Potential role of electrostimulation in augmentation of venous blood flow after total knee replacement: A pilot study

Yılmaz, Seyhan; Çalbıyık, Murat; Yilmaz, Behice Kaniye; Aksoy, Eray

doi:10.1177/0268355515580473

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…The Geko ™ device is a battery-powered and disposable tool that is intended to reduce the risk of VTE [ 21 ]. It has been suggested that performing NMES in addition to pharmacological prophylaxis may be beneficial in reducing the incidence of DVT in patients undergoing orthopedic surgery [ 18 , 22 ]. In a systematic review evaluating the role of NMES in thromboprophylaxis, Hajibandeh et al concluded that NMES increased venous blood flow and was well tolerated, although current evidence does not promote the role of NMES in thromboprophylaxis.…”

Section: Discussionmentioning

confidence: 99%

“…In a pilot study of patients who underwent total knee replacement, Yilmaz et al found that postoperative femoral vein peak flow velocity was significantly higher among patients who received NMES (n=15, m=17.46, s=2.86)compared with those who did not receive it (n=15, m=13.84, s=3.58 cm/s, p=0.02) [ 22 ]. The mean femoral vein peak flow velocity increased by 67.48% with the postoperative NMES application compared with the preoperative values.…”

Section: Discussionmentioning

confidence: 99%

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Role of Neuromuscular Electrical Stimulation in Increasing Femoral Venous Blood Flow After Total Hip Prosthesis

Çalbıyık¹,

Yılmaz²

2022

Cureus

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Objective: This study aimed to investigate the role of neuromuscular electrical stimulation (NMES) in increasing femoral venous blood flow after total hip prosthesis and to evaluate its potential effects on preventing postoperative deep vein thrombosis (DVT).Materials and methods: A total of 64 patients who underwent total hip prosthesis were randomly separated into two groups. The NMES group (n=32) received low-molecular-weight heparin+NMES. And the non-NMES group (n=32) received a low-molecular-weight heparin+compression bandage.Results: There was no difference between the groups in terms of the presence of preoperative and postoperative leg edema. The calf diameter was significantly lower in the NMES group than in the non-NMES group in both the preoperative (p=0.003) and postoperative (p=0.008) period. Although the femoral vein peak velocity (VPV) was similar between the groups in the preoperative period, it was significantly higher in the NMES group than in the non-NMES group postoperatively (p=0.001). The femoral VPV after total hip prosthesis increased more in the NMES group (43.2%) compared with the non-NMES group (16.3%). In the non-NMES group, the D-dimer value in the preoperative period was lower than on postoperative days one and five (p<0.05). There was no significant difference between the D-dimer values on postoperative days one and five. In the NMES group, a statistically significant difference was determined between the preoperative and postoperative test results (F(2.93)=20.86, p=0.001). The preoperative D-dimer values were compared to the postoperative values on the first and fifth day, and according to the post hoc test results, the D-dimer values were significantly lower on the fifth postoperative day than on the first postoperative day, and the preoperative value was significantly lower than the fifth postoperative day value (p<0.05).Conclusion: Although the two groups were similar in terms of leg edema, there was a significant increase in femoral VPV in the NMES group. This could indicate a potential effect of NMES in preventing postoperative DVT and needs to be confirmed with further studies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Role of Neuromuscular Electrical Stimulation in Increasing Femoral Venous Blood Flow After Total Hip Prosthesis

Çalbıyık¹,

Yılmaz²

2022

Cureus

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“…Electrostimulation group achieved a significant increase in peak blood flow velocity in the femoral vein after the operation (mean increase 67.48 AE 17.38%, p < 0.001). 9 Although there have been several studies investigating the effect of electrostimulation of venous blood flow, 10,11 data are limited on arterial blood flow. Tucker et al 6 conducted an experimental study on healthy volunteers and they found that electrostimulation caused a substantial increase of the microcirculatory flow in all stimulation settings.…”

Section: Discussionmentioning

confidence: 99%

“…Electrostimulation group achieved a significant increase in peak blood flow velocity in the femoral vein after the operation (mean increase 67.48 ± 17.38%, p < 0.001). 9…”

Section: Discussionmentioning

confidence: 99%

Augmentation of arterial blood velocity with electrostimulation in patients with critical limb ischemia unsuitable for revascularization

Yılmaz¹,

Mermi²,

Zobacı³

et al. 2016

Vascular

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Aim This pilot study aimed to reveal whether combination of electrostimulation with iloprost treatment achieves better results compared to iloprost alone in patients with critical limb ischemia. Material and methods Patients were randomized into Group 1 ( n = 11, mean age: 65.3 ± 4.2 years, received iloprost infusion protocol alone) or Group 2 ( n = 11, mean age: 62.9 ± 6.7, received iloprost infusion plus standardized protocol of peroneal nerve electrostimulation). Electrostimulation was delivered with 1 Hz frequency, 27 mA current, and 200 ms pulse width. Peak blood flow velocities in the anterior and posterior tibialis arteries were measured with duplex ultrasound. Results There was a slight insignificant increase in blood velocity in anterior tibialis artery in Group 1 (from 17.6 ± 13.0 to 18.6 ± 13.1, p = 0.57), whereas the increase in Group 2 was marked (from 23.8 ± 18.3 to 32.2 ± 19.7, p = 0.01). Blood velocity in posterior tibialis artery also increased in both groups, but it was not of statistical significance. No significant difference was found between two groups in regard to final pulse oximetry oxygen saturation levels. Conclusion Electrostimulation of the peroneal nerve caused a substantial increase in anterior tibialis artery blood velocity when used as an adjunct to medical therapy in patients with critical limb ischemia.

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Neuromuscular electrical stimulation for the prevention of venous thromboembolism

Hajibandeh

Antoniou

Scurr

et al. 2017

Cochrane Database of Systematic Reviews

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Low-quality evidence shows no clear difference in the risk of DVT between NMES and alternative methods of prophylaxis but suggest that NMES may be associated with lower risk of DVT compared with no prophylaxis (moderate-quality evidence) and higher risk of DVT compared with low-dose heparin (low-quality evidence). The best available evidence about the effectiveness of NMES in the prevention of VTE is not adequately robust to allow definitive conclusions. Adequately powered high-quality randomised controlled trials are required to provide adequately robust evidence.

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Potential role of electrostimulation in augmentation of venous blood flow after total knee replacement: A pilot study

Abstract: Electrostimulation of the common peroneal nerve enhanced venous flow in the lower limb and may potentially be of use as a supplementary technique in deep venous prophylaxis following lower limb orthopedic operations.

Cited by 5 publications

References 22 publications

Role of Neuromuscular Electrical Stimulation in Increasing Femoral Venous Blood Flow After Total Hip Prosthesis

Role of Neuromuscular Electrical Stimulation in Increasing Femoral Venous Blood Flow After Total Hip Prosthesis

Augmentation of arterial blood velocity with electrostimulation in patients with critical limb ischemia unsuitable for revascularization

Neuromuscular electrical stimulation for the prevention of venous thromboembolism

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