Efficacy and Feasibility of Intradialytic Plantar Electrical Stimulation in Patients With Diabetes: A Randomized Double-Blind Controlled Trial
Authors' conclusion
The 12-week intradialytic E-Stim intervention is a feasible and effective method to enhance gait performance, physical activity level, cognitive function, and other patient-reported outcomes in patients undergoing hemodialysis, representing a practical, low-risk therapy option for those unable to engage in traditional exercise programs.
Study context
- Population
- Adults aged ≥18 years with diabetes undergoing hemodialysis, able to walk at least 10 m with or without aid97 completed
- Participants
- 117 adults
- Comparison
- Intradialytic plantar electrical stimulation (E-Stim) vs identical nonfunctional device
Methodological detailsdouble-blind, sham device-controlled
- Double-blind
- Sham device-controlled
Primary result
As reported in the abstract
Gait, physical activity, patient-reported outcomes · 12 weeks
- Significant improvements with intervention vs control in gait performance (stride time at dual-task and fast walking), physical activity (stand to walk and sit to stand), quality of life, plantar numbness and cognitive function
Further findings
Association of improvements in intervention group
- Improvements in gait performance and physical activity were associated with enhancements in quality of life and cognitive function, respectively
Technology acceptance
- Intervention group reported higher usefulness and usage satisfaction, with greater willingness to continue E-Stim at home
Original publication
Efficacy and Feasibility of Intradialytic Plantar Electrical Stimulation in Patients With Diabetes: A Randomized Double-Blind Controlled Trial. Diabetes Care. Published 24 September 2024. doi:10.
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