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

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Title: A Review of the Evidence to Support Neuromuscular Electrical Stimulation in the Prevention and Management of Venous Disease
Authors: Williams, KJ
Ravikumar, R
Gaweesh, AS
Moore, HM
Lifsitz, AD
Lane, TR
Shalhoub, J
Babber, A
Davies, AH
Item Type: Journal Article
Abstract: INTRODUCTION: The prevention and management of venous disease is a therapeutic challenge. Movement of blood through the venous system is augmented by the action of muscles on the deep veins, and can be achieved through the application of electrical current. The efficacy of currently available clinical devices for this purpose is unknown, and is investigated here. METHODS: A literature search of the EMBASE and Medline databases was performed, and studies were included if they were full text articles, written in english, pertaining to venous disease and neuromuscular electrical stimulation (NMES). RESULTS: NMES devices increase venous haemodynamic parameters such as peak velocity and volume flow. Studies report them to be non-inferior to intermittent pneumatic compression. They are effective in the prevention of venous thromboembolism, though inferior to low molecular weight heparin. NMES can reduce symptoms of chronic venous disease. DISCUSSION: NMES is an important tool in the prevention and management of venous disease, and avoids the significant risks associated with heparin administration. Data explored here is heterogenous in device, protocol, and reported end-points, therefore should be interpreted with care. Long term effects of treatment with NMES have not been explored.
Issue Date: 13-Sep-2016
Date of Acceptance: 1-Sep-2016
URI: http://hdl.handle.net/10044/1/40753
DOI: https://dx.doi.org/10.1007/5584_2016_128
ISSN: 0065-2598
Publisher: Springer Verlag
Start Page: 377
End Page: 386
Journal / Book Title: Advances in Experimental Medicine and Biology
Volume: 906
Copyright Statement: © Springer Verlag 2016. The final publication is available at Springer via http://dx.doi.org/10.1007/5584_2016_128.
Keywords: Electrical stimulation
Heparin
Thrombosis
VTE
Venous
General & Internal Medicine
11 Medical And Health Sciences
Publication Status: Published
Open Access location: http://link.springer.com/chapter/10.1007/5584_2016_128
Appears in Collections:Division of Surgery
Faculty of Medicine



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