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Effects of vibration-induced fatigue on the H-reflex. J Electromyogr Kinesiol 2018; 39:134-141. [PMID: 29500993 DOI: 10.1016/j.jelekin.2018.02.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 02/08/2018] [Accepted: 02/11/2018] [Indexed: 12/27/2022] Open
Abstract
Vibration exercise (VE) has been suggested as an effective training for improving muscle strength and coordination. However, the underlying physiological adaptation processes are not yet fully understood, limiting the development of safe and effective exercise protocols. To better understand the neuromuscular responses elicited by VE, we aimed at investigating the acute effects of superimposed vibration on the Hoffmann reflex (H-reflex), measured after fatiguing exercise. Twenty-five volunteers performed four isometric contractions of the right Flexor Carpi Radialis (FCR) with baseline load at 80% of their maximal voluntary contraction (MVC), both with no vibration and with superimposed vibration at 15, 30, and 45 Hz. Fatigue was estimated by MVC test and estimation of electromyographic spectral compression. H-reflex suppression was estimated as the relative decrease after exercise. Our results show that fatiguing exercise determined a decrease in H-reflex amplitude compared to rest condition while vibration determined a lower H-reflex suppression as compared to no vibration. The superimposition of 30-Hz vibration determined the largest acute reduction in force generating capacity (36 N, p < 0.05) and the lowest H-reflex suppression (20%, p < 0.05). These results suggest VE to be particularly suitable in rehabilitation programs for rapid restoration of muscle form and function after immobilization periods.
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Lindsay KG, Nichols DL, Davis RW, Marshall DD. The Effect of Whole-Body Vibration on Lower-Body Resistance Detraining in College-Age Women. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2018; 89:57-65. [PMID: 29220619 DOI: 10.1080/02701367.2017.1401210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
PURPOSE This study explored the effect of whole-body vibration (WBV) using accelerations of 2.56 g to 7.68 g on lower-body detraining. METHODS All participants (N = 20) were trained using a lower-body resistance-training program for 30 min twice per week from Week 0 to Week 6. At the end of the program, they were randomly assigned to a control group that performed no further training or a WBV group that performed a progressive static WBV program. Data for the 5-repetition-maximum (5RM) squat and extensors and flexors of the knee and ankle were collected at Weeks 0, 6, 8, 10, and 12 for all participants. RESULTS Two-way (condition vs. time) analysis of variance revealed that although the WBV group maintained strength in the 5RM from Week 6 through Week 8 and the control group had a lower 5RM in Week 8 from Week 6, no differences in the 5RM squat existed between the groups at Week 8. Two-way factorial multivariate analysis of variance revealed no differences between the groups at any of the time for torque of knee flexion, dorsiflexion, or plantar flexion. CONCLUSION Static WBV of 2.56 g to 7.68 g did not attenuate detraining of the flexors and extensors of the knee and ankle.
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Bochkezanian V, Newton RU, Trajano GS, Vieira A, Pulverenti TS, Blazevich AJ. Effect of tendon vibration during wide-pulse neuromuscular electrical stimulation (NMES) on muscle force production in people with spinal cord injury (SCI). BMC Neurol 2018; 18:17. [PMID: 29433467 PMCID: PMC5809925 DOI: 10.1186/s12883-018-1020-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 02/02/2018] [Indexed: 12/13/2022] Open
Abstract
Background Neuromuscular electrical stimulation (NMES) is commonly used in skeletal muscles in people with spinal cord injury (SCI) with the aim of increasing muscle recruitment and thus muscle force production. NMES has been conventionally used in clinical practice as functional electrical stimulation (FES), using low levels of evoked force that cannot optimally stimulate muscular strength and mass improvements, and thus trigger musculoskeletal changes in paralysed muscles. The use of high intensity intermittent NMES training using wide-pulse width and moderate-intensity as a strength training tool could be a promising method to increase muscle force production in people with SCI. However, this type of protocol has not been clinically adopted because it may generate rapid muscle fatigue and thus prevent the performance of repeated high-intensity muscular contractions in paralysed muscles. Moreover, superimposing patellar tendon vibration onto the wide-pulse width NMES has been shown to elicit further increases in impulse or, at least, reduce the rate of fatigue in repeated contractions in able-bodied populations, but there is a lack of evidence to support this argument in people with SCI. Methods Nine people with SCI received two NMES protocols with and without superimposing patellar tendon vibration on different days (i.e. STIM and STIM+vib), which consisted of repeated 30 Hz trains of 58 wide-pulse width (1000 μs) symmetric biphasic pulses (0.033-s inter-pulse interval; 2 s stimulation train; 2-s inter-train interval) being delivered to the dominant quadriceps femoris. Starting torque was 20% of maximal doublet-twitch torque and stimulations continued until torque declined to 50% of the starting torque. Total knee extensor impulse was calculated as the primary outcome variable. Results Total knee extensor impulse increased in four subjects when patellar tendon vibration was imposed (59.2 ± 15.8%) but decreased in five subjects (− 31.3 ± 25.7%). However, there were no statistically significant differences between these sub-groups or between conditions when the data were pooled. Conclusions Based on the present results there is insufficient evidence to conclude that patellar tendon vibration provides a clear benefit to muscle force production or delays muscle fatigue during wide-pulse width, moderate-intensity NMES in people with SCI. Trial registration ACTRN12618000022268. Date: 11/01/2018. Retrospectively registered.
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Affiliation(s)
- Vanesa Bochkezanian
- Department of Exercise and Health Sciences, School of Health, Medical and Applied Sciences, Central Queensland University, Building 34.1.02, Bruce Highway, North Rockhampton, Qld, 4702, Australia. .,Exercise Medicine Research Clinic, Edith Cowan University, Perth, Australia. .,Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.
| | - Robert U Newton
- Exercise Medicine Research Clinic, Edith Cowan University, Perth, Australia.,Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.,UQ Centre for Clinical Research, The University of Queensland, Brisbane, Australia
| | - Gabriel S Trajano
- School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Australia
| | | | - Timothy S Pulverenti
- Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
| | - Anthony J Blazevich
- Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
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54
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Evaluation of the Effectiveness of Neuromuscular Electrical Stimulation After Total Knee Arthroplasty. Am J Phys Med Rehabil 2018; 97:123-130. [DOI: 10.1097/phm.0000000000000847] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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55
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Jee YS. The efficacy and safety of whole-body electromyostimulation in applying to human body: based from graded exercise test. J Exerc Rehabil 2018; 14:49-57. [PMID: 29511652 PMCID: PMC5833968 DOI: 10.12965/jer.1836022.011] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Accepted: 01/30/2018] [Indexed: 11/22/2022] Open
Abstract
Recently, whole body-electromyostimulation (WB-EMS) has upgraded its functions and capabilities and has overcome limitations and inconveniences from past systems. Although the efficacy and safety of EMS have been examined in some studies, specific guidelines for applying WB-EMS are lacking. To determine the efficacy and safety of applying it in healthy men to improve cardiopulmonary and psychophysiological variables when applying WB-EMS. Sixty-four participants were randomly grouped into control group (without electrical stimuli) or WB-EMS group after a 6-week baseline period. The control group (n=33; female. 15; male, 18) wore the WB-EMS suit as much as the WB-EMS group (n=31; female, 15; male, 16). There were no abnormal changes in the cardiopulmonary variables (heart rate, systolic blood pressure [SBP], diastolic blood pressure, and oxygen uptake) during or after the graded exercise test (GXT) in both groups. There was a significant decrease in SBP and an increase of oxygen uptake from stages 3 to 5 of the GXT in the WB-EMS group. The psychophysiological factors for a WB-EMS group, which consisted of soreness, anxiety, fatigability, and sleeplessness were significantly decreased after the experiment. The application of WB-EMS in healthy young men did not negatively affect the cardiopulmonary and psychophysiological factors. Rather, the application of WB-EMS improved SBP and oxygen uptake in submaximal and maximal stages of GXT. This study also confirmed that 6 weeks of WB-EMS training can improve psychophysiological factors.
