Evidence map›Paper›PMID 39775747›Full record

Trial reportEuropean geriatric medicine2025

Feasibility within-subject RCT of neuromuscular electrical stimulation; an Intervention to Maintain and improve neuroMuscular function during period of Immobility (IMMI).

Helal B Alqurashi, Tahir Masud, Adam Lee Gordon, Mathew Piasecki, Dominic O'Connor, Katie Robinson, John R F Gladman

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Helal B AlqurashiSchool of Medicine, University of Nottingham, Nottingham, UK. dpt.helal@hotmail.com.ORCID http://orcid.org/0000-0002-4281-7700
Tahir MasudNIHR Nottingham Biomedical Research Centre (BRC), Nottingham, UK.ORCID http://orcid.org/0000-0003-1061-2898
Adam Lee GordonWolfson Institute of Population Health, Queen Mary University of London, London, UK.ORCID http://orcid.org/0000-0003-1676-9853
Mathew PiaseckiSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-7804-4631
Dominic O'ConnorSchool of Health Sciences, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-3054-0636
Katie RobinsonSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0003-1458-8186
John R F GladmanSchool of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0002-8506-7786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeuromuscular electrical stimulation (NMES) is a potentially effective intervention to improve outcomes after a fragility fracture, but its feasibility in this group has not been established.

methodsA feasibility study was conducted in two phases: 1) in the hospital only, and 2) hospital, rehabilitation centres, and participants' homes. Patients with fragility fracture were randomised to receive NMES for 6 weeks/discharge either to the right or left leg, with the other leg serving as control. Patients who had no mobility issues had contraindications to NMES and were unable to give consent were excluded. NMES was applied to quadriceps and tibialis anterior muscles for 30 min, 3 days/week. Sessions were progressed to achieve 60 min, 5-7 days/week. Feasibility outcomes included participant characteristics, recruitment rate, tolerability, and number of NMES sessions. Clinical outcomes included muscle strength, and ADL at six months.

resultsOverall, 1052 patients were identified, of whom 113 (11%) were eligible, and 29 (3%) were recruited (median Clinical Frailty Score 3, median Barthel ADL score 93/100). The recruitment rate was 0.45/week in phase 1 and 0.9/week in phase 2. Fifty-three percent achieved the target of 24 NMES sessions. However, 5/29 withdrew due to intolerance of NMES. Leg muscle strength improved in both treated and untreated legs, with marginally greater improvement observed in the tibialis anterior of treated legs.

conclusionAlthough it would be feasible to evaluate the specific effect of NMES in fragility fracture patients in a multi-centre trial using home-based NMES, this would be possible only in a minority of mildly frail fragility fracture patients with little premorbid disability.

Indexed as

Electric Stimulation TherapyFractures, BoneActivities of Daily LivingAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMuscle StrengthQuadriceps MuscleTreatment OutcomeFeasibility trialFragility fractureNeuromuscular electrical stimulationPhysical functionSarcopenia

Identifiers

PMID39775747
PMCPMC12014770

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.