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Medical Device Design for Improving Orthostatic Hypotension During Supine-to-Stand (STS)

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Advances in Human Factors and Ergonomics in Healthcare and Medical Devices (AHFE 2017)

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Abstract

When healthy people promptly rise from supine to stand (STS), their contraction of leg muscle squeezes blood from the lower limbs to the chest, increasing venous return and contributing to a compensatory increase in blood pressure in order to compensate for gravitational effect. This research aims to design a new device of NMES whose sequence of electric stimulation is bottom-up alternation to simulate natural exercise of SMP. This research illustrates that the innovative Neuromuscular Electrical Stimulation is more efficient at increasing BP and faster activates skeletal muscle pump than the existing one. Furthermore, according to the outcome of Likert scale, the new device is more suitable for scenario of subjects carrying out Supine-to-Stand. It provides subjects with more comfort and convenience.

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References

  1. Rubenstein, L.Z., Josephson, K.R.: The epidemiology of falls and syncope. Clin. Geriatr. Med. 18(2), 141–158 (2002)

    Article  Google Scholar 

  2. Mehr, D.R., Fries, B.E., Williams, B.C.: How different are VA nursing home residents? J. Am. Geriatr. Soc. 41(10), 1095–1101 (1993)

    Article  Google Scholar 

  3. Freeman, R., Wieling, W., Axelrod, F.B., Benditt, D.G., Benarroch, E., Biaggioni, I., Gibbons, C.H.: Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin. Auton. Res. 21, 69–72 (2011)

    Article  Google Scholar 

  4. Smith, J.J., Porth, C.M., Erickson, M.: Hemodynamic response to the upright posture. J. Clin. Pharmacol. 34(5), 375–386 (1994)

    Article  Google Scholar 

  5. van Dijk, N., Boer, M.C., De Santo, T., Grovale, N., Aerts, A.J., Boersma, L., Wieling, W.: Daily, weekly, monthly, and seasonal patterns in the occurrence of vasovagal syncope in an older population. Europace 9(9), 823–828 (2007)

    Article  Google Scholar 

  6. Gupta, V., Lipsitz, L.A.: Orthostatic hypotension in the elderly: diagnosis and treatment. Am. J. Med. 120(10), 841–847 (2007)

    Article  Google Scholar 

  7. Romme, J.J., Reitsma, J.B., Go-Schön, I.K., Harms, M.P., Ruiter, J.H., Luitse, J.S., van Dijk, N.: Prospective evaluation of non-pharmacological treatment in vasovagal syncope. Europace 12(4), 567–573 (2010)

    Article  Google Scholar 

  8. Shibao, C., Grijalva, C.G., Raj, S.R., Biaggioni, I., Griffin, M.R.: Orthostatic hypotension-related hospitalizations in the United States. Am. J. Med. 120(11), 975–980 (2007)

    Article  Google Scholar 

  9. Herr, R.D., Zun, L., Mathews, J.J.: A directed approach to the dizzy patient. Ann. Emerg. Med. 18(6), 664–672 (1989)

    Article  Google Scholar 

  10. Medow, M.S., Stewart, J.M., Sanyal, S., Mumtaz, A., Sica, D., Frishman, W.H.: Pathophysiology, diagnosis, and treatment of orthostatic hypotension and vasovagal syncope. Cardiol. Rev. 16(1), 4–20 (2008)

    Article  Google Scholar 

  11. Sarasin, F.P., Louis-Simonet, M., Carballo, D., Slama, S., Junod, A.-F., Unger, P.: Prevalence of orthostatic hypotension among patients presenting with syncope in the ED. Am. J. Emerg. Med. 20(6), 497–501 (2002)

    Article  Google Scholar 

  12. Pasek, J., Stanek, A., Pasek, T., Sieron, A.: Physical medicine as an opportunity for improving the health state of patients with vascular diseases (angiopathies). Acta Angiol. 18(3), 93–98 (2012)

    Google Scholar 

  13. Araki, C.T., Back, T.L., Padberg, F.T., Thompson, P.N., Jamil, Z., Lee, B.C., Hobson, R.W.: The significance of calf muscle pump function in venous ulceration. J. Vasc. Surg. 20(6), 872–879 (1994)

    Article  Google Scholar 

  14. Kan, Y.M., Delis, K.T.: Hemodynamic effects of supervised calf muscle exercise in patients with venous leg ulceration: a prospective controlled study. Arch. Surg. 136(12), 1364–1369 (2001)

    Article  Google Scholar 

  15. Broderick, B.J., O’Briain, D.E., Breen, P.P., Kearns, S.R., ÓLaighin, G.: A pilot evaluation of a neuromuscular electrical stimulation (NMES) based methodology for the prevention of venous stasis during bed rest. Med. Eng. Phys. 32(4), 349–355 (2010)

    Article  Google Scholar 

  16. Corley, G.J., Breen, P.P., Bîrlea, S.I., Serrador, J.M., Grace, P.A., ÓLaighin, G.: Hemodynamic effects of habituation to a week-long program of neuromuscular electrical stimulation. Med. Eng. Phys. 34(4), 459–465 (2012)

    Article  Google Scholar 

  17. Nådland, I.H., Walløe, L., Toska, K.: Effect of the leg muscle pump on the rise in muscle perfusion during muscle work in humans. Eur. J. Appl. Physiol. 105(6), 829–841 (2009)

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank the Ministry of Science and Technology in Republic of China for financially supporting this research under Contract no. MOST 104-2420-H-006 -018 -MY3.

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Correspondence to Fong-Gong Wu .

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Wu, FG., Chen, XA. (2018). Medical Device Design for Improving Orthostatic Hypotension During Supine-to-Stand (STS). In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2017. Advances in Intelligent Systems and Computing, vol 590. Springer, Cham. https://doi.org/10.1007/978-3-319-60483-1_64

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  • DOI: https://doi.org/10.1007/978-3-319-60483-1_64

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60482-4

  • Online ISBN: 978-3-319-60483-1

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