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Affiliation(s)
- Yong-Seok Jee
- Research Institute of Sports and Industry Science, Hanseo University, Seosan,
Korea
- Department of Physical Activity Design, Hanseo University, Seosan,
Korea
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56
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Cattagni T, Lepers R, Maffiuletti NA. Effects of neuromuscular electrical stimulation on contralateral quadriceps function. J Electromyogr Kinesiol 2018; 38:111-118. [PMID: 29202270 DOI: 10.1016/j.jelekin.2017.11.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Revised: 10/31/2017] [Accepted: 11/28/2017] [Indexed: 10/18/2022] Open
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Muthalib M, Ferrari M, Quaresima V, Kerr G, Perrey S. Functional near-infrared spectroscopy to probe sensorimotor region activation during electrical stimulation-evoked movement. Clin Physiol Funct Imaging 2017; 38:816-822. [PMID: 29110426 DOI: 10.1111/cpf.12485] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 10/11/2017] [Indexed: 11/29/2022]
Abstract
This study used non-invasive functional near-infrared spectroscopy (fNIRS) neuroimaging to monitor bilateral sensorimotor region activation during unilateral voluntary (VOL) and neuromuscular electrical stimulation (NMES)-evoked movements. METHODS In eight healthy male volunteers, fNIRS was used to measure relative changes in oxyhaemoglobin (O2 Hb) and deoxyhaemoglobin (HHb) concentrations from a cortical sensorimotor region of interest in the left (LH) and right (RH) hemispheres during NMES-evoked and VOL wrist extension movements of the right arm. RESULTS NMES-evoked movements induced significantly greater activation (increase in O2 Hb and concomitant decrease in HHb) in the contralateral LH than in the ipsilateral RH (O2 Hb: 0·44 ± 0·16 μM and 0·25 ± 0·22 μM, P = 0·017; HHb: -0·19 ± 0·10 μM and -0·12 ± 0·09 μM, P = 0·036, respectively) as did VOL movements (0·51 ± 0·24 μΜ and 0·34 ± 0·21 μM, P = 0·031; HHb: -0·18 ± 0·07 μΜ and -0·12 ± 0·04 μΜ, P = 0·05, respectively). There was no significant difference between conditions for O2 Hb (P = 0·144) and HHb (P = 0·958). CONCLUSION fNIRS neuroimaging enables quantification of bilateral sensorimotor regional activation profiles during voluntary and NMES-evoked wrist extension movements.
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Affiliation(s)
- Makii Muthalib
- EuroMov, Univ. Montpellier, Montpellier, France.,SilverLine Research Services, Brisbane, QLD, Australia.,Movement Neuroscience, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Marco Ferrari
- Department of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Valentina Quaresima
- Department of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Graham Kerr
- Movement Neuroscience, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
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58
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Martin A, Grosprêtre S, Vilmen C, Guye M, Mattei JP, LE Fur Y, Bendahan D, Gondin J. The Etiology of Muscle Fatigue Differs between Two Electrical Stimulation Protocols. Med Sci Sports Exerc 2017; 48:1474-84. [PMID: 27031743 DOI: 10.1249/mss.0000000000000930] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
PURPOSE This study aimed at investigating the mechanisms involved in the force reduction induced by two electrical stimulation (ES) protocols that were designed to activate motor units differently. METHODS The triceps surae of 11 healthy subjects (8 men; age, ~28 yr) was activated using ES applied over the tibial nerve. Two ES protocols (conventional [CONV]: 20 Hz, 0.05 ms vs wide-pulse high-frequency [WPHF]: 80 Hz, 1 ms) were performed and involved 40 trains (6 s on-6 s off) delivered at an intensity (IES) evoking 20% of maximal voluntary contraction. To analyze the mechanical properties of the motor units activated at IES, force-frequency relation was evoked before and after each protocol. H-reflex and M-wave responses evoked by the last stimulation pulse were also assessed during each ES protocol. Electromyographic responses (∑EMG) were recorded after each train to analyze the behavior of the motor units activated at IES. Metabolic variables, including relative concentrations of phosphocreatine and inorganic phosphate as well as intracellular pH, were assessed using P-MR spectroscopy during each protocol. RESULTS Larger H-reflex amplitudes were observed during WPHF as compared with CONV, whereas opposite findings were observed for M-wave amplitudes. Despite this difference, both the force reduction (-26%) and metabolic changes were similar between the two protocols. The CONV protocol induced a rightward shift of the force-frequency relation, whereas a significant reduction of the ∑EMG evoked at IES was observed only for the WPHF. CONCLUSIONS These results suggest that a decreased number of active motor units mainly contributed to WPHF-induced force decrease, whereas intracellular processes were most likely involved in the force reduction occurring during CONV stimulation.
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Affiliation(s)
- Alain Martin
- 1Aix-Marseille University, CNRS, Center for Magnetic Resonance in Biology and Medicine (CRMBM) UMR 7339, Marseille, FRANCE; 2INSERM, Cognition, Action, and Sensorimotor Plasticity (CAPS) UMR 1093, University of Burgundy, Faculty of Sport Sciences, Dijon, FRANCE; 3APHM, La Timone Hospital, Imaging Center, CEMEREM, Marseille, FRANCE; and 4Deparment of Rheumatology, Sainte Marguerite Hospital, Marseille, FRANCE
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Nakai N, Kawano F, Murakami T, Nakata K, Higashida K. Leucine supplementation after mechanical stimulation activates protein synthesis via L-type amino acid transporter 1 in vitro. J Cell Biochem 2017; 119:2094-2101. [PMID: 28856713 DOI: 10.1002/jcb.26371] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2017] [Accepted: 08/23/2017] [Indexed: 11/11/2022]
Abstract
Branched-chain amino acid supplements consumed following exercise are widely used to increase muscle mass. Although both exercise (ie, mechanical stimulation) and branched-chain amino acid leucine supplementation have been reported to stimulate muscle protein synthesis by activating the mammalian target of rapamycin (mTOR) signaling pathway independently, the mechanisms underlying their synergistic effects are largely unknown. Utilizing cultured differentiated C2C12 myotubes, we established a combination treatment model in which the cells were subjected to cyclic uniaxial mechanical stretching (4 h, 15%, 1 Hz) followed by stimulation with 2 mM leucine for 45 min. Phosphorylation of p70 S6 kinase (p70S6K), an mTOR-regulated marker of protein translation initiation, was significantly increased following mechanical stretching alone but returned to the baseline after 4 h. Leucine supplementation further increased p70S6K phosphorylation, with a greater increase observed in the stretched cells than in the non-stretched cells. Notably, the expression of L-type amino acid transporter 1 (LAT1), a stimulator of the mTOR pathway, was also increased by mechanical stretching, and siRNA-mediated knockdown partially attenuated leucine-induced p70S6K phosphorylation. These results suggest that mechanical stretching promotes LAT1 expression and, consequently, amino acid uptake, leading to enhanced leucine-induced activation of protein synthesis. LAT1 has been demonstrated to be a point of crosstalk between exercise- and nutrition-induced skeletal muscle growth.
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Affiliation(s)
- Naoya Nakai
- Department of Nutrition, University of Shiga Prefecture, Hikone, Shiga, Japan
| | - Fuminori Kawano
- Graduate School of Health Sciences, Matsumoto University, Matsumoto, Nagano, Japan
| | - Taro Murakami
- Department of Nutrition, Shigakkan University, Ohbu, Aichi, Japan
| | - Ken Nakata
- Medicine for Sports and Performing Arts, Graduate School of Medicine, Osaka University, Toyonaka, Osaka, Japan
| | - Kazuhiko Higashida
- Department of Nutrition, University of Shiga Prefecture, Hikone, Shiga, Japan
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GROSPRÊTRE SIDNEY, GUEUGNEAU NICOLAS, MARTIN ALAIN, LEPERS ROMUALD. Central Contribution to Electrically Induced Fatigue depends on Stimulation Frequency. Med Sci Sports Exerc 2017; 49:1530-1540. [DOI: 10.1249/mss.0000000000001270] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Watanabe K, Kawade S, Moritani T. Effect of electrode position of low intensity neuromuscular electrical stimulation on the evoked force in the quadriceps femoris muscle. BMC Res Notes 2017; 10:300. [PMID: 28728611 PMCID: PMC5520376 DOI: 10.1186/s13104-017-2630-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2017] [Accepted: 07/17/2017] [Indexed: 12/03/2022] Open
Abstract
Objective The present study aimed to test the effect of the electrode position and inter-electrode distance on the evoked force by neuromuscular electrical stimulation (NMES) with a low current intensity and a single pair of electrodes. Knee extensor forces during NMES to quadriceps femoris muscles were compared among four different electrode configurations in seven healthy men. Electrodes were located at 10 cm proximal and 15 cm distal (P10-D15), 10 cm proximal and 10 cm distal (P10-D10), 5 cm proximal and 15 cm distal, and 5 cm proximal and 10 cm distal (P5-D10) to the center of the longitudinal axis of the quadriceps femoris muscles. Results The evoked force–time area for P5-D10 was significantly higher than those for P10-D15 and P10-D10 (p < 0.05). When using NMES devices with a low current intensity, a shorter inter-electrode distance and relatively distal locations can promote greater evoked forces in the quadriceps femoris muscles.
