Imperial College London
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DrTristanLane

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3311 7317tristan.lane Website

 
 
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Location

 

Remote or 4N12ANorth WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Goodall:2020:10.1177/1534734619898978,
author = {Goodall, R and Langridge, B and Lane, T and Davies, A and Shalhoub, J},
doi = {10.1177/1534734619898978},
journal = {International Journal of Lower Extremity Wounds},
pages = {242--250},
title = {A narrative review of the use of neuromuscular electrical stimulation in individuals with diabetic foot ulceration},
url = {http://dx.doi.org/10.1177/1534734619898978},
volume = {19},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - This review aims to summarise 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, seven 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 three of the included participants had DFU and subgroup analyses based on ulcer aetiology was omitted. The remaining five 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 non-diabetic wounds of a similar grade (Healing rate: 70.0±32.3% in DFU vs. 38.4±22.3% in non diabetic ulcers (p<0.01)). 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 supports 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.
AU  - Goodall,R
AU  - Langridge,B
AU  - Lane,T
AU  - Davies,A
AU  - Shalhoub,J
DO  - 10.1177/1534734619898978
EP  - 250
PY  - 2020///
SN  - 1534-7346
SP  - 242
TI  - A narrative review of the use of neuromuscular electrical stimulation in individuals with diabetic foot ulceration
T2  - International Journal of Lower Extremity Wounds
UR  - http://dx.doi.org/10.1177/1534734619898978
UR  - http://hdl.handle.net/10044/1/75479
VL  - 19
ER  -
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