Table 1.
Technique of electrical stimulation | Method of application | Advantages | Disadvantages |
---|---|---|---|
Direct electrical stimulation | One or multiple surgically implanted cathodes with one cutaneous electrode | Case series (Level IV) suggests clinical efficacy13 May enhance growth factor production | Invasive (requires surgical implantation of cathodes) |
Capacitative coupling | Two cutaneous electrodes | Noninvasive Basic science studies show enhanced bone cell proliferation May enhance growth factor production | |
Inductive coupling | Cutaneous electromagnetic coil | Noninvasive Basic science studies show enhanced bone cell proliferation May enhance growth factor production | Recent meta-analysis (Level I) failed to show clinical efficacy7 |