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Affiliation(s)
- Kohei Watanabe
- Laboratory of Neuromuscular Biomechanics, School of International Liberal Studies, Chukyo University, Yagotohonmachi, Showa-ku, Nagoya, 466-8666, Japan.
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Kadri MA, Noé F, Nouar MB, Paillard T. Effects of training programs based on ipsilateral voluntary and stimulated contractions on muscle strength and monopedal postural control of the contralateral limb. Eur J Appl Physiol 2017; 117:1799-1806. [DOI: 10.1007/s00421-017-3676-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 06/27/2017] [Indexed: 01/15/2023]
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63
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Pette D. What Can be Learned from the Time Course of Changes in Low-Frequency Stimulated Muscle? Eur J Transl Myol 2017; 27:6723. [PMID: 28713537 PMCID: PMC5505094 DOI: 10.4081/ejtm.2017.6723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Not available.
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Affiliation(s)
- Dirk Pette
- Department of Biology, University of Konstanz, Germany
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64
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Bochkezanian V, Newton RU, Trajano GS, Vieira A, Pulverenti TS, Blazevich AJ. Effect of tendon vibration during wide-pulse neuromuscular electrical stimulation (NMES) on the decline and recovery of muscle force. BMC Neurol 2017; 17:82. [PMID: 28464800 PMCID: PMC5414318 DOI: 10.1186/s12883-017-0862-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 04/22/2017] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Neuromuscular electrical stimulation (NMES) is commonly used to activate skeletal muscles and reverse muscle atrophy in clinical populations. Clinical recommendations for NMES suggest the use of short pulse widths (100-200 μs) and low-to-moderate pulse frequencies (30-50 Hz). However, this type of NMES causes rapid muscle fatigue due to the (non-physiological) high stimulation intensities and non-orderly recruitment of motor units. The use of both wide pulse widths (1000 μs) and tendon vibration might optimize motor unit activation through spinal reflex pathways and thus delay the onset of muscle fatigue, increasing muscle force and mass. Thus, the objective of this study was to examine the acute effects of patellar tendon vibration superimposed onto wide-pulse width (1000 μs) knee extensor electrical stimulation (NMES, 30 Hz) on peak muscle force, total impulse before "muscle fatigue", and the post-exercise recovery of muscle function. METHODS Tendon vibration (Vib), NMES (STIM) or NMES superimposed onto vibration (STIM + Vib) were applied in separate sessions to 16 healthy adults. Total torque-time integral (TTI), maximal voluntary contraction torque (MVIC) and indirect measures of muscle damage were tested before, immediately after, 1 h and 48 h after each stimulus. RESULTS TTI increased (145.0 ± 127.7%) in STIM only for "positive responders" to the tendon vibration (8/16 subjects), but decreased in "negative responders" (-43.5 ± 25.7%). MVIC (-8.7%) and rectus femoris electromyography (RF EMG) (-16.7%) decreased after STIM (group effect) for at least 1 h, but not after STIM + Vib. No changes were detected in indirect markers of muscle damage in any condition. CONCLUSIONS Tendon vibration superimposed onto wide-pulse width NMES increased TTI only in 8 of 16 subjects, but reduced voluntary force loss (fatigue) ubiquitously. Negative responders to tendon vibration may derive greater benefit from wide-pulse width NMES alone.
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Affiliation(s)
- Vanesa Bochkezanian
- Exercise Medicine Research Institute, Edith Cowan University, Perth, Australia. .,Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup 270 Joondalup Drive, Joondalup, WA, 6027, Australia.
| | - Robert U Newton
- Exercise Medicine Research Institute, Edith Cowan University, Perth, Australia.,Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup 270 Joondalup Drive, Joondalup, WA, 6027, Australia.,UQ Centre for Clinical Research, University of Queensland, Brisbane, Australia
| | - Gabriel S Trajano
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
| | | | - Timothy S Pulverenti
- Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup 270 Joondalup Drive, Joondalup, WA, 6027, Australia
| | - Anthony J Blazevich
- Centre for Sports and Exercise Science, School of Medical and Health Sciences, Edith Cowan University, Joondalup 270 Joondalup Drive, Joondalup, WA, 6027, Australia
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Souron R, Farabet A, Féasson L, Belli A, Millet GY, Lapole T. Eight weeks of local vibration training increases dorsiflexor muscle cortical voluntary activation. J Appl Physiol (1985) 2017; 122:1504-1515. [PMID: 28385918 DOI: 10.1152/japplphysiol.00793.2016] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Revised: 03/10/2017] [Accepted: 03/30/2017] [Indexed: 01/03/2023] Open
Abstract
The aim of this study was to evaluate the effects of an 8-wk local vibration training (LVT) program on functional and corticospinal properties of dorsiflexor muscles. Forty-four young subjects were allocated to a training (VIB, n = 22) or control (CON, n = 22) group. The VIB group performed twenty-four 1-h sessions (3 sessions/wk) of 100-Hz vibration applied to the right tibialis anterior. Both legs were tested in each group before training (PRE), after 4 (MID) and 8 (POST) wk of training, and 2 wk after training (POST2W). Maximal voluntary contraction (MVC) torque was assessed, and transcranial magnetic stimulation (TMS) was used to evaluate cortical voluntary activation (VATMS), motor evoked potential (MEP), cortical silent period (CSP), and input-output curve parameters. MVC was significantly increased for VIB at MID for right and left legs [+7.4% (P = 0.001) and +6.2% (P < 0.01), respectively] and remained significantly greater than PRE at POST [+12.0% (P < 0.001) and +10.1% (P < 0.001), respectively]. VATMS was significantly increased for right and left legs at MID [+4.4% (P < 0.01) and +4.7% (P < 0.01), respectively] and at POST [+4.9% (P = 0.001) and +6.2% (P = 0.001), respectively]. These parameters remained enhanced in both legs at POST2W MEP and CSP recorded during MVC and input-output curve parameters did not change at any time point for either leg. Despite no changes in excitability or inhibition being observed, LVT seems to be a promising method to improve strength through an increase of maximal voluntary activation, i.e., neural adaptations. Local vibration may thus be further considered for clinical or aging populations.NEW & NOTEWORTHY The effects of a local vibration training program on cortical voluntary activation measured with transcranial magnetic stimulation were assessed for the first time in dorsiflexors, a functionally important muscle group. We observed that training increased maximal voluntary strength likely because of the strong and repeated activation of Ia spindle afferents during vibration training that led to changes in the cortico-motoneuronal pathway, as demonstrated by the increase in cortical voluntary activation.
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Affiliation(s)
- Robin Souron
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, Saint-Etienne, France
| | - Adrien Farabet
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, Saint-Etienne, France
| | - Léonard Féasson
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, Saint-Etienne, France.,Myology Unit, Referent Center of Rare Neuromuscular Diseases, Centre Hospitalier Universitaire Saint-Etienne, France; and
| | - Alain Belli
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, Saint-Etienne, France
| | - Guillaume Y Millet
- Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada
| | - Thomas Lapole
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, Saint-Etienne, France;
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Park JH, Seo KS, Lee SU. Effect of Superimposed Electromyostimulation on Back Extensor Strengthening: A Pilot Study. J Strength Cond Res 2016; 30:2470-5. [PMID: 26840436 DOI: 10.1519/jsc.0000000000001360] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Park, JH, Seo, KS, and Lee, S-U. Effect of superimposed electromyostimulation on back extensor strengthening: a pilot study. J Strength Cond Res 30(9): 2470-2475, 2016-Electromyostimulation (EMS) superimposed on voluntary contraction (VC) can increase muscle strength. However, no study has examined the effect of superimposing EMS on back extensor strengthening. The purpose of this study was to determine the effect of superimposed EMS on back extensor strengthening in healthy adults. Twenty healthy men, 20-29 years of age, without low-back pain were recruited. In the EMS group, electrodes were attached to bilateral L2 and L4 paraspinal muscles. Stimulation intensity was set for maximally tolerable intensity. With VC, EMS was superimposed for 10 seconds followed by a 20-second rest period. The same protocol was used in the sham stimulation (SS) group, except that the stimulation intensity was set at the lowest intensity (5 mA). All subjects performed back extension exercise using a Swiss ball, with 10 repetitions per set, 2 sets each day, 5 times a week for 2 weeks. The primary outcome measure was the change in isokinetic strength of the back extensor using an isokinetic dynamometer. Additionally, endurance was measured using the Sorensen test. After 2 weeks of back extension exercise, the peak torque and endurance increased significantly in both groups (p ≤ 0.05). Effect size between the EMS group and the SS group was medium in strength and endurance. However, there was no statistically significant difference between 2 groups. In conclusion, 2 weeks of back extensor strengthening exercise was effective for strength and endurance. Superimposing EMS on back extensor strengthening exercise could provide an additional effect on increasing strength.
