{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionApplication for ESRA Abstract PrizesBackground and Aims The ongoing war in Ukraine has resulted in major trauma resulting in limb amputations and tissue damage from blast injuries, shrapnel and gunshot wounds. Chronic pain including post-amputation pain and neuropathic pain not only impact on rehabilitation but also on the quality of life. The current situation in Ukraine has limited the use of interventional treatment options and systemic analgesics are limited by their side-effect profile. We looked at the use of non-invasive peripheral neurostimulation as a sustainable treatment option for managing the pain and facilitating rehabilitation.Methods 45 of 51 patients of the initial cohort with different conditions mostly amputations and nerve injuries were subjected to a 30-minute stimulation using the Biowave device either as peripheral nerve or field stimulation using electrode pads or Biowraps. Pain scores immediately after treatment, at 24 and 48 hours were compared with baseline scores. Ease of mobilising with the prosthesis was also assessed. Patients were followed up for repeat treatments at the hospital or would be offered domiciliary treatment for ongoing pain relief and facilitate rehabilitation.Results The average baseline pain score on VAS prior to treatment was 6.73 and immediately after the treatment was 3.46. Patients were followed up at 24 and 48 hours with VAS scores maintained at 4.59 and 5.00. The average duration of meaningful pain relief was 16.4 hours. Most amputees found it easier to mobilise using their prosthesis.Conclusions Non-invasive peripheral neurostimulation may be a efficacious, sustainable and cost-effective treatment option for managing battlefield injuries when resources and expertise are limited.",
  "authors": [
    {
      "affiliations": [
        "Centre for Neurological Pathology Diagnosis, Regional Clinical Hospital of the Ivano-Frankivsk Regional Council, Ivano-Frankivsk, Ukraine",
        "Department of Radiology and Radiation Medicine, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine"
      ],
      "name": "Nadiya Segin"
    },
    {
      "affiliations": [
        "Pain Management Centre, Imperial College Hospital NHS Trust, London, UK"
      ],
      "name": "Arun Bhaskar"
    },
    {
      "affiliations": [
        "Department of General Surgery, Regional Clinical Hospital of the Ivano-Frankivsk Regional Council, Ivano-Frankivsk, Ukraine"
      ],
      "name": "Andriy Yavorskyy"
    },
    {
      "affiliations": [
        "Centre for Neurological Pathology Diagnosis, Regional Clinical Hospital of the Ivano-Frankivsk Regional Council, Ivano-Frankivsk, Ukraine"
      ],
      "name": "Vitalii Lytsur"
    },
    {
      "affiliations": [
        "Centre for Neurological Pathology Diagnosis, Regional Clinical Hospital of the Ivano-Frankivsk Regional Council, Ivano-Frankivsk, Ukraine"
      ],
      "name": "Nelia Krekhovetska"
    }
  ],
  "title": "P277 Prospective study of the efficacy and safety of using non-invasive peripheral neurostimulation for managing pain following battlefield injuries and related trauma",
  "uid": "437f0a1a-b1d8-50d3-b40f-99a2babe73f0"
}