scholarly journals A Narrative Review of the Use of Neuromuscular Electrical Stimulation in Individuals With Diabetic Foot Ulceration

2020 ◽  
Vol 19 (3) ◽  
pp. 242-250 ◽  
Author(s):  
Richard James Goodall ◽  
Benjamin Langridge ◽  
Tristan Lane ◽  
Alun Huw Davies ◽  
Joseph Shalhoub
Keyword(s):  
Electrical Stimulation ◽  
Diabetic Foot ◽  
Potential Role ◽  
Healing Rate ◽  
Heat Exposure ◽  
Neuromuscular Electrical Stimulation ◽  
Inclusion Criteria ◽  
Foot Ulceration ◽  
Positive Effects ◽  
Search Terms

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.

scholarly journals Assessment of muscle activity using electrical stimulation and mechanomyography: a systematic review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Raphael Uwamahoro ◽  
Kenneth Sundaraj ◽  
Indra Devi Subramaniam
Keyword(s):  
Electrical Stimulation ◽  
Processing Speed ◽  
Muscle Activity ◽  
Neuromuscular Electrical Stimulation ◽  
Voluntary Contraction ◽  
Electrical Signal ◽  
Muscle Performance ◽  
Inclusion Criteria ◽  
Activity Assessment ◽  
Experimental Protocols

AbstractThis research has proved that mechanomyographic (MMG) signals can be used for evaluating muscle performance. Stimulation of the lost physiological functions of a muscle using an electrical signal has been determined crucial in clinical and experimental settings in which voluntary contraction fails in stimulating specific muscles. Previous studies have already indicated that characterizing contractile properties of muscles using MMG through neuromuscular electrical stimulation (NMES) showed excellent reliability. Thus, this review highlights the use of MMG signals on evaluating skeletal muscles under electrical stimulation. In total, 336 original articles were identified from the Scopus and SpringerLink electronic databases using search keywords for studies published between 2000 and 2020, and their eligibility for inclusion in this review has been screened using various inclusion criteria. After screening, 62 studies remained for analysis, with two additional articles from the bibliography, were categorized into the following: (1) fatigue, (2) torque, (3) force, (4) stiffness, (5) electrode development, (6) reliability of MMG and NMES approaches, and (7) validation of these techniques in clinical monitoring. This review has found that MMG through NMES provides feature factors for muscle activity assessment, highlighting standardized electromyostimulation and MMG parameters from different experimental protocols. Despite the evidence of mathematical computations in quantifying MMG along with NMES, the requirement of the processing speed, and fluctuation of MMG signals influence the technique to be prone to errors. Interestingly, although this review does not focus on machine learning, there are only few studies that have adopted it as an alternative to statistical analysis in the assessment of muscle fatigue, torque, and force. The results confirm the need for further investigation on the use of sophisticated computations of features of MMG signals from electrically stimulated muscles in muscle function assessment and assistive technology such as prosthetics control.

IMPROVEMENT IN GLABROUS SKIN PERFUSION WITH HEAT EXPOSURE AND ELECTRICAL STIMULATION IN DIABETIC FOOT WOUNDS.

2005 ◽  
Vol 16 (4) ◽  
pp. 43
Author(s):  
Jerrold S. Petrofsky ◽  
Malty Abdul Al ◽  
Jennifer Cohn ◽  
Robert Loo ◽  
George Marchis ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Diabetic Foot ◽  
Heat Exposure ◽  
Glabrous Skin ◽  
Skin Perfusion

scholarly journals Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review

2020 ◽  
Vol 9 (8) ◽  
pp. 2618
Author(s):  
Isabel Diéguez-Pérez ◽  
Raquel Leirós-Rodríguez
Keyword(s):  
Systematic Review ◽  
Electrical Stimulation ◽  
Deglutition Disorders ◽  
Electric Stimulation ◽  
Web Of Science ◽  
Neuromuscular Electrical Stimulation ◽  
Electric Stimulation Therapy ◽  
Search Terms ◽  
Intensity Threshold ◽  
Strengthening Exercises

