A systematic review of neuromuscular electrical stimulation for pressure ulcer care in spinal cord injuries

Conference item


Liu, L., Moody, J., Dyson, S., Traynor, M. and Gall, A. 2014. A systematic review of neuromuscular electrical stimulation for pressure ulcer care in spinal cord injuries. The 53rd ISCoS Annual Scientific Meeting. Maastricht, The Netherlands 02 - 04 Sep 2014
TitleA systematic review of neuromuscular electrical stimulation for pressure ulcer care in spinal cord injuries
AuthorsLiu, L., Moody, J., Dyson, S., Traynor, M. and Gall, A.
Abstract

Introduction and Aim
Pressure ulcer (PU) is one of the most common secondary complications following a spinal cord injury (SCI). Electrical stimulation (ES) can confer the benefit to pressure ulcer care in SCI. However, to date, the clinical guidelines regarding the use of ES for PU management in SCI remain limited. This systematic review was therefore conducted to identify the updated evidence, and to pinpoint the scope of the feasibility of future studies implementing electrical stimulation for PU management in SCI. The overall aim of this review was to critically appraise and synthesize the research evidence on neuromuscular ES for the prevention and treatment of PU in spinal cord injuries.
Material and Method
Review was limited to peer-reviewed studies published in English from 1970 to 2013. A Free-text and keyword/MESH terms search of five databases (Medline, CINAHL, EMBASE, PsycINFO and the Cochrane Central Register of Controlled Trials.), in addition to manual searches of other resources and retrieved articles was undertaken on 18th July 2013. Studies included randomized controlled trials (RCTs), non-randomized controlled trials, prospective cohort studies, case series, case control studies and case report studies. Target population included adults with SCI. Interventions of any type of neuromuscular ES were accepted. Any outcome measuring the effectiveness of PU prevention and treatment was included. Methodological quality was evaluated using established instruments by two independent reviewers.
Results
Twenty-seven studies were included in this review, 9/27 studies were RCTs. Six of RCTs were therapeutic trials. ES enhanced PU healing in all therapeutic studies. The evidence of long-term benefit of ES for pressure ulcer prevention is uncertain. Five types of ES modalities (surface electrodes, ES shorts, sacral anterior nerve root implant, neuromuscular electrical stimulation implant and anal probe) were identified in this review.
Conclusion
The great variability in the parameters and locations of ES application and outcome measure leads to an inability to advocate any one standard therapeutic approach for PU therapy or prevention. The methodological quality of the studies was generally poor, in particular for those prevention studies. Future research is suggested to improve the design of ES devices, standardize ES parameters and conduct more rigorous trials.

ConferenceThe 53rd ISCoS Annual Scientific Meeting
Publication process dates
Deposited08 May 2014
Submitted02 Sep 2014
Output statusPublished
Web address (URL)http://www.iscos.org.uk/meetings/2014-annual-scientific-meeting
LanguageEnglish
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Roposch, A. and Liu, L. 2010. Variation in diagnostic criteria for DDH among orthopaedic surgeons. 29th Annual EPOS Meeting. Zagreb, Croatia 07 - 10 Apr 2010
Pressure changes under the ischial tuberosities of seated individuals during sacral nerve root stimulation
Liu, L., Craggs, M., Knight, S. and Ferguson-Pell, M. 2004. Pressure changes under the ischial tuberosities of seated individuals during sacral nerve root stimulation. in: Wood, D. and Taylor, P. (ed.) Proceedings of 9th Annual Conference of the International Functional Electrical Stimulation Society Bournemouth University.
