Invasive dynamic electrical impedance myography during 100 s of moderate contraction in rats' gastrocnemius muscle

GOAL

The present study aimed to investigate the behavior of dynamic electrical impedance myography (dEIM) signals during a 100-s period of the dynamic contraction of Wistar rats' gastrocnemius evoked by electrical stimulation and to link the variations in bioimpedance with muscular energy systems.

METHODS

Muscle contraction used 30% of the maximum muscular force and persisted for 100 s, along which dynamic bioimpedance signals were acquired. Based on the bioimpedance signals, two parameters, ΔZc and ΔZpc, were calculated to allow the analysis of their changes with the energy systems that supplied adenosine triphosphate (ATP) to the muscle. ΔZc indicated the variation of impedance of a twitch cycle compared to the values observed during the rest period preceding the cycle, and ΔZpc indicated slow bioimpedance variations compared to the values obtained during the rest period.

RESULTS

The results indicated that ΔZc followed the force behavior, achieving a change rate of ∼14%. This parameter was associated with instantaneous impedance changes owing to the occurrence of each twitch.

CONCLUSION

Although the findings of this study were linked to energy system processes, future studies are required for improving the understanding of the underlying mechanisms involved in dEIM.

SIGNIFICANCE

The results contributed to understanding the relation of energy systems that supply ATP to the muscles with dEIM variations that occurred during muscle activity.

Invasive electrical impedance myography at different levels of contraction of gastrocnemius muscle of rat

Electrical impedance myography (EIM) is as an experimental technique that associates muscle impedance with muscular activity. Changes in muscle impedance during contraction occur mainly due to changes in the morphological and physiological characteristics of muscles that lead to different impeditivities in comparison with the resting condition. There is no consensus on the details of muscular impedance during muscle activity. EIM measurements on humans are also influenced by factors such as the electrode-skin interface, layers of skin and fat, and the connective tissue that can generate undesirable effects in the impedance signal. These effects can be avoided if EIM measurements are carried out directly on the muscle by using the models of animals. This study investigates changes in the EIM signal in the gastrocnemius muscles of Wistar rats during different levels of muscular contraction. In vivo experiments were conducted on 19 male rats. The muscle was exposed, fixed on a load cell, and electrically stimulated to evoke different levels of muscle contraction. Signals of the components of impedance were analyzed against the muscular force signal. The results show moderate correlations (p < 0.05) among the impedance-related parameters of resistance (r = -0.76), reactance (r = 0.57), and phase (r = 0.53). In addition to providing an experimental protocol for the invasive collection of data on electrical impedance to minimize problems associated with surface electrodes, this study shows that of the components of impedance, resistance is most affected by the intensity of muscular contractions and that morphological changes influence impedance mainly at low intensities.

Time-scaling based sliding mode control for Neuromuscular Electrical Stimulation under uncertain relative degrees

This paper addresses the application of the sliding mode approach to control the arm movements by artificial recruitment of muscles using Neuromuscular Electrical Stimulation (NMES). Such a technique allows the activation of motor nerves using surface electrodes. The goal of the proposed control system is to move the upper limbs of subjects through electrical stimulation to achieve a desired elbow angular displacement. Since the human neuro-motor system has individual characteristics, being time-varying, nonlinear and subject to uncertainties, the use of advanced robust control schemes may represent a better solution than classical Proportional-Integral (PI) controllers and model-based approaches, being simpler than more sophisticated strategies using fuzzy logic or neural networks usually applied in this control problem. The objective is the introduction of a new time-scaling base sliding mode control (SMC) strategy for NMES and its experimental evaluation. The main qualitative advantages of the proposed controller via time-scaling procedure are its independence of the knowledge of the plant relative degree and the design/tuning simplicity. The developed sliding mode strategy allows for chattering alleviation due to the impact of the integrator in smoothing the control signal. In addition, no differentiator is applied to construct the sliding surface. The stability analysis of the closed-loop system is also carried out by using singular perturbation methods. Experimental results are conducted with healthy volunteers as well as stroke patients. Quantitative results show a reduction of 45% in terms of root mean square (RMS) error (from 5.9° to [Formula: see text] ) in comparison with PI control scheme, which is similar to that obtained in the literature.

