Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 432-437, September 2010

Use of Noninvasive Interactive Neurostimulation to Improve Short-Term Recovery in Patients with Surgically Repaired Bimalleolar Ankle Fractures: A Prospective, Randomized Clinical Trial

  • Igor G. Gorodetskyi, MD

      Affiliations

    • Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
    • Corresponding Author InformationAddress correspondence to: Igor G. Gorodetskyi, PhD, Professor, Department of Ergonomics and Informational Measuring Systems, Moscow Aviation Technology Institute, Russian State Technological University, 22 Schepkina Street, Office 25, Moscow, Russia 129090.
    • ,
  • Anatolyi I. Gorodnichenko, MD

      Affiliations

    • Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
    • ,
  • Petr S. Tursin, MD

      Affiliations

    • Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
    • ,
  • Vitalyi K. Reshetnyak, MD

      Affiliations

    • Director, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
    • ,
  • Oleg N. Uskov, MD

      Affiliations

    • Assistant, Department of Traumatology and Orthopedics, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia

published online 06 August 2010.

Abstract 

We undertook a trial with 60 patients who had undergone operative reduction and internal fixation of bimalleolar, AO type B2 ankle fractures with comminution. Patients were randomized into 2 groups, one of which received postoperative treatment using a noninvasive interactive neurostimulation device (InterX®) and the other with a sham device. The trial was designed to test the hypothesis that incorporation of noninvasive interactive neurostimulation into the rehabilitation protocol would result in reduced pain, increased range of motion, reduced edema, and reduced consumption of pain medication, in comparison with the sham therapy group. Outcome measurements included the patient's subjective assessment of level of pain, range of motion, and the extent of edema in the involved ankle, and the use of ketorolac for postoperative control of pain. The results showed significantly better results in the patients receiving treatment with active neurostimulation (repeated measures analysis of variance, P < .001).

Level of Clinical Evidence: 1

Keywords: fracture fixation, function, injury, pain, range of motion

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 Financial Disclosure: Neuro Resource Group Inc. provided a research grant which partially funded this investigation.

 Conflict of Interest: Dr Gorodetskyi is a paid consultant for Neuro Resource Group. The remaining authors report no real or potential conflicts of interest.

PII: S1067-2516(10)00194-8

doi:10.1053/j.jfas.2010.05.007

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 432-437, September 2010

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