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Table 2 The mechanical stimulation and electrical stimulation

From: The effect of physical therapy and mechanical stimulation on dysfunction of lower extremities after total pelvic exenteration in cervical carcinoma patient with rectovesicovaginal fistula induced by radiotherapy: a case report

Treatment

Specific prescription

Effectiveness

Intermittent pneumatic compression (IPC)

The balloons enveloped both lower limbs in a distal to proximal mode with an intensity of 8 kPa and a duration of 20 minutes, using the compression device (LGT-2200WM, Longest Science & Technology Co., Guangzhou)

Pharmacological prophylaxis combined with IPC can reduce the incidence of deep vein thrombosis (DVT) more significantly than alone [26]. IPC is frequently applied in the management of lymphedema for complex decongestive therapy (CDT), which is particularly beneficial to those with compromised mobility [27]

Graduated compression stockings (GCS)

Wore for about 8 hours every day and took off when she fell asleep at night

GCS demonstrate the ability to reduce edema; moreover, GCS combined with low molecular weight heparin can significantly weaken the formation of venous thrombosis [12, 13]

Neuromuscular electrical stimulation (NMES)

Two pairs of electrodes were placed on the adductor muscle of the right lower extremity for 20 minutes a day, using a neuromuscular electrical stimulator (Hwato SDZ-III, Suzhou JSF Trading Co., Ltd., Jiangsu)

Studies have shown that NMES improved muscle strength, increased range of motion, reduced edema, reduced atrophy, healed tissue, and relieved pain [28]

  1. CDT complex decongestive therapy; DVT deep vein thrombosis; GCS graduated compression stockings; NMES neuromuscular electrical stimulation; IPC intermittent neumatic compression