Pressure and cutaneous blood perfusion changes under the Ischial tuberosities during sacral nerve root stimulation
Liu, L., Craggs, M., Knight, S. and Ferguson-Pell, M. 2005. Pressure and cutaneous blood perfusion changes under the Ischial tuberosities during sacral nerve root stimulation. International Conference on Posture and Wheeled Mobility. Exeter, Exeter University, South West England, U.K
Sacral nerve roots stimulation for Ischial pressure and blood perfusion changes in SCI
Liu, L., Knight, S., Nicholson, G., Chelvarajah, R., Middleton, F., Gall, A., Ferguson-Pell, M. and Craggs, M. 2005. Sacral nerve roots stimulation for Ischial pressure and blood perfusion changes in SCI. 44th Annual Scientific Meeting of the International Spinal Cord Society. Munich and Murnau, Germany 04 - 08 Oct 2005
Pressure changes under the Ischial tuberosities during gluteal neuromuscular stimulations in SCI : a comparison of sacral nerve root stimulation(SNRS) against surface FES’
Liu, L., Knight, S., Chelvarajah, R., Gall, A., Middleton, F. and Ferguson-Pell, M. 2006. Pressure changes under the Ischial tuberosities during gluteal neuromuscular stimulations in SCI : a comparison of sacral nerve root stimulation(SNRS) against surface FES’. 45th Annual Scientific Meeting of the International Spinal Cord Society. Boston 25 - 28 Jun 2006
Reporting quality of randomised controlled trials in solid organ transplantation
Liu, L., Pengel, L. and Morris, P. 2011. Reporting quality of randomised controlled trials in solid organ transplantation. European Society of Transplantation Congress. Glasgow, Scotland 05 - 07 Sep 2011
Do reporting of randomised controlled trials in solid organ transplantation adherence to CONSORT statement? A 3 year overview
Liu, L., Pengel, L. and Morris, P. 2012. Do reporting of randomised controlled trials in solid organ transplantation adherence to CONSORT statement? A 3 year overview. 15th British Transplant Society Congress. Glasgow, Scotland 22 - 25 Feb 2012
Capillary density and endothelial function in patients with treated essential hypertension and in patients with typical chest pain and normal coronary arteriograms
Antonios, T., Liu, L., Pizzi, C., Cosin-Sales, J., Fredericks, S. and Kaski, J. 2004. Capillary density and endothelial function in patients with treated essential hypertension and in patients with typical chest pain and normal coronary arteriograms. Journal of Hypertension. 22, p. S168.
Orthogonal polarization spectral (OPS) imaging of capillary microcirculation in AfroCarribean and caucasian subjects with essential hypertension
Liu, L., Simmon, J., Markandu, N., MacGregor, G. and Antonios, T. 2004. Orthogonal polarization spectral (OPS) imaging of capillary microcirculation in AfroCarribean and caucasian subjects with essential hypertension. Journal of Hypertension, Supplement. 22 (S132).
Skin capillary density in hypertensive and normotensive individuals and its correlation with plasma rennin activity and ambulatory blood pressure
Liu, L., Simmon, J., Markandu, N., MacGregor, G. and Antonios, T. 2004. Skin capillary density in hypertensive and normotensive individuals and its correlation with plasma rennin activity and ambulatory blood pressure. Journal of Hypertension. 22, p. S132.
Diffuse endothelial dysfunction is common to ANCA associated systemic vasculitis and polyarteritis nodosa.
Filer, A., Gardner-Medwin, J., Thambyrajah, J., Raza, K., Carruthers, D., Stevens, R., Liu, L., Lowe, S., Townend, J. and Bacon, P. 2003. Diffuse endothelial dysfunction is common to ANCA associated systemic vasculitis and polyarteritis nodosa. Annals of the Rheumatic Diseases. 62 (2), pp. 162-167. https://doi.org/10.1136/ard.62.2.162
Variation in diagnostic criteria for developmental dysplasia of the hip among orthopaedic surgeons
Roposch, A. and Liu, L. 2010. Variation in diagnostic criteria for developmental dysplasia of the hip among orthopaedic surgeons. Journal of Children's Orthopaedics. 4 (1), p. S23.
Pressure changes under the ischial tuberosities of seated individuals during sacral nerve root stimulation
Liu, L., Nicholson, G., Knight, S., Chelvarajah, R., Gall, A., Middleton, F., Ferguson-Pell, M. and Craggs, M. 2006. Pressure changes under the ischial tuberosities of seated individuals during sacral nerve root stimulation. Journal of Rehabilitation Research & Development. 43 (2), pp. 209-218. https://doi.org/10.1682/JRRD.2005.04.0078
Interface pressure and cutaneous hemoglobin and oxygenation changes under ischial tuberosities during sacral nerve root stimulation in spinal cord injury
Liu, L., Nicholson, G., Knight, S., Chelvarajah, R., Gall, A., Middleton, F., Ferguson-Pell, M. and Craggs, M. 2006. Interface pressure and cutaneous hemoglobin and oxygenation changes under ischial tuberosities during sacral nerve root stimulation in spinal cord injury. Journal of Rehabilitation Research & Development. 43 (4), pp. 553-564. https://doi.org/10.1682/JRRD.2005.08.0135
A systematic review of interventions for anxiety in people with HIV