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Affiliation(s)
- Jae Hyeon Park
- 1Department of Rehabilitation Medicine, College of Medicine, Seoul National University, Seoul, South Korea; 2Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea; and 3Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, South Korea
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Spector P, Laufer Y, Elboim Gabyzon M, Kittelson A, Stevens Lapsley J, Maffiuletti NA. Neuromuscular Electrical Stimulation Therapy to Restore Quadriceps Muscle Function in Patients After Orthopaedic Surgery: A Novel Structured Approach. J Bone Joint Surg Am 2016; 98:2017-2024. [PMID: 27926683 DOI: 10.2106/jbjs.16.00192] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Paul Spector
- 1Human Performance Laboratory, Schulthess Clinic, Zurich, Switzerland 2Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel 3Muscle Performance Lab, School of Medicine, University of Colorado, Aurora, Colorado
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Filipovic A, Grau M, Kleinöder H, Zimmer P, Hollmann W, Bloch W. Effects of a Whole-Body Electrostimulation Program on Strength, Sprinting, Jumping, and Kicking Capacity in Elite Soccer Players. J Sports Sci Med 2016; 15:639-648. [PMID: 27928210 PMCID: PMC5131218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Accepted: 09/13/2016] [Indexed: 06/06/2023]
Abstract
The aim of the present study was to investigate the effect of a 14-week dynamic Whole-Body Electrostimulation (WB-EMS) training program on muscular strength, soccer relevant sprint, jump and kicking velocity performance in elite soccer players during competitive season. Twenty-two field-players were assigned to 2 groups: WB-EMS group (EG, n = 12), jump-training group (TG, n = 10). The training programs were conducted twice a week concurrent to 6-7 soccer training sessions during the 2nd half of the season. Participants were tested before (baseline), during (wk-7) and after (wk-14). Blood serum samples for analyzing IGF-1 and CK were taken before each testing, 15-30min post and 24h post the training program. Our findings of the present study were that a 14-week in-season WB-EMS program significant increased one-leg maximal strength (1RM) at the leg press machine (1.99 vs. 1.66 kg/kg, p = 0.001), and improved linear sprinting (5m: 1.01 vs. 1.04s, p=0.039), sprinting with direction changes (3.07 vs. 3.25s, p = 0.024), and vertical jumping performance (SJ: 38.8 vs. 35.9cm p = 0.021) as well as kicking velocity (1step: 93.8 vs. 83.9 km·h-1, p < 0.001). The TG showed no changes in strength and performance. The EG revealed significantly increased CK levels 24h post training and yielded significantly higher CK levels compared to the TG. IGF-1 serum levels neither changed in the EG nor in the TG. The results give first hints that two sessions of a dynamic WB-EMS training in addition to 6-7 soccer sessions per week can be effective for significantly enhancing soccer relevant performance capacities in professional players during competitive season.
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Affiliation(s)
- Andre Filipovic
- Institute of Sport Science and Sport Informatics, German Sport University Cologne, Germany; Institute of Molecular and Cellular Sport Medicine, German Sport University Cologne, Germany
| | - Marijke Grau
- Institute of Molecular and Cellular Sport Medicine, German Sport University Cologne , Germany
| | - Heinz Kleinöder
- Institute of Sport Science and Sport Informatics, German Sport University Cologne , Germany
| | - Philipp Zimmer
- Institute of Molecular and Cellular Sport Medicine, German Sport University Cologne , Germany
| | - Wildor Hollmann
- Institute of Molecular and Cellular Sport Medicine, German Sport University Cologne , Germany
| | - Wilhelm Bloch
- Institute of Molecular and Cellular Sport Medicine, German Sport University Cologne , Germany
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Gueugneau N, Grosprêtre S, Stapley P, Lepers R. High-frequency neuromuscular electrical stimulation modulates interhemispheric inhibition in healthy humans. J Neurophysiol 2016; 117:467-475. [PMID: 27832594 DOI: 10.1152/jn.00355.2016] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 10/27/2016] [Indexed: 01/29/2023] Open
Abstract
High-frequency neuromuscular electrical stimulation (HF NMES) induces muscular contractions through neural mechanisms that partially match physiological motor control. Indeed, a portion of the contraction arises from central mechanisms, whereby spinal motoneurons are recruited through the evoked sensory volley. However, the involvement of supraspinal centers of motor control during such stimulation remains poorly understood. Therefore, we tested whether a single HF NMES session applied to the upper limb influences interhemispheric inhibition (IHI) from left to right motor cortex (M1). Using noninvasive electrophysiology and transcranial magnetic stimulation, we evaluated the effects of a 10-min HF NMES session applied to a right wrist flexor on spinal and corticospinal excitability of both arms, as well as IHI, in healthy subjects. HF NMES induced a rapid decline in spinal excitability on the right stimulated side that closely matched the modulation of evoked force during the protocol. More importantly, IHI was significantly increased by HF NMES, and this increase was correlated to the electromyographic activity within the contralateral homologous muscle. Our study highlights a new neurophysiological mechanism, suggesting that HF NMES has an effect on the excitability of the transcallosal pathway probably to regulate the lateralization of the motor output. The data suggest that HF NMES can modify the hemispheric balance between both M1 areas. These findings provide important novel perspectives for the implementation of HF NMES in sport training and neurorehabilitation. NEW & NOTEWORTHY High-frequency neuromuscular electrical stimulation (HF NMES) induces muscular contractions that partially match physiological motor control. Here, we tested whether HF NMES applied to the upper limb influences interhemispheric inhibition. Our results show that interhemispheric inhibition was increased after HF NMES and that this increase was correlated to the electromyographic activity within the contralateral homologous muscle. This opens up original perspectives for the implementation of HF NMES in sport training and neurorehabilitation.
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Affiliation(s)
- Nicolas Gueugneau
- Institut National de la Santé et de la Recherche Médicale CAPS UMR 1093, Dijon, France; .,University of Bourgogne-Franche Comté, CAPS UMR 1093, Dijon, France; and
| | - Sidney Grosprêtre
- Institut National de la Santé et de la Recherche Médicale CAPS UMR 1093, Dijon, France.,University of Bourgogne-Franche Comté, CAPS UMR 1093, Dijon, France; and
| | - Paul Stapley
- Neural Control of Movement Laboratory, Faculty of Science, Medicine, and Health, School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia
| | - Romuald Lepers
- Institut National de la Santé et de la Recherche Médicale CAPS UMR 1093, Dijon, France.,University of Bourgogne-Franche Comté, CAPS UMR 1093, Dijon, France; and
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Strickland JC, Smith MA. Animal models of resistance exercise and their application to neuroscience research. J Neurosci Methods 2016; 273:191-200. [PMID: 27498037 PMCID: PMC5075509 DOI: 10.1016/j.jneumeth.2016.08.003] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Revised: 07/24/2016] [Accepted: 08/03/2016] [Indexed: 11/16/2022]
Abstract
BACKGROUND Numerous studies have demonstrated that participation in regular resistance exercise (e.g., strength training) is associated with improvements in mental health, memory, and cognition. However, less is known about the neurobiological mechanisms mediating these effects. The goal of this mini-review is to describe and evaluate the available animal models of resistance exercise that may prove useful for examining CNS activity. NEW METHOD Various models have been developed to examine resistance exercise in laboratory animals. COMPARISON WITH EXISTING METHODS Resistance exercise models vary in how the resistance manipulation is applied, either through direct stimulation of the muscle (e.g., in situ models) or through behavior maintained by operant contingencies (e.g., whole organism models). Each model presents distinct advantages and disadvantages for examining central nervous system (CNS) activity, and consideration of these attributes is essential for the future investigation of underlying neurobiological substrates. RESULTS Potential neurobiological mechanisms mediating the effects of resistance exercise on pain, anxiety, memory, and drug use have been efficiently and effectively investigated using resistance exercise models that minimize stress and maximize the relative contribution of resistance over aerobic factors. CONCLUSIONS Whole organism resistance exercise models that (1) limit the use of potentially stressful stimuli and (2) minimize the contribution of aerobic factors will be critical for examining resistance exercise and CNS function.