Background: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to carry out a systematic review on the efficacy of the various parameters of application of the neuromuscular electrical stimulation in dysphagia generated after a stroke. Methods: A systematic search for publications was conducted in March 2020 in the Pubmed, Cinahl, Medline, Web of Science and Scopus databases, using as search terms: Electric stimulation therapy, Deglutition disorders and Stroke. Results: 21 articles were obtained in which the application of neuromuscular electrical stimulation was applied in isolation (n = 7) or in combination with other techniques such as strengthening exercises and manual therapy techniques (n = 14), with this second modality of treatment having greater benefits for patients. Conclusion: The greatest efficacy of this technique is reached when applied at 60-80 Hz, 700 μs of pulse duration, at the motor intensity threshold and in sessions of 20–30 min.

scholarly journals Disinhibitory Interventions and Voluntary Quadriceps Activation: A Systematic Review

2014 ◽  
Vol 49 (3) ◽  
pp. 411-421 ◽  
Author(s):  
Matthew S. Harkey ◽  
Phillip A. Gribble ◽  
Brian G. Pietrosimone
Keyword(s):  
Electrical Stimulation ◽  
Transcranial Magnetic Stimulation ◽  
Manual Therapy ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Magnetic Stimulation ◽  
Muscle Activation ◽  
Neuromuscular Electrical Stimulation ◽  
Electrical Nerve Stimulation ◽  
Positive Effects

Objective: To determine the effects of various therapeutic interventions on increasing voluntary quadriceps muscle activation. Background: Decreased voluntary quadriceps activation is commonly associated with knee injury. Recently, research has focused on developing specific disinhibitory interventions to improve voluntary quadriceps activation; yet, it remains unknown which interventions are most effective in promoting this improvement. Data Sources: We searched Web of Science from January 1, 1965 through September 27, 2012, using the key words quadriceps activation and transcutaneous electrical nerve stimulation, transcranial magnetic stimulation, cryotherapy, focal joint cooling, joint mobilization, joint mobilisation, joint manipulation, manual therapy, and neuromuscular electrical stimulation. Study Selection: Studies evaluating the effect of disinhibitory interventions on volitional quadriceps activation were used in our review. Standardized effect sizes (Cohen d) and 95% confidence intervals (CIs) were calculated from voluntary quadriceps activation means and standard deviations measured at baseline and at all available postintervention time points from each study. Data Synthesis: Ten studies were grouped into 5 categories based on intervention type: manual therapy (4 studies), transcutaneous electrical nerve stimulation (2 studies), cryotherapy (2 studies), neuromuscular electrical stimulation (2 studies), and transcranial magnetic stimulation (1 study). Transcutaneous electrical nerve stimulation demonstrated the strongest immediate effects (d = 1.03; 95% CI = 0.06, 1.92) and long-term effects (d = 1.93; 95% CI = 0.91, 2.83). Cryotherapy (d = 0.76; 95% CI = −0.13, 1.59) and transcranial magnetic stimulation (d = 0.54; 95% CI = −0.33, 1.37) had moderate immediate effects in improving voluntary quadriceps activation, whereas manual therapy (d = 0.38; 95% CI = −0.35, 1.09) elicited only weak immediate effects. Neuromuscular electrical stimulation produced weak negative to strong positive effects (range of d values = −0.50 to 1.87) over a period of 3 weeks to 6 months. Conclusions: Transcutaneous electrical nerve stimulation demonstrated the strongest and most consistent effects in increasing voluntary quadriceps activation and may be the best disinhibitory intervention for improving the same.

scholarly journals Surface Electrical Stimulation for Treating Swallowing Disorders after Stroke: A Review of the Stimulation Intensity Levels and the Electrode Placements

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Marziyeh Poorjavad ◽  
Saeed Talebian Moghadam ◽  
Noureddin Nakhostin Ansari ◽  
Mostafa Daemi
Keyword(s):  
Electrical Stimulation ◽  
Neuromuscular Electrical Stimulation ◽  
Swallowing Disorders ◽  
Present Review ◽  
Electrode Placement ◽  
Sensory Level ◽  
Stimulation Intensity ◽  
Therapeutic Method ◽  
Positive Effects ◽  
Dysphagic Patients

Neuromuscular electrical stimulation (NMES) for treating dysphagia is a relatively new therapeutic method. There is a paucity of evidence about the use of NMES in patients with dysphagia caused by stroke. The present review aimed to introduce and discuss studies that have evaluated the efficacy of this method amongst dysphagic patients following stroke with emphasis on the intensity of stimulation (sensory or motor level) and the method of electrode placement on the neck. The majority of the reviewed studies describe some positive effects of the NMES on the neck musculature in the swallowing performance of poststroke dysphagic patients, especially when the intensity of the stimulus is adjusted at the sensory level or when the motor electrical stimulation is applied on the infrahyoid muscles during swallowing.

