Pilot study of electrical stimulation on median nerve in comatose severe brain injured patients: 3-month outcome

Brain Inj. 2001 Oct;15(10):903-10. doi: 10.1080/02699050110065709.

Abstract

Primary objective: To determine if electrical stimulation (ES) benefits (waking time, 3-month outcomes) treated coma patients.

Research design: Double blind randomized-controlled study.

Methods and procedures: Ten coma patients; six treatment and four controls, using the 'Respond Select' by EMPI.

Experimental interventions: Treatment group received radial nerve ES applied in 300 ms intermittent pulses at 40 Hz, 15-20m A 8 hours a day up to 14 days of coma; control group received sham stimulation.

Main outcomes and results: ES group emerged from coma mean 2 days earlier than controls, although this result was not statistically significant. At 3 months post-injury, there was no group difference in Glasgow Outcome Scale, although the ES group had improved function over controls as measured by the FIM/FAM (mean of 114 and 64.5, respectively, n.s.).

Conclusions: These data show an interesting trend, although statistical power was limited in this small pilot study, suggesting the need for a larger trial.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Brain Injuries / complications
  • Brain Injuries / therapy*
  • Coma / etiology*
  • Double-Blind Method
  • Female
  • Glasgow Coma Scale
  • Humans
  • Male
  • Median Nerve*
  • Middle Aged
  • Pilot Projects
  • Severity of Illness Index
  • Survival Analysis
  • Transcutaneous Electric Nerve Stimulation* / methods
  • Treatment Outcome