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Affiliation(s)
| | - Mark A Smith
- Department of Psychology, Davidson College, Davidson, NC, USA; Program in Neuroscience, Davidson College, Davidson, NC, USA.
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Stefanou C. Electrical muscle stimulation in thomboprophylaxis: review and a derived hypothesis about thrombogenesis-the 4th factor. SPRINGERPLUS 2016; 5:884. [PMID: 27386332 PMCID: PMC4920783 DOI: 10.1186/s40064-016-2521-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Accepted: 06/06/2016] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Electrical muscle stimulation (EMS) is an FDA-approved thromboprophylactic method. Thrombus pathogenesis is considered to depend on factors related to components of the vessel wall, the velocity of blood, and blood consistency-collectively known as, the Virchow's triad. OBJECTIVE The testimony supporting the thromboprophylactic effects of the EMS is reviewed. An emphasis is placed on the fact that, EMS has demonstrated, in certain circumstances, an efficacy rate that cannot be fully explained by the Virchow's triad; also that, in reviewing relevant evidence and the theorized pathophysiological mechanisms, several findings collectively point to a potentially missed point. Remarkably, venous thromboembolic disease (VTE) is extremely more common in the lower versus the upper extremities even when the blood velocities equalize; EMS had synergistic effects with intermittent compressive devices, despite their presumed identical mechanism of action; sleep is not thrombogenic; non-peroperative EMS is meaningful only if applied ≥5 times daily; neural insult increases VTEs more than the degree expected by the hypomobility-related blood stasis; etc. These phenomena infer the presence of a 4th thrombogenetic factor: neural supply to the veins provides direct antithrombic effects, by inducing periodic vessel diameter changes and/or by neuro-humoral, chemically acting factors. EMS may stimulate or substitute the 4th factor. This evidence-based hypothesis is analyzed. CONCLUSION A novel pathophysiologic mechanism of thrombogenesis is supported; and, based on this, the role of EMS in thromboprophylaxis is expanded. Exploration of this mechanism may provide new targets for intervention.
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Affiliation(s)
- Christos Stefanou
- ICU, Limassol General Hospital, Eptanisou 2, Agios Nicolaos, 3100 Limassol, Cyprus
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Coquart JB, Grosbois JM, Olivier C, Bart F, Castres I, Wallaert B. Home-based neuromuscular electrical stimulation improves exercise tolerance and health-related quality of life in patients with COPD. Int J Chron Obstruct Pulmon Dis 2016; 11:1189-97. [PMID: 27350745 PMCID: PMC4902151 DOI: 10.2147/copd.s105049] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background This retrospective, observational study of a routine clinical practice reports the feasibility and efficiency of home-based pulmonary rehabilitation (PR), including transcutaneous neuromuscular electrical stimulation (NMES) or usual endurance physical exercise (UEPE), on exercise tolerance, anxiety/depression, and health-related quality of life (HRQoL) in patients with COPD. Methods Seventy-one patients with COPD participated in home-based PR with NMES (Group NMES [GNMES]), while 117 patients participated in home-based PR with the UEPEs (Group UEPE [GUEPE]). NMES was applied for 30 minutes twice a day, every day. The endurance exercises in GUEPE began with a minimum 10-minute session at least 5 days a week, with the goal being 30–45 minutes per session. Three upper and lower limb muscle strengthening exercises lasting 10–15 minutes were also proposed to both the groups for daily practice. Moreover, PR in both the groups included a weekly 90-minute session based on an educational needs assessment. The sessions comprised endurance physical exercise for GUEPE, NMES for GNMES, resumption of physical daily living activities, therapeutic patient education, and psychosocial support to facilitate health behavior changes. Before and after PR, functional mobility and physical exercise capacity, anxiety, depression, and HRQoL were evaluated at home. Results The study revealed that NMES significantly improved functional mobility (−18.8% in GNMES and −20.6% in GUEPE), exercise capacity (+20.8% in GNMES and +21.8% in GUEPE), depression (−15.8% in GNMES and −30.1% in GUEPE), and overall HRQoL (−7.0% in GNMES and −18.5% in GUEPE) in the patients with COPD, regardless of the group (GNMES or GUEPE) or severity of airflow obstruction. Moreover, no significant difference was observed between the groups with respect to these data (P>0.05). Conclusion Home-based PR including self-monitored NMES seems feasible and effective for severely disabled COPD patients with severe exercise intolerance.
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Affiliation(s)
- Jérémy B Coquart
- Faculté des Sciences du Sport, Université de Rouen, CETAPS, EA 3832, Mont Saint Aignan, Beuvry, France
| | - Jean-Marie Grosbois
- Service de Pneumologie, Centre Hospitalier de Béthune, Beuvry, France; Formaction Santé, Perenchies, France
| | - Cecile Olivier
- Service de Pneumologie et Immunoallergologie, Centre Hospitalier Universitaire de Lille, Hôpital Calmette, Université de Lille 2, France
| | - Frederic Bart
- Service de Pneumologie, Centre Hospitalier de Béthune, Beuvry, France
| | - Ingrid Castres
- Faculté des Sciences du Sport, Université de Rouen, CETAPS, EA 3832, Mont Saint Aignan, Beuvry, France
| | - Benoit Wallaert
- Service de Pneumologie et Immunoallergologie, Centre Hospitalier Universitaire de Lille, Hôpital Calmette, Université de Lille 2, France
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Miyamoto T, Kamada H, Tamaki A, Moritani T. Low-intensity electrical muscle stimulation induces significant increases in muscle strength and cardiorespiratory fitness. Eur J Sport Sci 2016; 16:1104-10. [DOI: 10.1080/17461391.2016.1151944] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Lin TY, Wu JS, Lin LL, Ho TC, Lin PY, Chen JJJ. Assessments of Muscle Oxygenation and Cortical Activity Using Functional Near-infrared Spectroscopy in Healthy Adults During Hybrid Activation. IEEE Trans Neural Syst Rehabil Eng 2016; 24:1-9. [DOI: 10.1109/tnsre.2015.2429655] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Muscle fatigue as an investigative tool in motor control: A review with new insights on internal models and posture–movement coordination. Hum Mov Sci 2015; 44:225-33. [DOI: 10.1016/j.humov.2015.09.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Revised: 08/28/2015] [Accepted: 09/14/2015] [Indexed: 11/18/2022]
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Behringer M, Link TW, Montag JCK, McCourt ML, Mester J. Are Electrically Induced Muscle Cramps Able to Increase the Cramp Threshold Frequency, When Induced Once a Week? Orthop Rev (Pavia) 2015; 7:6028. [PMID: 26605029 PMCID: PMC4592932 DOI: 10.4081/or.2015.6028] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2015] [Accepted: 06/28/2015] [Indexed: 11/23/2022] Open
Abstract
The cramp threshold frequency (CTF) is known to be positively correlated with the individual cramp susceptibility. Here we assessed CTF changes after two bouts of electrically induced muscle cramps (EIMCs). The EIMCs (6×5 sec) were unilaterally induced twice (separated by one week) in the gastrocnemius of an intervention group (n=8), while 5 participants served as control. The CTF increased from 25.1±4.6 Hz at baseline to 31.4±9.0 Hz and 31.7±8.5 Hz 24 h after bout 1 and 2 (P<0.05). Thereafter, the CTF declined following both bouts to reach values of 28.0±6.7 Hz and 29.1±7.7 Hz after 72 h after bout 1 and 2. Creatine kinase (CK) activity and perceived discomfort during cramps was lower after bout 2 (P<0.05). CTF, CK, and discomfort did not change in CG. That is, a single bout of EIMCs induces a 24 h CTF increment and a second bout sustains this effect, while perceived discomfort and muscle damage decreases. This short term effect may help athletes to reduce the cramp susceptibility for an important match.
