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Objectives: The acute care of pelvic fractures has improved recently however there are no formal guidelines for rehabilitation of these types of fractures. Patients have long periods of non-weight bearing causing muscle wastage. Neuromuscular electrical stimulation (NMES) has proven to minimise muscle loss. However, this has not previously been investigated within this patient population.
Design: Double blind, randomised, feasibility study.
Setting: NHS trust hospital setting.
Participants: Nine patients with surgically fixed pelvic fractures were randomly allocated at six weeks post fracture.
Interventions: The intervention group completed six weeks of NMES. The placebo group used transcutaneous electrical nerve stimulation (TENS).
Main outcome measures: Peak torque (Nm) was calculated in the operated limb at 12 weeks using the non-operated limb as a baseline. Compliance and intensity levels were recorded. Feasibility of NMES was evaluated using a feasibility questionnaire. Pain was measured at six and 12 weeks using a visual analogue scale (VAS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Neuromuscular muscle stimulation machine - Muscle stimulation machine to be used on glutes and abductors on disuse atrophy setting. Twice per day for 45 minutes. Exercise - Home exercises programme once per day with 10 exercises. |
|
| Placebo Group | Placebo Comparator | Neuromuscular muscle stimulation- Muscle stimulation machine to be used on glutes and abductors on TENS setting. Twice per day for 45 minutes. Exercise - Home exercises programme once per day with 10 exercises. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neuromuscular muscle stimulation machine- Strength Setting | Device | Muscle stimulation to strength skeletal muscle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Muscle Strength | Peak Torque muscle strength | 12 weeks post operation |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility questionnaire | questionnaire of 10 questions | 12 weeks post operation |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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Treatment and intervention group
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| Neuromuscular muscle stimulation machine - TENS Setting | Device | Muscle stimulation to mimic the intervention but without the strength gains. |
|