Matsunaga T, Shimada Y, Sato K. Muscle fatigue from intermittent stimulation with low and high frequency electrical pulses.
Arch Phys Med Rehabil 1999;
80:48-53. [PMID:
9915371 DOI:
10.1016/s0003-9993(99)90306-4]
[Citation(s) in RCA: 54] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
OBJECTIVE
To evaluate muscle fatigue resulting from intermittent low frequency and high frequency stimulation for the application of closed-loop control in functional electrical stimulation (FES).
DESIGN
Nonrandomized trial.
SETTING
General community, a referral center, institutional practice, and ambulatory care.
PATIENTS
Twenty healthy nondisabled men volunteered for the normal muscle group. Four paraplegic men with implanted percutaneous intramuscular electrodes for FES volunteered for the paralyzed muscle group.
INTERVENTION
The stimulation frequency was set at low (20 Hz) or high (100 Hz). Stimulation was administered in 4-second bursts at the start of 60-second, 120-second, and 240-second periods (duty cycles of 1/15, 1/30, and 1/60, respectively).
MAIN OUTCOME MEASUREMENTS
Knee extensor torques were measured during intermittent electrical stimulation. A strength decrement index (SDI) was used to assess muscle fatigue. Actual knee extensor torques in the paraplegic men were also measured with an isokinetic dynamometer.
RESULTS
Muscle fatigue was significantly greater at 20 Hz than at 100 Hz for both the nondisabled and the paraplegic subjects (p < .0001). Muscle fatigue at the 1/15 cycle was significantly reduced (p < .01).
CONCLUSIONS
Muscle fatigue was greater at the lower frequency (20 Hz) than at the higher frequency (100 Hz) during intermittent electrical stimulation, suggesting that intermittent high frequency stimulation may be valuable in the development of closed-loop control strategies for FES.
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