Hybrid stimulation enhances torque as a function of muscle fusion in human paralyzed and non-paralyzed skeletal muscle.
J Spinal Cord Med
; 42(5): 562-570, 2019 09.
Article
em En
| MEDLINE
| ID: mdl-29923814
ABSTRACT
OBJECTIVE:
After spinal cord injury (SCI), hybrid stimulation patterns that interpose paired-pulse doublets over a constant-frequency background may enhance the metabolic "work" (muscle torque) performed by paralyzed muscle. This study examined the effect of background stimulation frequency on the torque contribution of the doublet before and after fatigue.DESIGN:
Cross-sectional study.SETTING:
Research laboratory in an academic medical center.PARTICIPANTS:
Five men with chronic sensory and motor-complete SCI and ten non-SCI controls (6 males, 4 females). SCI subjects were recruited from a long-term study of unilateral plantar-flexor training; both limbs were tested for the present study.INTERVENTIONS:
Subjects underwent plantar flexor stimulation at 5, 7, 9, and 12â Hz. The four background frequencies were overlaid with 6â ms doublets delivered at the start, middle, or at both the start and middle of each train. The 5â Hz and 12â Hz frequencies were analyzed after fatigue. OUTCOMEMEASURES:
Mean torque, peak torque, torque fusion index, doublet torque.RESULTS:
Trains with doublets at both the start and middle yielded the most consistent enhancement of torque (all P < 0.028). Torque contribution of the doublet was greatest at low stimulus frequencies (all P < 0.016). The low relative fusion of untrained paralyzed muscle preserved the efficacy of the doublet even during fatigue.CONCLUSION:
Hybrid stimulus trains may be an effective way to increase contractile work in paralyzed muscle, even after fatigue. They may be useful for rehabilitation strategies designed to enhance the metabolic work performed by paralyzed skeletal muscle.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Paralisia
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Traumatismos da Medula Espinal
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Terapia por Estimulação Elétrica
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Músculo Esquelético
Tipo de estudo:
Observational_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article