal), stimulation comfort, and electrical properties of the interface were tested in one able-bodied subject with garment electrodes and size-matched conventional gel electrodes. The pants and shirt were then used to explore usability and design limitations. Results Compared to gel electrodes, fabric electrodes had a lower sensory threshold (on forearm muscles) but they had a higher maximal stimulation threshold (for all tested muscles). The stimulation delivery was comfortable when the garment electrodes were recently moistened; however, as the electrodes dried (within 9 to 18 min) stimulation became unpleasant. Inconsistent water content in the fabric electrodes caused inconsistent intensity thresholds and inconsistent voltage necessary to apply a desired stimulation current. Garments’ tightness and impracticality of electrode lead necessitate further design improvement. Conclusions Fabric electrodes offer a promising alternative to gel electrodes. Further work involving people with paralysis is required to overcome the identified challenges.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Garments for functional electrical stimulation: Design and proofs of concept

Moineau

Márquez-Chin

Alizadeh-Meghrazi

et al. 2019

Journal of Rehabilitation and Assistive Technologies Engineerin

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“…A new modality, neuromuscular electrical stimulation (NMES), has been considered as an alternative way to stimulate venous return and possibly reduce the risk of VTE while at the same time preventing muscle atrophy. However, few studies have compared efficacy of different therapeutic devices and examined clinical aspects such as tolerability .…”

Section: Introductionmentioning

confidence: 99%

Hemodynamics and tolerability of lower-limb intermittent pneumatic compression devices and neuromuscular stimulation

2018

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Stimulation of venous return is critical for prevention of venous thromboembolism; however, an optimized treatment modality has yet to be defined. Therefore, the main objective of this study was to investigate and compare the hemodynamic effects and the second aim was to assess tolerability of three different intermittent pneumatic compression (IPC) devices, foot‐IPC, rapid, and slow calf‐IPC, and the recently developed technology of calf neuromuscular electric stimulation (NMES). The blood flow in the right popliteal vein was assessed with Doppler ultrasound in 10 healthy individuals in semirecumbent position without (baseline) and with each of the IPC‐ and NMES treatment devices. Comfort assessment was completed using visual analogue scale for each treatment modality. All treatments significantly increased peak velocity (PV), mean velocity (MV) volume flow (VF) and ejected volume per individual stimulus (EV) as compared to baseline. Rapid calf‐IPC caused the most profound hemodynamic effects with a mean effect size 2.06, taking into account all the above hemodynamic parameters compared to baseline. The weakest response was observed with foot‐IPC with a mean effect size 1.50 compared to baseline. All devices compressing the calf produced higher hemodynamic values (mean effect size: 1.89 slow calf‐IPC and 1.58 NMES) compared to foot‐IPC. Comfort assessment demonstrated unacceptable tolerability for NMES, while the other devices showed an acceptable tolerability. Augmentation of venous return using calf‐ compared to foot devices is hemodynamically superior. Varying hemodynamic responses are observed between calf blood flow stimulating devices. The low tolerability of NMES, however, may limit its clinical applicability.

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“…Motor-level, low-frequency ES at 5 Hz has shown to improve venous return in healthy people [10], and high amplitudes (strong not painful intensities) may be the key for acute pain relief [11]. In addition, ES can increase both peak venous velocity and venous volume flow up to over 600% [12] and improve microcirculation, so it may help reduce inflammation or edema [13] after intense exercise.…”

Section: Introductionmentioning

confidence: 99%

Is Low-Frequency Electrical Stimulation a Tool for Recovery after a Water Rescue? A Cross-Over Study with Lifeguards

Barcala-Furelos

González-Represas

Rey

et al. 2020

IJERPH

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This study aimed to evaluate the degree to which transcutaneous electrical stimulation (ES) enhanced recovery following a simulated water rescue. Twenty-six lifeguards participated in this study. The rescue consisted of swimming 100 m with fins and rescue-tube: 50 m swim approach and 50 m tow-in a simulated victim. Blood lactate clearance, rated perceived effort (RPE), and muscle contractile properties were evaluated at baseline, after the water rescue, and after ES or passive-recovery control condition (PR) protocol. Tensiomiography, RPE, and blood lactate basal levels indicated equivalence between both groups. There was no change in tensiomiography from pre to post-recovery and no difference between recovery protocols. Overall-RPE, legs-RPE and arms-RPE after ES (mean ± SD; 2.7 ± 1.53, 2.65 ± 1.66, and 2.30 ± 1.84, respectively) were moderately lower than after PR (3.57 ± 2.4, 3.71 ± 2.43, and 3.29 ± 1.79, respectively) (p = 0.016, p = 0.010, p = 0.028, respectively). There was a significantly lower blood lactate level after recovery in ES than in PR (mean ± SD; 4.77 ± 1.86 mmol·L−1 vs. 6.27 ± 3.69 mmol·L−1; p = 0.045). Low-frequency ES immediately after a water rescue is an effective recovery strategy to clear out blood lactate concentration.

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A Review of the Evidence to Support Neuromuscular Electrical Stimulation in the Prevention and Management of Venous Disease

Cited by 11 publications

References 46 publications

Garments for functional electrical stimulation: Design and proofs of concept

Garments for functional electrical stimulation: Design and proofs of concept

Hemodynamics and tolerability of lower-limb intermittent pneumatic compression devices and neuromuscular stimulation

Is Low-Frequency Electrical Stimulation a Tool for Recovery after a Water Rescue? A Cross-Over Study with Lifeguards

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