Venous Insufficiency Clinical Trial
Official title:
Venous Insufficiency and Neuromuscular Stimulation
The investigators will be evaluating the immediate and longer term effect of treatment with a medical device on the symptoms of chronic venous disease.
STUDY AIMS
1. To obtain ultrasound blood flow and velocity measurements in the leg to compare the
hemodynamic profiles obtained using a neuromuscular stimulation device with those
obtained at rest.
2. To ascertain if a 6 week protocol of electrical neurostimulation of the muscle pumps in
the leg and foot can reduce clinical symptoms and improve quality of life.
METHODS Controlled interventional trial. Group 1 (10 subjects) will be healthy subjects with
no clinical venous disease. Subjects with venous incompetence to be recruited into one of
three groups. Group 2 (10 subjects) will have superficial venous incompetence; Group 3 (10
subjects) will have deep venous incompetence; Group 4 (10 subjects) will have deep vein
occlusion. These will be clinical diagnoses confirmed with duplex ultrasound.
The device used in this study will be the geko™ T-1 device (Firstkind Ltd, UK). A geko™
device will be fitted to each leg. The device stimulation level is set to the minimum level
that can achieve the desired response (outward and upward twitching of the foot when raised
from the ground).
ENDPOINTS Primary end-point
- Increase in venous flow Secondary end points
- Improvement in clinical symptoms at 6 weeks, as judged by questionnaire
- Reduction in absolute leg diameter and volume at 6 weeks
;
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