The purpose of this pilot study is to evaluate the effect of auricular autonomous nervous system stimulation on vital parameters of wound healing in diabetics. It is investigated if auricular vagal nerve stimulation has an effect on heart rate variability as well as peripheral local blood perfusion, and if this effect depends on the health status of the study participants (diseased/healthy).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
24
University Clinic for Surgery, Department of Transplantation, Medical University Vienna
Vienna, Vienna, Austria
change in heart rate variability (HRV) related to physiological state (diabetics/healthy)
Heart rate variability will be assessed as, e.g., standard deviation in heart rate over a time window of 5 minutes (30 seconds overlap). Changes in mean value and standard deviation of heart rate variability between healthy and diabetic patients will be assessed using statistical tests.
Time frame: within 4 days of intervention
change in local blood perfusion index (BPI) related to physiological state (diabetics/healthy)
Blood perfusion index at the foot will be assessed as peak-peak amplitude (systolic to diastolic) divided by the mean signal value of optically measured blood perfusion. Changes in mean value and standard deviation of local blood perfusion index between healthy and diabetic patients will be assessed using statistical tests.
Time frame: within 4 days of intervention
Change in HRV and local BPI due to distinct stimulation patterns
Two distinct stimulation patterns are tested during intervention. Changes in mean value and standard deviation of HRV/BPI due to these stimulation patterns will be assessed using statistical tests.
Time frame: within 4 days of intervention
Change of local BPI in upper and lower extremities
Local BPI is assessed using optical sensors on the foot and the finger of participants. Changes in mean value of BPI are analyzed using statistical tests.
Time frame: within 4 days of intervention
Changes in blood pressure
Blood pressure is continuously measured using inflatable finger cuffs.
Time frame: within 4 days of intervention
Changes in respiratory activity
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Respiratory activity is monitored using a respiratory belt.
Time frame: within 4 days of intervention
Changes in oxygen saturation of the toe and wound
Time frame: within 4 days of intervention
Changes in partial transcutaneous oxygen pressure of the wound region
Time frame: within 4 days of intervention
Changes in foot skin temperature
Time frame: within 4 days of intervention
Changes of C reactive protein- and leukocyte-concentration in serum
Time frame: within 4 days of intervention
Tolerance of stimulation
Tolerance of stimulation is assessed by survey.
Time frame: within 4 days of intervention
Perception of Stimulation
Perception of stimulation is assessed by survey.
Time frame: within 4 days of intervention
Adverse effects of stimulation
Time frame: within 4 days of intervention