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Affiliation(s)
- Michael Behringer
- Institute for Training Science and Sport Informatics, German Sport University of Cologne , Germany
| | - Tobias Walter Link
- Institute for Training Science and Sport Informatics, German Sport University of Cologne , Germany
| | | | - Molly Leigh McCourt
- Institute for Training Science and Sport Informatics, German Sport University of Cologne , Germany
| | - Joachim Mester
- Institute for Training Science and Sport Informatics, German Sport University of Cologne , Germany
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Monjo F, Forestier N. Electrically-induced muscle fatigue affects feedforward mechanisms of control. Clin Neurophysiol 2015; 126:1607-16. [DOI: 10.1016/j.clinph.2014.10.218] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Revised: 10/14/2014] [Accepted: 10/22/2014] [Indexed: 10/24/2022]
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Paillard T. Complexity of the effects of the electrically-induced muscle fatigue on motor control. Clin Neurophysiol 2015; 126:1464-5. [DOI: 10.1016/j.clinph.2014.11.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 11/11/2014] [Accepted: 11/14/2014] [Indexed: 11/29/2022]
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Effects of Increasing Neuromuscular Electrical Stimulation Current Intensity on Cortical Sensorimotor Network Activation: A Time Domain fNIRS Study. PLoS One 2015; 10:e0131951. [PMID: 26158464 PMCID: PMC4497661 DOI: 10.1371/journal.pone.0131951] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2014] [Accepted: 06/08/2015] [Indexed: 11/29/2022] Open
Abstract
Neuroimaging studies have shown neuromuscular electrical stimulation (NMES)-evoked movements activate regions of the cortical sensorimotor network, including the primary sensorimotor cortex (SMC), premotor cortex (PMC), supplementary motor area (SMA), and secondary somatosensory area (S2), as well as regions of the prefrontal cortex (PFC) known to be involved in pain processing. The aim of this study, on nine healthy subjects, was to compare the cortical network activation profile and pain ratings during NMES of the right forearm wrist extensor muscles at increasing current intensities up to and slightly over the individual maximal tolerated intensity (MTI), and with reference to voluntary (VOL) wrist extension movements. By exploiting the capability of the multi-channel time domain functional near-infrared spectroscopy technique to relate depth information to the photon time-of-flight, the cortical and superficial oxygenated (O2Hb) and deoxygenated (HHb) hemoglobin concentrations were estimated. The O2Hb and HHb maps obtained using the General Linear Model (NIRS-SPM) analysis method, showed that the VOL and NMES-evoked movements significantly increased activation (i.e., increase in O2Hb and corresponding decrease in HHb) in the cortical layer of the contralateral sensorimotor network (SMC, PMC/SMA, and S2). However, the level and area of contralateral sensorimotor network (including PFC) activation was significantly greater for NMES than VOL. Furthermore, there was greater bilateral sensorimotor network activation with the high NMES current intensities which corresponded with increased pain ratings. In conclusion, our findings suggest that greater bilateral sensorimotor network activation profile with high NMES current intensities could be in part attributable to increased attentional/pain processing and to increased bilateral sensorimotor integration in these cortical regions.
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Montenegro R, Okano A, Gurgel J, Porto F, Cunha F, Massaferri R, Farinatti P. Motor cortex tDCS does not improve strength performance in healthy subjects. MOTRIZ: REVISTA DE EDUCACAO FISICA 2015. [DOI: 10.1590/s1980-65742015000200009] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The influence of transcranial direct current stimulation (tDCS) upon maximal strength performance in exercises recruiting large muscle mass has not been established in healthy populations. The purpose of this study was to investigate whether anodal tDCS was able to increase the performance during maximal strength exercise (MSEX) in healthy subjects. Fourteen volunteers (age: 26 ± 4 yrs) performed two MSEX after anodal or sham tDCS (2mA; 20min prior MSEX), involving knee extensors and flexors in concentric isokinetic muscle actions of the dominant limb (3 sets of 10 repetitions). The electrical muscle activity (sEMG) of four recruited muscles was recorded during MSEX. Anodal tDCS was not able to improve force production (i.e., total work and peak torque), fatigue resistance, or electromyographic activity during MSEX when compared to sham condition. In conclusion, anodal tDCS applied upon the contralateral motor cortex was not capable of increasing the strength performance of knee extensors and flexors in young healthy subjects.
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Electrically induced muscle cramps induce hypertrophy of calf muscles in healthy adults. JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS 2015; 15:227-36. [PMID: 26032216 PMCID: PMC5133727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES Skeletal muscles usually cramp at short lengths, where the tension that can be exerted by muscle fibers is low. Since high tension is an important anabolic stimulus, it is questionable if cramps can induce hypertrophy and strength gains. In the present study we investigated if electrically induced cramps (EIMCs) can elicit these adaptations. METHODS 15 healthy male adults were randomly assigned to an intervention (IG; n=10) and a control group (CG; n=5). The cramp protocol (CP) applied twice a week to one leg of the IG, consisted of 3x6 EIMCs, of 5 s each. Calf muscles of the opposite leg were stimulated equally, but were hindered from cramping by fixating the ankle at 0° plantar flexion (nCP). RESULTS After six weeks, the cross sectional area of the triceps surae was similarly increased in both the CP (+9.0±3.4%) and the nCP (+6.8±3.7%). By contrast, force of maximal voluntary contractions, measured at 0° and 30° plantar flexion, increased significantly only in nCP (0°: +8.5±8.8%; 30°: 11.7±13.7%). CONCLUSION The present data indicate that muscle cramps can induce hypertrophy in calf muscles, though lacking high tension as an important anabolic stimulus.
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Herzig D, Maffiuletti NA, Eser P. The Application of Neuromuscular Electrical Stimulation Training in Various Non-neurologic Patient Populations: A Narrative Review. PM R 2015; 7:1167-1178. [DOI: 10.1016/j.pmrj.2015.03.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Revised: 03/24/2015] [Accepted: 03/27/2015] [Indexed: 12/16/2022]
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83
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Direct and crossed effects of somatosensory stimulation on neuronal excitability and motor performance in humans. Neurosci Biobehav Rev 2014; 47:22-35. [DOI: 10.1016/j.neubiorev.2014.07.013] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Revised: 07/07/2014] [Accepted: 07/14/2014] [Indexed: 12/11/2022]
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Effects of involuntary eccentric contraction training by neuromuscular electrical stimulation on the enhancement of muscle strength. Clin Biomech (Bristol, Avon) 2014; 29:767-72. [PMID: 24985694 DOI: 10.1016/j.clinbiomech.2014.06.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/02/2014] [Revised: 06/02/2014] [Accepted: 06/02/2014] [Indexed: 02/07/2023]
Abstract
BACKGROUND Neuromuscular electrical stimulation is well-known as a modality to improve the performance of neuromuscular system, but its clinical value on muscle strengthening remains equivocal. In this study, we designed a system for an involuntary eccentric contraction of biceps brachii muscles using continuous passive movement and commercial neuromuscular electrical stimulation devices. METHODS To investigate the effects of involuntary eccentric contraction training by neuromuscular electrical stimulation on the enhancement of muscle strength, seven healthy men between the ages of 24 and 29 years participated in this study. Participants were trained two times per week for 12 weeks. Each exercise session was performed for 30 min with no rest intervals. Isometric elbow flexion torque and biceps brachii muscle thickness were chosen as evaluation indices, and were measured at pre-/post-training. FINDINGS After the 12-week training, the isometric elbow flexion torque of the trained side significantly increased by approximately 23% compared to the initial performance (P<0.01). Meanwhile, the torque of the untrained side showed no significant change (P=0.862). During the 12-week training period, the biceps brachii muscle thickness of the trained side significantly increased by around 8% at rest and 16% at maximum voluntary contraction (P<0.01). INTERPRETATION The developed system and the technique show promising results, suggesting that it has the potential to be used to increase the muscle strength in patients with neuromuscular disease and to be implemented in design rehabilitative protocols.