Clucas, C., Sibley, E., Harding, R. and Liu, L. 2011. A systematic review of interventions for anxiety in people with HIV. Psychology, Health & Medicine. 16 (5), pp. 528-547. https://doi.org/10.1080/13548506.2011.579989
What is the evidence for effectiveness of interventions to enhance coping among people living with HIV disease? a systematic review
Harding, R., Liu, L., Catalan, J. and Sherrd, L. 2011. What is the evidence for effectiveness of interventions to enhance coping among people living with HIV disease? a systematic review. Psychology, Health & Medicine. 16 (5), pp. 564-587. https://doi.org/10.1080/13548506.2011.580352
Variations in the use of diagnostic criteria for developmental dysplasia of the hip
Roposch, A., Liu, L. and Protopapa, E. 2013. Variations in the use of diagnostic criteria for developmental dysplasia of the hip. Clinical Orthopaedics and Related Research. 471 (6), pp. 1946-1954. https://doi.org/10.1007/s11999-013-2846-5
Standardized diagnostic criteria for developmental dysplasia of the hip in early infancy
Roposch, A., Liu, L., Hefti, F., Clarke, N. and Wedge, J. 2011. Standardized diagnostic criteria for developmental dysplasia of the hip in early infancy. Clinical Orthopaedics and Related Research. 469 (12), pp. 3451-3461. https://doi.org/10.1007/s11999-011-2066-9
Compliance to the CONSORT statement of randomized controlled trials in solid organ transplantation: a 3-year overview
Liu, L., Morris, P. and Pengel, L. 2013. Compliance to the CONSORT statement of randomized controlled trials in solid organ transplantation: a 3-year overview. Transplant International. 26 (3), pp. 300-306. https://doi.org/10.1111/tri.12034
Do wound complications or lymphoceles occur more often in solid organ transplant recipients on mTOR inhibitors? A systematic review of randomized controlled trials
Pengel, L., Liu, L. and Morris, P. 2011. Do wound complications or lymphoceles occur more often in solid organ transplant recipients on mTOR inhibitors? A systematic review of randomized controlled trials. Transplant International. 24 (12), pp. 1216-1230. https://doi.org/10.1111/j.1432-2277.2011.01357.x
Functional outcomes in children with osteonecrosis secondary to treatment of developmental dysplasia of the hip
Roposch, A., Liu, L., Offiah, A. and Wedge, J. 2011. Functional outcomes in children with osteonecrosis secondary to treatment of developmental dysplasia of the hip. Journal of Bone & Joint Surgery (American). 93 (24). https://doi.org/10.2106/JBJS.J.01623
Parallel vigilance: Parents' dual focus following diagnosis of Type 1 diabetes mellitus in their young child
Niedel, S., Traynor, M., McKee, M. and Grey, M. 2013. Parallel vigilance: Parents' dual focus following diagnosis of Type 1 diabetes mellitus in their young child. Health (London). 17 (3), pp. 246-265. https://doi.org/10.1177/1363459312451180
Disciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study
Traynor, M., Stone, K., Cook, H., Gould, D. and Maben, J. 2014. Disciplinary processes and the management of poor performance among UK nurses: bad apple or systemic failure? A scoping study. Nursing Inquiry. 21 (1), pp. 51-58. https://doi.org/10.1111/nin.12025
Nursing in context: policy, politics, profession
Traynor, M. 2013. Nursing in context: policy, politics, profession. London Palgrave Macmillan.
School ethos and variation in health experience of young people with sickle cell disorder at school
Dyson, S.E., Atkin, K., Culley, L., Demaine, J. and Dyson, S.M. 2012. School ethos and variation in health experience of young people with sickle cell disorder at school. Diversity and Equality in Health and Care. 9 (1), pp. 33-44.
The management of poor performance in nursing and midwifery: a case for concern.
Stone, K., Traynor, M., Gould, D. and Maben, J. 2011. The management of poor performance in nursing and midwifery: a case for concern. Journal of Nursing Management. https://doi.org/10.1111/j.1365-2834.2011.01219.x
Psychiatric nursing staff members' reflections on participating in group-based clinical supervision: A semistructured interview study
Buus, N., Angel, S., Traynor, M. and Gonge, H. 2011. Psychiatric nursing staff members' reflections on participating in group-based clinical supervision: A semistructured interview study. International Journal of Mental Health Nursing. 20 (2), pp. 95-101. https://doi.org/10.1111/j.1447-0349.2010.00709.x
Sickle cell, habitual dys-positions and fragile dispositions: young people with sickle cell at school
Dyson, S.M., Atkin, K., Culley, L., Dyson, S.E. and Evans, H. 2011. Sickle cell, habitual dys-positions and fragile dispositions: young people with sickle cell at school. Sociology of Health & Illness. 33 (3), pp. 465-483. https://doi.org/10.1111/J.1467-9566.2010.01301.X
Professional autonomy in 21st century healthcare: nurses’ accounts of clinical decision-making
Traynor, M., Boland, M. and Buus, N. 2010. Professional autonomy in 21st century healthcare: nurses’ accounts of clinical decision-making. Social Science & Medicine. 71 (8), pp. 1506-1512. https://doi.org/10.1016/j.socscimed.2010.07.029
The bigger picture.
