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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...

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Autores principales: Das, Saroj K., Dhoonmoon, Luxmi, Chhabra, Swati
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2020
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.
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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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