Torque, Current, and Discomfort During 3 Types of Neuromuscular Electrical Stimulation of Tibialis Anterior.
Phys Ther
; 97(8): 790-789, 2017 Aug 01.
Article
in En
| MEDLINE
| ID: mdl-28789468
ABSTRACT
BACKGROUND:
The benefits of neuromuscular electrical stimulation (NMES) for rehabilitation depend on the capacity to generate functionally relevant torque with minimal fatigability and discomfort. Traditionally, NMES is delivered either over a muscle belly (mNMES) or a nerve trunk (nNMES). Recently, a technique that minimizes contraction fatigability by alternating pulses between the mNMES and nNMES sites, termed "interleaved" NMES (iNMES), was developed. However, discomfort and the ability to generate large torque during iNMES have not been explored adequately.OBJECTIVE:
The study objective was to compare discomfort and maximal torque between mNMES, nNMES, and iNMES.METHODS:
Stimulation trains (12 pulses at 40 Hz) were delivered to produce dorsiflexion torque using mNMES, nNMES, and iNMES. Discomfort was assessed using a visual analogue scale for contractions that generated 5-30% of a maximal voluntary isometric contraction (MVIC), and for the maximal tolerable torque.RESULTS:
Discomfort scores were not different between NMES types when torque was ≤20% MVIC. At 30% MVIC, mNMES produced more discomfort than nNMES and iNMES. nNMES produced the most torque (65% MVIC), followed by iNMES (49% MVIC) and mNMES (33% MVIC); in these trials, mNMES produced more discomfort than nNMES, but not iNMES.LIMITATIONS:
The present results may be limited to individuals with no history of neuromusculoskeletal impairment.CONCLUSIONS:
In terms of discomfort, there were no differences between mNMES, nNMES, or iNMES for contractions between 5-20% MVIC. However, mNMES produced more discomfort than nNMES and iNMES for contractions of 30% MVIC, while for larger contractions, mNMES only produced more discomfort than nNMES. The advantages and disadvantages of each NMES type should be considered prior to implementation in rehabilitation programs.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain
/
Electric Stimulation Therapy
/
Range of Motion, Articular
/
Muscle, Skeletal
/
Isometric Contraction
/
Ankle Joint
Type of study:
Clinical_trials
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Phys Ther
Year:
2017
Document type:
Article