Neuromuscular Electrostimulation Increases Microcirculatory Flux in Mixed Etiology Leg Ulcers.

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI:10.1097/ASW.0000000000000261

Keith Gordon Harding, Melissa Blow, Faye Ashton, David C Bosanquet

{"title":"Neuromuscular Electrostimulation Increases Microcirculatory Flux in Mixed Etiology Leg Ulcers.","authors":"Keith Gordon Harding, Melissa Blow, Faye Ashton, David C Bosanquet","doi":"10.1097/ASW.0000000000000261","DOIUrl":null,"url":null,"abstract":"Objective: To determine if intermittent neuromuscular electrostimulation (NMES) of the common peroneal nerve increases microvascular flow and pulsatility in and around the wound bed of patients with combined venous and arterial etiology.Methods: Seven consenting participants presenting with mixed etiology leg ulcers participated in this study. Microvascular flow and pulsatility was measured in the wound bed and in the skin surrounding the wound using laser speckle contrast imaging. Measurements were made at baseline and when the venous pumps of the leg were activated by 1 Hz intermittent neuromuscular stimulation of the common peroneal nerve. The nerve was stimulated transdermally at the head of the fibula.Results: When activated by NMES, wound bed flux increased by 38% (95% CI, 11%-73%; P = .023), and periwound flux increased by 19% (95% CI, 9%-32%; P = .009). Pulsatility increased in the wound bed by 214% (95% CI, 51%-985%; P = .017) and in the periwound by 122% (95% CI, 38%-299%; P = .014).Conclusions: The results indicate that NMES is effective in augmenting microvascular flow in leg ulcers with combined venous and arterial etiology.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"25-30"},"PeriodicalIF":1.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Skin & Wound Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ASW.0000000000000261","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To determine if intermittent neuromuscular electrostimulation (NMES) of the common peroneal nerve increases microvascular flow and pulsatility in and around the wound bed of patients with combined venous and arterial etiology.

Methods: Seven consenting participants presenting with mixed etiology leg ulcers participated in this study. Microvascular flow and pulsatility was measured in the wound bed and in the skin surrounding the wound using laser speckle contrast imaging. Measurements were made at baseline and when the venous pumps of the leg were activated by 1 Hz intermittent neuromuscular stimulation of the common peroneal nerve. The nerve was stimulated transdermally at the head of the fibula.

Results: When activated by NMES, wound bed flux increased by 38% (95% CI, 11%-73%; P = .023), and periwound flux increased by 19% (95% CI, 9%-32%; P = .009). Pulsatility increased in the wound bed by 214% (95% CI, 51%-985%; P = .017) and in the periwound by 122% (95% CI, 38%-299%; P = .014).

Conclusions: The results indicate that NMES is effective in augmenting microvascular flow in leg ulcers with combined venous and arterial etiology.

查看原文本刊更多论文

神经肌肉电刺激增加混合病因腿溃疡的微循环通量。

目的：探讨腓总神经间歇神经肌肉电刺激（NMES）是否会增加静脉和动脉联合病因患者伤口床内及周围的微血管流量和脉搏。方法：7名同意的混合病因性腿部溃疡患者参加了这项研究。采用激光散斑对比成像技术测量伤口床和伤口周围皮肤的微血管流量和脉搏。测量是在基线和当腿部静脉泵被1 Hz间歇腓总神经肌肉刺激激活时进行的。经皮刺激腓骨前端的神经。结果：NMES激活后，伤口床通量增加38% (95% CI, 11% ~ 73%；P = 0.023)，绕周通量增加19% (95% CI, 9%-32%；P = .009)。创面搏动增加214% (95% CI, 51%-985%；P = 0.017)，围曲期为122% (95% CI, 38%-299%；P = .014)。结论：NMES对静脉和动脉合并的腿部溃疡具有增强微血管血流的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.