Diabetic Retinopathy in Patients With Diabetic Foot Ulcer: A Systematic Review

2020 ◽  
pp. 153473462098223
Author(s):  
Dragos Serban ◽  
Nikolaos Papanas ◽  
Ana Maria Dascalu ◽  
Daniela Stana ◽  
Vanessa Andrada Nicolae ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Inclusion Criteria ◽  
Large Variability ◽  
Foot Ulceration ◽  
Advanced Stages ◽  
Foot Clinic

This review discusses the evidence on diabetic retinopathy (DR) in patients with diabetic foot ulceration (DFU). A systematic literature review was performed on PubMed, Medline, Springer Nature, and Scopus, following the PRISMA guidelines, using the following terms, individually or in combination: “diabetic foot ulcer” OR “diabetic foot syndrome” OR “DFU” and “diabetic retinopathy.” The initial search yielded 648 articles published between 1975 and 2020. After applying exclusion and inclusion criteria, a total of 9 articles were analyzed, assessing the correlations between DR and DFU. In all cases, DR and especially proliferative diabetic retinopathy were significantly higher in the presence of DFU, though the frequency of DR showed large variability (22.5% to 95.6%). There was a significant correlation between advanced stages of DFU and increased frequency of DR and proliferative diabetic retinopathy. On the other hand, there is a risk of accelerated progression of DR in nonhealing DFUs, possibly related to chronic inflammation and associated infection. Hence, patients with DFUs should be monitored by an ophthalmologist, and those with DR should be promptly referred to a specialized diabetic foot clinic.

629-P: Bedside Blind Bone Biopsy for Diagnosis of Diabetic Foot Osteitis Allows Similar Healing Rate as Conventional Bone Biopsy

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 629-P
Author(s):  
FLORINE FÉRON ◽  
LOUIS POTIER ◽  
GAUTHIER PÉAN DE PONFILLY ◽  
DIANE-CÉ CILE GAUTHIER ◽  
ANNE-LISE MUNIER ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Healing Rate ◽  
Bone Biopsy

Neuromuscular electrical stimulation as an alternative to physical exercise in patients with COPD

2018 ◽  
pp. 59-64
Author(s):  
T. V. Kunafina ◽  
◽  
A. G. Chuchalin ◽  
A. S. Belevsky ◽  
N. N. Mescheryakova ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Physical Exercise ◽  
Neuromuscular Electrical Stimulation

Preliminary outcomes in transcutaneous neuromuscular electrical stimulation use in patients with dysphagia

2018 ◽  
Vol 8 (31) ◽  
pp. 167-174
Author(s):  
Codrut Sarafoleanu ◽  
Raluca Enache
Keyword(s):  
Traumatic Brain Injury ◽  
Head And Neck Cancer ◽  
Electrical Stimulation ◽  
Neurodegenerative Disorders ◽  
Structural Changes ◽  
Congenital Abnormalities ◽  
Neuromuscular Electrical Stimulation ◽  
Therapy Options ◽  
Dysphagia Treatment ◽  
Risk Of Aspiration

Abstract Dysphagia is a common disorder associated with a large number of etiologies like aging, stroke, traumatic brain injury, head and neck cancer, neurodegenerative disorders, structural changes or congenital abnormalities. The type of the treatment and its results depend on the type, severity and the cause of dysphagia. The primary goal of dysphagia treatment is to improve the swallowing process and decrease the risk of aspiration. Along with the existing rehabilitation swallowing treatments, new adjunctive therapy options developed, one of them being the neuromuscular electrical stimulation (NMES). The authors present the principles of NMES, a small literature review about the results of this therapy and their experience in using transcutaneous NMES in dysphagia patients.

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