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Arabadzhiev TI, Dimitrov VG, Dimitrov GV. The increase in surface EMG could be a misleading measure of neural adaptation during the early gains in strength. Eur J Appl Physiol 2014; 114:1645-55. [PMID: 24789744 DOI: 10.1007/s00421-014-2893-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2013] [Accepted: 04/14/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE To test the validity of using the increase in surface EMG as a measure of neural adaptation during the early gains in strength. METHODS Simulation of EMG signals detected by surface bipolar electrode with 20-mm inter-pole distance at different radial distances from the muscle and longitudinal distances from the end-plate area. The increases in the root mean square (RMS) of the EMG signal due to possible alteration in the neural drive or elevation of the intracellular negative after-potentials, detected in fast fatigable muscle fibres during post-tetanic potentiation and assumed to accompany post-activation potentiation, were compared. RESULTS Lengthening of the intracellular action potential (IAP) profile due to elevation of the negative after-potentials could affect amplitude characteristics of surface EMG detected at any axial distance stronger than alteration in the neural drive. This was irrespective of the fact that the elevation of IAP negative after-potential was applied to fast fatigable motor units (MUs) only, while changes in frequency of activation (simulating neural drive changes) were applied to all MUs. In deeper muscles, where the fibre-electrode distance was larger, the peripheral effect was more pronounced. The normalization of EMG amplitude characteristics to an M-wave one could result only in partial elimination of peripheral factor influence CONCLUSIONS The increase in RMS of surface EMG during the early gains in strength should not be directly related to the changes in the neural drive. The relatively small but long-lasting elevated free resting calcium after high-resistance strength training could result in force potentiation and EMG increase.
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Affiliation(s)
- Todor I Arabadzhiev
- Institute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev Str., Block 21, 1113, Sofia, Bulgaria,
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Vanderthommen M, Chamayou R, Demoulin C, Crielaard JM, Croisier JL. Protection against muscle damage induced by electrical stimulation: efficiency of a preconditioning programme. Clin Physiol Funct Imaging 2014; 35:267-74. [PMID: 24774992 DOI: 10.1111/cpf.12160] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Accepted: 04/09/2014] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of this study was to explore the efficiency of a preconditioning programme composed of neuromuscular electrical stimulation (NMES) in the protection against muscle damage induced by a subsequent bout of NMES. METHODS Sixteen male volunteers were split up into a control group (CG; n = 8) and a preconditioned group (PCG; n = 8). Both groups attended two NMES bouts (test 1 and test 2) spaced 5 weeks apart. Each one consisted in 100 quadriceps contractions and 100 hamstrings contractions. PCG attended five additional progressive NMES sessions between test 1 and test 2. The outcome measures were the changes in muscle soreness [0-10 pain score on visual analogue pain scale (VAS)], muscle flexibility and serum creatine kinase (CK) activity; they were assessed before (pre-T1) and after (post-T1) test 1 and before (pre-T2) and after (post-T2) test 2. RESULTS Damage markers increased similarly in both groups after test 1 (at post-T1, VAS scores = 4·18 ± 2 and 4·43 ± 1·56 cm in CG and PCG, respectively; CK activity = 2307 ± 3774 and 1671 ± 1790 IU l(-1) in CG and PCG, respectively). Compared with test 1, these damage markers were reduced after test 2 in CG (at post-T2, VAS score = 2·68 ± 1·27 cm and CK activity = 218 ± 72 IU l(-1) ). Muscle soreness was further reduced after test 2 in PCG (VAS score = 0·37 ± 0·74 cm). CONCLUSIONS A protective effect against muscle damage can be obtained after only one NMES bout, and an additional protective effect can be induced by a preconditioning programme.
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Affiliation(s)
- Marc Vanderthommen
- Department of Sport and Rehabilitation, University of Liège, Liège, Belgium
| | - Remy Chamayou
- Department of Sport and Rehabilitation, University of Liège, Liège, Belgium
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87
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Grosset JF, Canon F, Pérot C, Lambertz D. Changes in contractile and elastic properties of the triceps surae muscle induced by neuromuscular electrical stimulation training. Eur J Appl Physiol 2014; 114:1403-11. [PMID: 24647638 DOI: 10.1007/s00421-014-2871-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2013] [Accepted: 03/05/2014] [Indexed: 12/20/2022]
Abstract
PURPOSE Neuromuscular electrical stimulation (NMES) training is known to induce improvement in force production capacities and fibre-type transition. The aim of this study was to determine whether NMES training also leads to changes in the mechanical properties of the human triceps surae (TS) muscle. METHODS Fifteen young male subjects performed a training protocol (4 weeks, 18 sessions, 4-5 sessions per week) based on a high-frequency isometric NMES programme of TS muscle. Quick-release test was used to evaluate Musculo-Tendinous (MT) stiffness index (SIMT) as the slope of the linear MT stiffness-torque relationships under submaximal contraction. Sinusoidal perturbations allowed the assessment of musculo-articular stiffness index (SIMA) as well as the calculation of the maximal angular velocity ([Formula: see text]) of TS muscle using an adaptation of Hill's equation. RESULTS After NMES training, Maximal Voluntary Contraction under isometric conditions and [Formula: see text] increased significantly by 17.5 and 20.6 %, respectively, while SIMT and SIMA decreased significantly (-12.7 and -9.3 %, respectively). CONCLUSIONS These changes in contractile and elastic properties may lead to functional changes of particular interest in sport-related activities as well as in the elderly.
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Affiliation(s)
- Jean-Francois Grosset
- CNRS UMR 7338, Biomécanique et Bioingénierie, Université de Technologie de Compiègne, 60205, Compiègne cedex, France,
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Papaiordanidou M, Billot M, Varray A, Martin A. Neuromuscular fatigue is not different between constant and variable frequency stimulation. PLoS One 2014; 9:e84740. [PMID: 24392155 PMCID: PMC3879309 DOI: 10.1371/journal.pone.0084740] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2013] [Accepted: 11/27/2013] [Indexed: 11/18/2022] Open
Abstract
This study compared fatigue development of the triceps surae induced by two electrical stimulation protocols composed of constant and variable frequency trains (CFTs, VFTs, 450 trains, 30 Hz, 167 ms ON, 500 ms OFF and 146 ms ON, 500 ms OFF respectively). For the VFTs protocol a doublet (100 Hz) was used at the beginning of each train. The intensity used evoked 30% of a maximal voluntary contraction (MVC) and was defined using CFTs. Neuromuscular tests were performed before and after each protocol. Changes in excitation-contraction coupling were assessed by analysing the M-wave [at rest (Mmax) and during MVC (Msup)] and associated peak twitch (Pt). H-reflex [at rest (Hmax) and during MVC (Hsup)] and the motor evoked potential (MEP) during MVC were studied to assess spinal and corticospinal excitability of the soleus muscle. MVC decrease was similar between the protocols (−8%, P<0.05). Mmax, Msup and Pt decreased after both protocols (P<0.01). Hmax/Mmax was decreased (P<0.05), whereas Hsup/Msup and MEP/Msup remained unchanged after both protocols. The results indicate that CFTs and VFTs gave rise to equivalent neuromuscular fatigue. This fatigue resulted from alterations taking place at the muscular level. The finding that cortical and spinal excitability remained unchanged during MVC indicates that spinal and/or supraspinal mechanisms were activated to compensate for the loss of spinal excitability at rest.
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Affiliation(s)
- Maria Papaiordanidou
- Aix-Marseille University, CNRS, ISM UMR 7287, Marseille, France
- Movement to Health Laboratory, Euromov, Montpellier 1 University, Montpellier, France
- * E-mail:
| | - Maxime Billot
- Movement to Health Laboratory, Euromov, Montpellier 1 University, Montpellier, France
- GRAME, Faculté de Médecine, Département de Kinésiologie, Université Laval, Québec, Canada
| | - Alain Varray
- Movement to Health Laboratory, Euromov, Montpellier 1 University, Montpellier, France
| | - Alain Martin
- INSERM U1093 Cognition, Action et Plasticité Sensorimotrice, Université de Bourgogne, UFR STAPS, Dijon, France
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Abstract
Although an authoritative panel recommended the use of ergometer rowing as a non-weight-bearing form of exercise for obese adults, the biomechanical characterization of ergometer rowing is strikingly absent. We examined the interaction between body mass index (BMI) relative to the lower extremity biomechanics during rowing in 10 normal weight (BMI 18–25), 10 overweight (BMI 25–30 kg·m−2), and 10 obese (BMI > 30 kg·m−2) participants. The results showed that BMI affects joint kinematics and primarily knee joint kinetics. The data revealed that high BMI leads to unfavorable knee joint torques, implying increased loads of the medial compartment in the knee joint that could be avoided by allowing more variable foot positioning on future designs of rowing ergometers.