Lactate threshold by muscle electrical impedance in professional rowers

Lactate threshold (LT) is one of the physiological parameters usually used in rowing sport training prescription because it indicates the transitions from aerobic to anaerobic metabolism. Assessment of LT is classically based on a series of values of blood lactate concentrations obtained during progressive exercise tests and thus has an invasive aspect. The feasibility of noninvasive LT estimative through bioelectrical impedance spectroscopy (BIS) data collected in thigh muscles during rowing ergometer exercise tests was investigated. Nineteen professional rowers, age 19 (mean) ± 4.8 (standard deviation) yr, height 187.3 ± 6.6 cm, body mass 83 ± 7.7 kg, and training experience of 7 ± 4 yr, were evaluated in a rowing ergometer progressive test with paired measures of blood lactate concentration and BIS in thigh muscles. Bioelectrical impedance data were obtained by using a bipolar method of spectroscopy based on the current response to a voltage step. An electrical model was used to interpret BIS data and to derive parameters that were investigated to estimate LT noninvasively. From the serial blood lactate measurements, LT was also determined through Dmax method (LT_Dmax). The zero crossing of the second derivative of kinetic of the capacitance electrode (Ce), one of the BIS parameters, was used to estimate LT. The agreement between the LT estimates through BIS (LT_BIS) and through Dmax method (LT_Dmax) was evaluated using Bland-Altman plots, leading to a mean difference between the estimates of just 0.07 W and a Pearson correlation coefficient r = 0.85. This result supports the utilization of the proposed method based on BIS parameters for estimating noninvasively the lactate threshold in rowing.

Detection of questionable occlusal carious lesions using an electrical bioimpedance method with fractional electrical model

This in vitro study evaluated the diagnostic performance of an alternative electric bioimpedance spectroscopy technique (BIS-STEP) detect questionable occlusal carious lesions. Six specialists carried out the visual (V), radiography (R), and combined (VR) exams of 57 sound or non-cavitated occlusal carious lesion teeth classifying the occlusal surfaces in sound surface (H), enamel caries (EC), and dentinal caries (DC). Measurements were based on the current response to a step voltage excitation (BIS-STEP). A fractional electrical model was used to predict the current response in the time domain and to estimate the model parameters: Rs and Rp (resistive parameters), and C and α (fractional parameters). Histological analysis showed caries prevalence of 33.3% being 15.8% hidden caries. Combined examination obtained the best traditional diagnostic results with specificity = 59.0%, sensitivity = 70.9%, and accuracy = 60.8%. There were statistically significant differences in bioimpedance parameters between the H and EC groups (p = 0.016) and between the H and DC groups (Rs, p = 0.006; Rp, p = 0.022, and α, p = 0.041). Using a suitable threshold for the Rs, we obtained specificity = 60.7%, sensitivity = 77.9%, accuracy = 73.2%, and 100% of detection for deep lesions. It can be concluded that BIS-STEP method could be an important tool to improve the detection and management of occlusal non-cavitated primary caries and pigmented sites.

Characterization of the mechanomyographic signal of three different muscles and at different levels of isometric contractions

PURPOSE

Lateral (X) and longitudinal (Y) mechanical oscillations of muscle fibers that take place during muscular contraction seem to contain information additionally to the myoelectric activity, which can contribute to the interpretation of some muscle gradation force mechanisms. However, no previous study was found that had investigated the relationship between the muscle force and features associated to the mechanomyographic (MMG) signal obtained by means of a biaxial accelerometer in three different muscles. Therefore, the aim of this study was to evaluate the relationship between the force output at different load levels (20% to 100%) of the maximum voluntary isometric contraction (%MVIC) and the two signals supplied by a biaxial accelerometer and, in addition, the so-called resultant (R) acceleration signal derived from the two signals mentioned previously. Twenty seven male volunteers participated in this study.

METHODS

The force output related to the right biceps brachii, soleus and gastrocnemius medialis muscles was studied by means of linear regression models fit to log-transformed of the root mean square (RMS) values of the MMG signals in X, Y, and R axes versus each %MVIC. The phase angle of R acceleration (PhaseR) and anthropometric data were also considered.

RESULTS

The angular coefficient a and the antilog of y-intercept b from the log-transformed of MMG data values versus force output were able to distinguish partially motor unit strategies during isometric contractions in the three muscles studied.

CONCLUSION

The findings suggest that biaxial accelerometer seems to be an interesting approach in the assessment of muscle contraction properties.

Assessment of tooth structure using an alternative electrical bioimpedance spectroscopy method

In the past few years bioimpedance has been used in many applications in dentistry, such as estimating the length of root canals and the physical properties of enamel. Despite the significant number of studies using bioimpedance to investigate the dental structure, many of them use only the real component of bioimpedance, i.e., the resistance, disregarding the information provided by the imaginary one, i.e., the reactance. Moreover, in different studies that investigate both parts of bioimpedance, the data are obtained by using single frequency or multifrequency methods based on sinusoidal sweep. The aim of this study was to investigate the use of an alternative bioimpedance spectroscopy (BIS) method based on step response in the assessment of tooth structure. To test the feasibility of the studied method we performed in vitro experiments that considered the successive removal of enamel layers of 22 healthy teeth, the accomplishment of the BIS method, and the estimate of bioimpedance parameter that were associated with the changes in the tooth structure. To deal with the variability of bioimpedance parameters a dental health index (DHI) is proposed. The findings include the behavior of bioimpedance parameters of intact teeth, as well as those associated with the successive removal of the enamel layer, and indicate that DHI is sensitive enough to detect changes of the enamel layer. The results point to the feasibility of the studied BIS method in evaluating tooth structure and that it might be used to assess dental health.