Traynor, M. 2009. The bigger picture. Nursing Standard. 24 (10), pp. 26-27.
Why healthcare research?
Traynor, M. 2010. Why healthcare research? in: Roberts, P. and Priest, H. (ed.) Healthcare research: a handbook for students and practitioners. Wiley.
Autonomy, evidence and intuition: nurses and decision-making
Traynor, M., Boland, M. and Buus, N. 2010. Autonomy, evidence and intuition: nurses and decision-making. Journal of Advanced Nursing. 66 (7), pp. 1584-1591. https://doi.org/10.1111/j.1365-2648.2010.05317.x
Reported school experiences of young people living with sickle cell disorder in England
Dyson, S.M., Abuateya, H., Atkin, K., Culley, L., Dyson, S.E. and Rowley, D. 2010. Reported school experiences of young people living with sickle cell disorder in England. British Educational Research Journal. 36 (1), pp. 125-142. https://doi.org/10.1080/01411920902878941
Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school
Dyson, S.M., Atkin, K., Culley, L., Dyson, S.E., Evans, H. and Rowley, D. 2010. Disclosure and sickle cell disorder: a mixed methods study of the young person with sickle cell at school. Social Science & Medicine. 70 (12), pp. 2036-2044. https://doi.org/10.1016/j.socscimed.2010.03.010
'Nurse entrepreneurs' a case of government rhetoric?
Traynor, M., Drennan, V., Goodman, C., Mark, A., Davis, K., Peacock, R. and Banning, M. 2008. 'Nurse entrepreneurs' a case of government rhetoric? Journal of Health Services Research & Policy. 13 (1), pp. 13-18. https://doi.org/10.1258/jhsrp.2007.006057
Indeterminacy and technicality revisited: how medicine and nursing have responded to the evidence based movement
Traynor, M. 2009. Indeterminacy and technicality revisited: how medicine and nursing have responded to the evidence based movement. Sociology of Health & Illness. 31 (4), pp. 494-507. https://doi.org/10.1111/j.1467-9566.2008.01146.x
Implementing a clinical academic career pathway in nursing: criteria for success and challenges ahead
Traynor, M. 2009. Implementing a clinical academic career pathway in nursing: criteria for success and challenges ahead. Journal of Research in Nursing. 14 (2), pp. 149-151. https://doi.org/10.1177/1744987108101952
Humanism and its critiques in nursing research literature
Traynor, M. 2009. Humanism and its critiques in nursing research literature. Journal of Advanced Nursing. 65 (7), pp. 1560-1567. https://doi.org/10.1111/j.1365-2648.2008.04956.x
Quality of life, sleep, mood and alcohol consumption: a complex interaction
Traynor, M., Kind, P. and Peters, T. 2002. Quality of life, sleep, mood and alcohol consumption: a complex interaction. Addiction Biology. 7 (1), pp. 55-65. https://doi.org/10.1080/135562101200100616
Is nursing research typical of biomedical research?
Lewison, G., Rafferty, A. and Traynor, M. 2001. Is nursing research typical of biomedical research? Research Evaluation. 10 (2), pp. 97-103.
Endogenous and exogenous research? Findings from a bibliometric study of UK nursing research
Traynor, M., Lewison, G. and Rafferty, A. 2001. Endogenous and exogenous research? Findings from a bibliometric study of UK nursing research. Journal of Advanced Nursing. 34 (2), pp. 212-222. https://doi.org/10.1046/j.1365-2648.2001.01747.x
The oil crisis, risk and evidence-based practice
Traynor, M. 2002. The oil crisis, risk and evidence-based practice. Nursing Inquiry. 9 (3), pp. 162-169. https://doi.org/10.1046/j.1440-1800.2002.00153.x
Discourse analysis: theoretical and historical overview and review of papers in the Journal of Advanced Nursing 1996-2004
Traynor, M. 2006. Discourse analysis: theoretical and historical overview and review of papers in the Journal of Advanced Nursing 1996-2004. Journal of Advanced Nursing. 54 (1), pp. 62-72. https://doi.org/10.1111/j.1365-2648.2006.03791.x
Education and young people with sickle cell disorder: a knowledge review
Abuateya, H., Atkin, K., Culley, L., Dyson, S.E. and Dyson, S.M. 2008. Education and young people with sickle cell disorder: a knowledge review. Diversity in Health and Social Care. 5 (2), pp. 123-135.
Local authorities and the education of young people with sickle cell disorders in England
Dyson, S.M., Abuateya, H., Atkin, K., Culley, L., Dyson, S.E. and Rowley, D. 2008. Local authorities and the education of young people with sickle cell disorders in England. International Studies in Sociology of Education. 18 (1), pp. 47-60. https://doi.org/10.1080/09620210802196168