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90
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Gorgey AS, Dolbow DR, Cifu DX, Gater DR. Neuromuscular electrical stimulation attenuates thigh skeletal muscles atrophy but not trunk muscles after spinal cord injury. J Electromyogr Kinesiol 2013; 23:977-84. [DOI: 10.1016/j.jelekin.2013.04.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Revised: 12/27/2012] [Accepted: 04/08/2013] [Indexed: 12/14/2022] Open
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Effect of intermittent low-frequency electrical stimulation on the rat gastrocnemius muscle. BIOMED RESEARCH INTERNATIONAL 2013; 2013:480620. [PMID: 23936807 PMCID: PMC3722893 DOI: 10.1155/2013/480620] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2013] [Revised: 06/01/2013] [Accepted: 06/12/2013] [Indexed: 01/11/2023]
Abstract
Low-frequency neuromuscular electrical stimulation (NMES) has been used as an endurance exercise model. This study aimed to test whether low-frequency NMES increases the phosphorylation of anabolic signaling molecules and induces skeletal muscle hypertrophy, as seen with high-frequency NMES. Using Sprague-Dawley rats, 1 bout of exercise (with dissection done immediately (Post0) and 3 h (Post3) after exercise) and another 6 sessions of training were performed. All experimental groups consisted of high- and low-frequency stimulation (HFS: 100 Hz; LFS: 10 Hz). Periodic acid-Schiff (PAS) staining was conducted to investigate type II fiber activation, and western blot analysis (WB) was conducted to examine whether NMES leads to anabolic intracellular signaling. At first, we examined the acute effect of exercise. PAS staining revealed that glycogen depletion occurred in both type I and type II fibers. WB results demonstrated that p70S6K phosphorylation was significantly increased by HFS, but there was no significant difference with LFS. In contrast, ERK 1/2 phosphorylation was increased by LFS at Post0. In the 6-session training, the wet weight and myofibrillar protein were significantly increased by both HFS and LFS. In conclusion, LFS has a similar anabolic effect for skeletal muscle hypertrophy as HFS, but the mediating signaling pathway might differ.
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92
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Maffiuletti NA, Roig M, Karatzanos E, Nanas S. Neuromuscular electrical stimulation for preventing skeletal-muscle weakness and wasting in critically ill patients: a systematic review. BMC Med 2013; 11:137. [PMID: 23701811 PMCID: PMC3668245 DOI: 10.1186/1741-7015-11-137] [Citation(s) in RCA: 103] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Accepted: 04/19/2013] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Neuromuscular electrical stimulation (NMES) therapy may be useful in early musculoskeletal rehabilitation during acute critical illness. The objective of this systematic review was to evaluate the effectiveness of NMES for preventing skeletal-muscle weakness and wasting in critically ill patients, in comparison with usual care. METHODS We searched PubMed, CENTRAL, CINAHL, Web of Science, and PEDro to identify randomized controlled trials exploring the effect of NMES in critically ill patients, which had a well-defined NMES protocol, provided outcomes related to skeletal-muscle strength and/or mass, and for which full text was available. Two independent reviewers extracted data on muscle-related outcomes (strength and mass), and participant and intervention characteristics, and assessed the methodological quality of the studies. Owing to the lack of means and standard deviations (SDs) in some studies, as well as the lack of baseline measurements in two studies, it was impossible to conduct a full meta-analysis. When means and SDs were provided, the effect sizes of individual outcomes were calculated, and otherwise, a qualitative analysis was performed. RESULTS The search yielded 8 eligible studies involving 172 patients. The methodological quality of the studies was moderate to high. Five studies reported an increase in strength or better preservation of strength with NMES, with one study having a large effect size. Two studies found better preservation of muscle mass with NMES, with small to moderate effect sizes, while no significant benefits were found in two other studies. CONCLUSIONS NMES added to usual care proved to be more effective than usual care alone for preventing skeletal-muscle weakness in critically ill patients. However, there is inconclusive evidence for its benefit in prevention of muscle wasting.
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Vaz MA, Baroni BM, Geremia JM, Lanferdini FJ, Mayer A, Arampatzis A, Herzog W. Neuromuscular electrical stimulation (NMES) reduces structural and functional losses of quadriceps muscle and improves health status in patients with knee osteoarthritis. J Orthop Res 2013; 31:511-6. [PMID: 23138532 DOI: 10.1002/jor.22264] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Accepted: 10/11/2012] [Indexed: 02/04/2023]
Abstract
Knee osteoarthritis (OA) is associated with quadriceps atrophy and weakness, so muscle strengthening is an important point in the rehabilitation process. Since pain and joint stiffness make it often difficult to use conventional strength exercises, neuromuscular electrical stimulation (NMES) may be an alternative approach for these patients. This study was aimed at (1) identifying the associations of knee OA with quadriceps muscle architecture and strength, and (2) quantifying the effects of a NMES training program on these parameters. In phase 1, 20 women with knee OA were compared with 10 healthy female, asymptomatic, age-matched control subjects. In phase 2, 12 OA patients performed an 8-week NMES strength training program. OA patients presented smaller vastus lateralis thickness (11.9 mm) and fascicle length (20.5%) than healthy subjects (14.1 mm; 24.5%), and also had a 23% smaller knee extensor torque compared to the control group. NMES training increased vastus lateralis thickness (from 12.6 to 14.2 mm) and fascicle length (from 19.6% to 24.6%). Additionally, NMES training increased the knee extensor torque by 8% and reduced joint pain, stiffness, and functional limitation. In conclusion, OA patients have decreased strength, muscle thickness, and fascicle length in the knee extensor musculature compared to control subjects. NMES training appears to offset the changes in quadriceps structure and function, as well as improve the health status in patients with knee OA.
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Affiliation(s)
- Marco Aurélio Vaz
- Exercise Research Laboratory, School of Physical Education, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
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The effects of electrical stimulation exercise on muscles injected with botulinum toxin type-A (botox). J Biomech 2012; 46:36-42. [PMID: 23122225 DOI: 10.1016/j.jbiomech.2012.09.025] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2012] [Revised: 08/03/2012] [Accepted: 09/29/2012] [Indexed: 11/23/2022]
Abstract
Botulinum toxin type A (BTX-A) is a frequently used treatment modality for a variety of neuromuscular disorders. It acts by preventing acetylcholine release at the motor nerve endings, inducing muscle paralysis. Although considered safe, studies suggest that BTX-A injections create adverse effects on target and non-target muscles. We speculate that these adverse effects are reduced by direct electrical stimulation (ES) exercising of muscles. The aims were to determine the effects of ES exercise on strength, mass, and contractile material in BTX-A injected muscles, and to investigate if BTX-A injections affect non-target muscles. Seventeen New Zealand White (NZW) rabbits were divided into three groups: (1) Control group received saline injections; (2) BTX-A group received monthly BTX-A (3.5 U/kg) injections into the quadriceps for six months and (3) BTX-A+ES group received monthly BTX-A injections and ES exercise three times a week for six months. Outcome measures included knee extensor torque, muscle mass, and contractile material percentage area in injected and contralateral, non-injected quadriceps. Glycogen depletion and direct muscle stimulation were used to assess possible muscle inhibition in non-injected quadriceps. ES exercise partially prevented muscle weakness, atrophy, and contractile material loss in injected muscles, and mostly prevented muscle degeneration in contralateral, non-injected muscles. Non-injected muscles of BTX-A+ES group showed higher force with direct muscle compared to nerve stimulation, and retained glycogen following the depletion protocol, suggesting that BTX-A inhibited activation in non-target muscles. We conclude that ES exercise provides some protection from degeneration to target and non-target muscles during BTX-A treatments.
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95
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Maffiuletti NA, Minetto MA, Farina D, Bottinelli R. Electrical stimulation for neuromuscular testing and training: state-of-the art and unresolved issues. Eur J Appl Physiol 2011; 111:2391-7. [PMID: 21866361 DOI: 10.1007/s00421-011-2133-7] [Citation(s) in RCA: 85] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2011] [Accepted: 08/15/2011] [Indexed: 11/30/2022]
Affiliation(s)
- Nicola A Maffiuletti
- Neuromuscular Research Laboratory, Schulthess Clinic, Lengghalde 2, Zurich, Switzerland.
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