Neuromuscular Electrical Stimulation for Diabetic Foot Ulcers

NewsBot · Feb 2, 2020

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A Narrative Review of the Use of Neuromuscular Electrical Stimulation in Individuals With Diabetic Foot Ulceration.
Goodall RJ et al
Int J Low Extrem Wounds. 2020 Jan 30

This review aims to summarize the evidence reported on the use of neuromuscular electrical stimulation (NMES) in individuals with diabetic foot ulceration (DFU). A systematic search of EMBASE and MEDLINE databases was performed in February 2019, using search terms relating to the domains DFU and NMES. All primary evidence assessing outcomes of NMES in DFU were included. Of 344 references obtained from database searching, 7 met the inclusion criteria and included a total of 140 participants, 77 of whom had DFU. All included studies used prospective designs. Two studies demonstrated improvements in chronic ulcer healing with NMES use; however, in each study, only 3 of the included participants had DFU and subgroup analyses based on ulcer etiology was omitted. The remaining 5 studies were produced by the same research group and positive effects of NMES (in combination with heat therapy) on DFU healing were consistently demonstrated. They reported significantly better healing rates with NMES in DFU than in nondiabetic wounds of a similar grade (healing rate: 70.0 ± 32.3% in DFU vs 38.4 ± 22.3% in nondiabetic ulcers [P < .01]). These studies did not provide data assessing the isolated effects of NMES without concomitant heat exposure. Data on device tolerability and compliance were lacking. The existing data support a potential role for NMES in individuals with DFU; however, the identified studies inadequately controlled for confounding and were underpowered. Given the significant morbidity and mortality associated with DFU, higher quality evidence is needed to assess the adjunctive role for NMES in this group.
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NewsBot · Jan 31, 2022

Effectiveness of combined modulated ultrasound and electric current stimulation to treat diabetic foot ulcers
Caoimhe L Joyce Hearne, Declan Patton, Zena E Moore, Pauline Wilson, Corey Gillen, Tom O'Connor
Journal of Wound CareVol. 31, No. 1Research:25 Jan 2022

Objective:
The use of combined ultrasound and electrostimulation (CUSECS) as an adjunct therapy for diabetic foot ulcers (DFUs) is a relatively new concept. This study aimed to investigate if combined ultrasound and electrostimulation is an effective adjunctive treatment for hard-to-heal DFUs when compared with standard wound care.

Methods:
A randomised controlled pilot study design was used. Patients with hard-to-heal DFUs from two centres were sequentially randomised. For 8 weeks, the experimental group received CUSECS and standard wound care treatment twice a week. The control group received standard wound care treatment once a week. Wound changes were documented using photography, which also facilitated wound size measurement. Self-efficacy, economic cost, quality of life and reoccurrence rates were analysed as secondary objectives.

Results:
The experimental group (n=6) achieved a higher rate of mean wound healing (mean difference (MD): 0.49) when compared to the control group (n=5, MD: 0.01). Two participants completed full healing in the experimental group and one in the control group. There were no statistically significant findings because of the small sample size. There were no direct adverse reactions to this therapy. Quality of life scores improved in the treatment group. There was no significant change in self-efficacy scores. Costs were higher in the experimental group; however, the healing rate was quicker, which could be extrapolated to cost reductions over time.

Conclusion:
Results suggest that CUSECS may be a useful adjunctive therapy for treatment of hard-to-heal DFUs. Further large-scale studies are needed to ascertain the effectiveness of CUSECS. The findings here are inconclusive but indicate that CUSECS may offer promise as a treatment.
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Neuromuscular Electrical Stimulation for Diabetic Foot Ulcers

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Neuromuscular Electrical Stimulation for Diabetic Foot Ulcers

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Hip-Focused Neuromuscular Exercises for Foot Pronation

Diabetic foot ulcer treatment management with lymphatic neuromuscular taping

$2500 - MICROVAS High Frequency Pulsed Neuromuscular Therapy For Neuropathy And Pain Conditions.

Does neuromuscular electrostimulation have the potential to increase intrinsic foot muscle strength?

Neuromuscular training strategies for preventing lower limb injuries

Effect of Orthoses on Changes in Neuromuscular Control and Aerobic Cost of a 1 hour Run

Neuromuscular Control in Exercise Related Leg Pain

Share This Page

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