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- Title
Neuromuscular electrical stimulation for thromboprophylaxis: A systematic review.
- Authors
Hajibandeh, S.; Antoniou, G. A.; Scurr, J. R. H.; Torella, F.
- Abstract
Objective: To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow and its role in thromboprophylaxis. Method Systematic review of randomised and non-randomised studies evaluating neuromuscular electrical stimulation, and reporting one or more of the following outcomes: incidence of venous thromboembolism, venous blood flow and discomfort profile. Results Twenty-one articles were identified. Review of these articles showed that neuromuscular electrical stimulation increases venous blood flow and is generally associated with an acceptable tolerability, potentially leading to good patient compliance. Ten comparative studies reported DVT incidence, ranging from 2% to 50% with neuromuscular electrical stimulation and 6% to 47.1% in controls. There were significant differences, among included studies, in terms of patient population, neuromuscular electrical stimulation delivery, diagnosis of venous thromboembolism and blood flow measurements. Conclusion Neuromuscular electrical stimulation increases venous blood flow and is well tolerated, but current evidence does not support a role for neuromuscular electrical stimulation in thromboprophylaxis. Randomised controlled trials are required to investigate the clinical utility of neuromuscular electrical stimulation in this setting.
- Subjects
THROMBOEMBOLISM prevention; VENOUS thrombosis prevention; ELECTRIC stimulation; MEDICAL information storage &; retrieval systems; LEG; MEDLINE; ONLINE information services; VEINS; SYSTEMATIC reviews; TREATMENT effectiveness
- Publication
Phlebology, 2015, Vol 30, Issue 9, p589
- ISSN
0268-3555
- Publication type
Article
- DOI
10.1177/0268355514567731