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Original Research| Volume 49, ISSUE 5, P432-437, September 2010

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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
    Correspondence
    Address 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.
    Affiliations
    Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
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  • Anatolyi I. Gorodnichenko
    Affiliations
    Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
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  • Petr S. Tursin
    Affiliations
    Professor, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
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  • Vitalyi K. Reshetnyak
    Affiliations
    Director, Scientific Educational Medical Centre Federal Government Institution of the President of the Russian Federation Postgraduate and Research Medical Centre, Moscow, Russia
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  • Oleg N. Uskov
    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
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Published:August 06, 2010DOI:https://doi.org/10.1053/j.jfas.2010.05.007

      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

      Keywords

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