Safety and Feasibility of Intermittent Electrical Stimulation for the Prevention of Deep Tissue Injury

Advances in Wound Care
Alisa AhmetovićK Ming Chan

Abstract

Objective: To investigate the safety, feasibility, and acceptability of a novel treatment, intermittent electrical stimulation (IES), for preventing deep tissue injury (DTI) in different healthcare settings. Approach: Testing was conducted in an acute rehabilitation unit of a general hospital, a tertiary rehabilitation hospital, a long-term care facility, and homecare (HC). IES was delivered through surface electrodes placed either directly on the gluteal muscles or through mesh panels inside a specialized garment. Study participants at risk for DTI used the system for an average of 4 weeks. Outcome measures included skin reaction to long-term stimulation, demands on the caregiver, stability of induced muscle contraction, and acceptability as part of the users' daily routine. Results: A total of 48 study participants used the IES system. The system proved to be safe and feasible in all four clinical settings. No pressure ulcers were observed in any of the participants. There was no difference between the clinical settings in patient positioning, ease of finding optimal stimulation site, and patient acceptance. Although donning and doffing time was longer in the long-term care and HC settings than the acute rehabilitation unit a...Continue Reading

References

Nov 28, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·F William Blaisdell
Feb 17, 2005·Advances in Skin & Wound Care·Karen ZulkowskiUNKNOWN National Pressure Ulcer Advisory Panel
Feb 3, 2007·Journal of Applied Physiology·Leandro R SolisVivian K Mushahwar

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Citations

Sep 28, 2016·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Jeremy S HonakerEmily Sacca
Jul 10, 2019·Journal of Rehabilitation and Assistive Technologies Engineering·K M BogieD B Shire

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