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Thread: Preventing Pressure Sores with Neuromuscular Electrical Stimulation

  1. #1

    Preventing Pressure Sores with Neuromuscular Electrical Stimulation

    http://feswww.fes.cwru.edu/projects/rjtscrf.htm

    Preventing Pressure Sores with Neuromuscular Electrical Stimulation


    Principal Investigators:

    Ronald J. Triolo, Ph.D., John Chae, M.D.


    Target Population: Persons with spinal cord injury who have a history of severe pressure sores


    Abstract:

    Pressure sores are a major secondary complication of spinal cord injury and can have serious adverse effects on the psychological and physical well-being of the individual. They are also very expensive, requiring long periods of bedrest and possible surgery for successful healing. Methods of prevention have tended to conentrate on devices such as support cushions and reclining wheelchairs. Neuromuscular electrical stimulation (NMES) is a method of changing the characteristics of paralyzed muscles so that the response to long-term loading, particularly in a wheelchair, may be improved. This study will therefore assess the effects of bilateral NMES on the gluteal muscles in the buttock region. Implanted percutaneous electrodes will be used with a 4-channel programmable stimulator system. Ten subjects with a history of severe pressure sores will participate in the study. Progressive changes in muscle bulk and blood flow through the capillaries just below the skin will be monitored using computerized tomography (CT) scans and transcutaneous oxygen measurement. These measurements will give a good indication of the health, or viability, of the skin and muscle. It is expected that this pilot study will provide preliminary data on the therapeutic use of neuromuscular electrical stimulation for improving the properties of paralyzed muscle so that the incidence of pressure sores in people with SCI can be reduced.

    This is a new study beginning in 1997.


    Project Sponsor:

    Spinal Cord Research Foundation, Paralyzed Veterans of America


    For more information contact:

    Kath Bogie

    Cleveland FES Center

    11000 Cedar Avenue

    Cleveland, OH 44106-3052

    (216)231-3257 (216)231-3258 FAX

    or

    Rehabilitation Engineering Center, H 601

    MetroHealth Medical Center

    2500 MetroHealth Drive

    Cleveland, OH 44109-1998

    (216)778-3604 (216)778-4259 FAX

    E-Mail: kmb3@po.cwru.edu

  2. #2

    NeuroMuscular electrical stimulation

    Wise,
    What were the results of your study?

  3. #3
    I would imagine that it would have decreased the amount of sores, right? Because the area where the pressure would have been means that the muscles/skin/cells were consistently being stimulated instead of just becoming subject to atrophy. The cells and muscles get stimulated, then it improves the health of the muscle by making it stronger, allowing the blood to flow properly (which in turn allows immune system cells to repair damaged tissue faster), and keeps the area from developing really bad sores. That's what one would logically think would happen anyway, right?


  4. #4
    Senior Member darty's Avatar
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    Quote Originally Posted by neurosciencegeek View Post
    I would imagine that it would have decreased the amount of sores, right? Because the area where the pressure would have been means that the muscles/skin/cells were consistently being stimulated instead of just becoming subject to atrophy. The cells and muscles get stimulated, then it improves the health of the muscle by making it stronger, allowing the blood to flow properly (which in turn allows immune system cells to repair damaged tissue faster), and keeps the area from developing really bad sores. That's what one would logically think would happen anyway, right?
    I am about ready to try this...

    http://www.slendertoneusa.com/p-114-...tom-toner.aspx
    ^^(A)^^

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