Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty

Journal of Orthopaedic Surgery and Research

Gearóid ÓLaighin²  Eric Masterson¹  Finbarr Condon¹  Oisin Breathnach¹  Barry J Broderick² 

[1] Department of Orthopaedics, Mid-Western Orthopaedic Hospital, Croom, Co, Limerick, Ireland;Bioelectronics Research Cluster, National Centre for Biomedical Engineering Science, NUI Galway, University Road, Galway, Ireland

关键词: Lower limb hemodynamics;    Total hip arthroplasty;    DVT;    Deep vein thrombosis;    NMES;    Neuromuscular electrical stimulation;   

Others  :  817800
DOI  :  10.1186/1749-799X-8-3

 received in 2011-11-09, accepted in 2013-02-22,  发布年份 2013

【 摘 要 】

Background

Patients post total hip arthroplasty (THA) remain at high risk of developing Deep Vein Thrombosis (DVT) during the recovery period following surgery despite the availability of effective pharmacological and mechanical prophylactic methods. The use of calf muscle neuromuscular electrical stimulation (NMES) during the hospitalised recovery period on this patient group may be effective at preventing DVT. However, the haemodynamic effectiveness and comfort characteristics of NMES in post-THA patients immediately following surgery have yet to be established.

Methods

The popliteal veins of 11 patients, who had undergone unilateral total hip replacement surgery on the day previous to the study, were measured using Doppler ultrasound during a 4 hour neuromuscular electrical stimulation (NMES) session of the calf muscles. The effect of calf muscle NMES on peak venous velocity, mean venous velocity and volume flow were compared to resting values. Comfort was assessed using a 100mm non-hatched visual analogue scale taken before application of NMES, once NMES was initiated and before NMES was withdrawn.

Results

In the operated limb NMES produced increases in peak venous velocity of 99% compared to resting. Mean velocity increased by 178% compared to resting and volume flow increased by 159% compared to resting. In the un-operated limb, peak venous velocity increased by 288%, mean velocity increased by 354% and volume flow increased by 614% compared to basal flow (p<0.05 in all cases). There were no significant differences observed between the VAS scores taken before the application of NMES, once NMES was initiated and before NMES was withdrawn (p=.211).

Conclusions

NMES produces a beneficial hemodynamic response in patients in the early post-operative period following orthopaedic surgery. This patient group found extended periods of calf-muscle NMES tolerable.

Trial registration

ClinicalTrials.gov NCT01785251

【 授权许可】

   
2013 Broderick et al; licensee BioMed Central Ltd.

【 图 表 】

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