Comparison of two bioimpedance spectroscopy techniques in the assessment of body fluid volumes

The present study aimed to compare the estimates of body liquid volumes performed by two bioimpedance spectrometry techniques. One based on a step response technique (BIS-PEB) and second one based on multifrequency Xitron Hydra 4200 equipment (Xitron Technologies, San Diego, CA, USA). The convenience sample was initially composed of 422 students from a military parachuting course of the Brazilian Army. From such sample 42 male students were randomly selected to be evaluated during three weeks. The anthropometrical characteristics of the sample can be summarized as: 25.18 +/- 4.10 years old; weight equals of 76.77 +/- 7.84 kg; height equals to 174.96 +/- 5.67 cm; body mass index (BMI) equal to 25.05 +/- 2.11 kg m(-2). Bland-Altman graphics were used to compare the two methods in what concerns to estimate of extracellular fluid (ECF), intracellular fluid (ICF), and total body water (TBW). One can observe that the estimates of the two techniques present a good correlation, especially in the case of ECF (r = 0.975). The present study indicates that BIS-PEB technique associated with De Lorenzo equation can supply noninvasive estimates of body fluid volumes comparable to Xitron Hydra 4200 equipment.

Objective assessment of knee osteroarthritis in parachuters by bioimpedance spectroscopy

The aim of the present study was to derive an objective and noninvasive assessment of osteoarthritis of the knee joint by bioimpedance spectrocopy (BIS). The study was performed in Brazilian Military Parachuters and intends to contribute to the improvement of the early diagnosis of joint degeneration. Twelve male volunteers (24 knee joints) participated in the study. A novel index (ID) to assess the disease was proposed from the raw bioimpedance parameter. This index was compared with a subjective rating (Dejour scale) performed by 3 therapists. The results indicated that the values of ID were significantly different (p0.001) between the control group (class 1 of Dejour) and the pathological group (class 2 or higher). A Spearman correlation of -0.81 between the values of ID and the therapists rating was detected. Despite the need of increasing the sample size, the novel technique seems to be capable of supplying an objective and non-invasive tool for helping the diagnosis of the knee osteoarthritis.

Comparative effects of vaporized perfluorohexane and partial liquid ventilation in oleic acid-induced lung injury

BACKGROUND

It is currently not known whether vaporized perfluorohexane is superior to partial liquid ventilation (PLV) for therapy of acute lung injury. In this study, the authors compared the effects of both therapies in oleic acid-induced lung injury.

METHODS

Lung injury was induced in 30 anesthetized and mechanically ventilated pigs by means of central venous infusion of oleic acid. Animals were assigned to one of the following groups: (1) control or gas ventilation (GV), (2) 2.5% perfluorohexane vapor, (3) 5% perfluorohexane vapor, (4) 10% perfluorohexane vapor, or (5) PLV with perfluorooctane (30 ml/kg). Two hours after randomization, lungs were recruited and positive end-expiratory pressure was adjusted to obtain minimal elastance. Ventilation was continued during 4 additional hours, when animals were killed for lung histologic examination.

RESULTS

Gas exchange and elastance were comparable among vaporized perfluorohexane, PLV, and GV before the open lung approach was used and improved in a similar fashion in all groups after positive end-expiratory pressure was adjusted to optimal elastance (P < 0.05). A similar behavior was observed in functional residual capacity (FRC) in animals treated with vaporized perfluorohexane and GV. Lung resistance improved after recruitment (P < 0.05), but values were higher in the 10% perfluorohexane and PLV groups as compared with GV (P < 0.05). Interestingly, positive end-expiratory pressure values required to obtain minimal elastance were lower with 5% perfluorohexane than with PLV and GV (P < 0.05). In addition, diffuse alveolar damage was significantly lower in the 5% and 10% perfluorohexane vapor groups as compared with PLV and GV (P < 0.05).

CONCLUSIONS

Although the use of 5% vaporized perfluorohexane permitted the authors to reduce pressures needed to stabilize the lungs and was associated with better histologic findings than were PLV and GV, none of these perfluorocarbon therapies improved gas exchange or lung mechanics as compared with GV.

Effects of filtering and delays on the estimates of a nonlinear respiratory mechanics model

Estimation of mechanical properties of the respiratory system may be disturbed by instrumentation and physical set-up. The effects of lowpass filtering, filter mismatch and inter-channel delay in the digital converter are assessed on numerically simulated signals from a nonlinear model of the respiratory system. Large biases in model parameter estimates (up to about -300% for some parameters) were caused by these instrumental interferences and were reduced by including an inertance in the retrieved model. The results reinforce the importance of a careful evaluation of the instrumental set-up used in physiological measurements.