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Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers
Activation of the venous muscle pumps by neuromuscular stimulation of the common peroneal nerve has been previously shown to increase venous and arterial flow in the legs of healthy subjects. The aim of this study is to determine whether a similar effect is observed in patients with chronic venous l...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243992/ https://www.ncbi.nlm.nih.gov/pubmed/33236847 http://dx.doi.org/10.1111/iwj.13510 |
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author | Das, Saroj K. Dhoonmoon, Luxmi Chhabra, Swati |
author_facet | Das, Saroj K. Dhoonmoon, Luxmi Chhabra, Swati |
author_sort | Das, Saroj K. |
collection | PubMed |
description | Activation of the venous muscle pumps by neuromuscular stimulation of the common peroneal nerve has been previously shown to increase venous and arterial flow in the legs of healthy subjects. The aim of this study is to determine whether a similar effect is observed in patients with chronic venous leg ulcers. 1 Hz intermittent electrostimulation of the common peroneal nerve was applied to 14 patients with ulcers between 1 and 10 cm in diameter, eliciting a small, painless, regular, muscular twitch of the leg. Flow was measured using Duplex ultrasound in the popliteal vein and the popliteal artery. Peak arterial velocity increased from 57 to 78 cm/s (P = .001) in sitting position, and from 79 to 98 cm/s in recumbent position (P = .001). Peak venous velocity increased from 10 to 33 cm/s (P = .001) sitting, and from 14 to 47 cm/s (P = .001) recumbent. Significant increases were observed in both venous and arterial blood flow in the lower limb. This suggestsed that activation of the venous muscle pump and improvement of arterial flow assisted oxygen delivery at the wound site. Moreover this may be a worthwhile intervention to assist in the healing of venous leg ulcers, and may provide a mechanistic explanation for the increased healing rates previously reported with neuromuscular stimulation of the common peroneal nerve. |
format | Online Article Text |
id | pubmed-8243992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-82439922021-07-02 Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers Das, Saroj K. Dhoonmoon, Luxmi Chhabra, Swati Int Wound J Original Articles Activation of the venous muscle pumps by neuromuscular stimulation of the common peroneal nerve has been previously shown to increase venous and arterial flow in the legs of healthy subjects. The aim of this study is to determine whether a similar effect is observed in patients with chronic venous leg ulcers. 1 Hz intermittent electrostimulation of the common peroneal nerve was applied to 14 patients with ulcers between 1 and 10 cm in diameter, eliciting a small, painless, regular, muscular twitch of the leg. Flow was measured using Duplex ultrasound in the popliteal vein and the popliteal artery. Peak arterial velocity increased from 57 to 78 cm/s (P = .001) in sitting position, and from 79 to 98 cm/s in recumbent position (P = .001). Peak venous velocity increased from 10 to 33 cm/s (P = .001) sitting, and from 14 to 47 cm/s (P = .001) recumbent. Significant increases were observed in both venous and arterial blood flow in the lower limb. This suggestsed that activation of the venous muscle pump and improvement of arterial flow assisted oxygen delivery at the wound site. Moreover this may be a worthwhile intervention to assist in the healing of venous leg ulcers, and may provide a mechanistic explanation for the increased healing rates previously reported with neuromuscular stimulation of the common peroneal nerve. Blackwell Publishing Ltd 2020-11-25 /pmc/articles/PMC8243992/ /pubmed/33236847 http://dx.doi.org/10.1111/iwj.13510 Text en © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Das, Saroj K. Dhoonmoon, Luxmi Chhabra, Swati Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title | Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title_full | Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title_fullStr | Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title_full_unstemmed | Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title_short | Neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
title_sort | neuromuscular stimulation of the common peroneal nerve increases arterial and venous velocity in patients with venous leg ulcers |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8243992/ https://www.ncbi.nlm.nih.gov/pubmed/33236847 http://dx.doi.org/10.1111/iwj.13510 |
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