Venous Thrombosis
Conditions
Keywords
Deep Vein Thrombosis, Neuromuscular Electrical Stimulation, Intermittent Pneumatic Compression, Doppler Ultrasound
Brief summary
Deep Vein Thrombosis (DVT) is a life threatening condition and a serious concern among hospitalized patients, with death occurring in approximately 6% of cases. It involves the formation of a clot where stagnant blood flow occurs, predominantly in the deep veins of the legs. Three mechanisms underlie DVT, venous stasis (slowing or stopping of the blood), hypercoagulability (increased clotting) and damage to blood vessel endothelium (damage to blood vessel wall), collectively known as Virchow's triad. Intermittent pneumatic compression (IPC) and neuromuscular electrical stimulation (NMES) have been shown to improve lower limb blood flow. However, few studies have directly compared the two methods and those that have, have used outdated NMES devices. The objective of this study is to compare the effectiveness of a modern NMES device to intermittent pneumatic compression in terms of blood flow.
Interventions
Frequency of 36Hz, a balanced biphasic waveform with a pulse width of 350μs, a ramp up time of 500ms, a contraction time of 1s and a ramp down time of 500ms.
Programmed to deliver compression every 20 seconds at a pressure of 130mmHg for a 1 second duration over a period of 5 minutes.
Sponsors
Study design
Eligibility
Inclusion criteria
\-
Exclusion criteria
* History of heart/respiratory problems * Pregnancy * Presence of implants, including cardiac pacemakers and orthopaedic implants * History of neurological disorder * History of severe arterial disease or known dermatological problems * Under 18 years of age or over 40 years of age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood Flow Measurements from the Lower Limb | An hour and a half (plus or minus half an hour) |
Secondary
| Measure | Time frame |
|---|---|
| Blood Pressure | An hour and a half (plus or minus half an hour) |
| Heart Rate | An hour and a half (plus or minus half an hour) |
Countries
Ireland