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Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap
ABSTRACT Introduction: In this study, we quantified the “overlap” between motor units recruited by single pulses of neuromuscular electrical stimulation (NMES) delivered over the tibialis anterior muscle (mNMES) and the common peroneal nerve (nNMES). We then quantified the torque produced when pulse...
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Published in: | Muscle & nerve 2017-04, Vol.55 (4), p.490-499 |
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creator | Wiest, Matheus J. Bergquist, Austin J. Schimidt, Helen L. Jones, Kelvin E. Collins, David F. |
description | ABSTRACT
Introduction: In this study, we quantified the “overlap” between motor units recruited by single pulses of neuromuscular electrical stimulation (NMES) delivered over the tibialis anterior muscle (mNMES) and the common peroneal nerve (nNMES). We then quantified the torque produced when pulses were alternated between the mNMES and nNMES sites at 40 Hz (“interleaved” NMES; iNMES). Methods: Overlap was assessed by comparing torque produced by twitches evoked by mNMES, nNMES, and both delivered together, over a range of stimulus intensities. Trains of iNMES were delivered at the intensity that produced the lowest overlap. Results: Overlap was lowest (5%) when twitches evoked by both mNMES and nNMES produced 10% peak twitch torque. iNMES delivered at this intensity generated 25% of maximal voluntary dorsiflexion torque (11 Nm). Discussion: Low intensity iNMES leads to low overlap and produces torque that is functionally relevant to evoke dorsiflexion during walking. Muscle Nerve 55: 490–499, 2017 |
doi_str_mv | 10.1002/mus.25249 |
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Introduction: In this study, we quantified the “overlap” between motor units recruited by single pulses of neuromuscular electrical stimulation (NMES) delivered over the tibialis anterior muscle (mNMES) and the common peroneal nerve (nNMES). We then quantified the torque produced when pulses were alternated between the mNMES and nNMES sites at 40 Hz (“interleaved” NMES; iNMES). Methods: Overlap was assessed by comparing torque produced by twitches evoked by mNMES, nNMES, and both delivered together, over a range of stimulus intensities. Trains of iNMES were delivered at the intensity that produced the lowest overlap. Results: Overlap was lowest (5%) when twitches evoked by both mNMES and nNMES produced 10% peak twitch torque. iNMES delivered at this intensity generated 25% of maximal voluntary dorsiflexion torque (11 Nm). Discussion: Low intensity iNMES leads to low overlap and produces torque that is functionally relevant to evoke dorsiflexion during walking. Muscle Nerve 55: 490–499, 2017</description><identifier>ISSN: 0148-639X</identifier><identifier>EISSN: 1097-4598</identifier><identifier>DOI: 10.1002/mus.25249</identifier><identifier>PMID: 27422814</identifier><identifier>CODEN: MUNEDE</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Electric Stimulation ; Electromyography ; Female ; Humans ; interleaved ; Linear Models ; Male ; motor unit ; Muscle Contraction - physiology ; Muscle, Skeletal - physiology ; neuromuscular electrical stimulation ; Neuromuscular Junction - physiology ; NMES ; recruitment overlap ; Recruitment, Neurophysiological - physiology ; Torque ; twitch torque ; Walking - physiology ; Young Adult</subject><ispartof>Muscle & nerve, 2017-04, Vol.55 (4), p.490-499</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3869-6bbcfe5082b9e08bc8deb7192f3f01423aac34ac04515ce824c1f26ab07d64413</citedby><cites>FETCH-LOGICAL-c3869-6bbcfe5082b9e08bc8deb7192f3f01423aac34ac04515ce824c1f26ab07d64413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27422814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiest, Matheus J.</creatorcontrib><creatorcontrib>Bergquist, Austin J.</creatorcontrib><creatorcontrib>Schimidt, Helen L.</creatorcontrib><creatorcontrib>Jones, Kelvin E.</creatorcontrib><creatorcontrib>Collins, David F.</creatorcontrib><title>Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>ABSTRACT
Introduction: In this study, we quantified the “overlap” between motor units recruited by single pulses of neuromuscular electrical stimulation (NMES) delivered over the tibialis anterior muscle (mNMES) and the common peroneal nerve (nNMES). We then quantified the torque produced when pulses were alternated between the mNMES and nNMES sites at 40 Hz (“interleaved” NMES; iNMES). Methods: Overlap was assessed by comparing torque produced by twitches evoked by mNMES, nNMES, and both delivered together, over a range of stimulus intensities. Trains of iNMES were delivered at the intensity that produced the lowest overlap. Results: Overlap was lowest (5%) when twitches evoked by both mNMES and nNMES produced 10% peak twitch torque. iNMES delivered at this intensity generated 25% of maximal voluntary dorsiflexion torque (11 Nm). Discussion: Low intensity iNMES leads to low overlap and produces torque that is functionally relevant to evoke dorsiflexion during walking. Muscle Nerve 55: 490–499, 2017</description><subject>Adult</subject><subject>Electric Stimulation</subject><subject>Electromyography</subject><subject>Female</subject><subject>Humans</subject><subject>interleaved</subject><subject>Linear Models</subject><subject>Male</subject><subject>motor unit</subject><subject>Muscle Contraction - physiology</subject><subject>Muscle, Skeletal - physiology</subject><subject>neuromuscular electrical stimulation</subject><subject>Neuromuscular Junction - physiology</subject><subject>NMES</subject><subject>recruitment overlap</subject><subject>Recruitment, Neurophysiological - physiology</subject><subject>Torque</subject><subject>twitch torque</subject><subject>Walking - physiology</subject><subject>Young Adult</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkU1Lw0AQhhdRbK0e_AMS8KKHtLubTbLrTYofhRYFLXgLm-0EUpJs3Y9K_71bWz0IgqeB4eHhnXkROid4SDCmo9bbIU0pEweoT7DIY5YKfoj6mDAeZ4l466ETa5cYY8Kz_Bj1aM4o5YT10fOkc2AakGtYRB14o4NM-UaaCBpQztRKNpF1dRt2rtbdTTTTTpvId7WLDCjja9dC5yK9Dh65OkVHlWwsnO3nAM3v717Hj_H06WEyvp3GKuGZiLOyVBWkmNNSAOal4gsocyJolVQhNk2kVAmTCrOUpAo4ZYpUNJMlzhcZYyQZoKudd2X0uwfrira2CppGdqC9LQjnXKQpTsQ_UJrllIVYAb38hS61N104ZCsMuVKe54G63lHKaGsNVMXK1K00m4LgYttIEZ5YfDUS2Iu90ZctLH7I7woCMNoBH3UDm79NxWz-slN-AvBElb0</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Wiest, Matheus J.</creator><creator>Bergquist, Austin J.</creator><creator>Schimidt, Helen L.</creator><creator>Jones, Kelvin E.</creator><creator>Collins, David F.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap</title><author>Wiest, Matheus J. ; Bergquist, Austin J. ; Schimidt, Helen L. ; Jones, Kelvin E. ; Collins, David F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3869-6bbcfe5082b9e08bc8deb7192f3f01423aac34ac04515ce824c1f26ab07d64413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Electric Stimulation</topic><topic>Electromyography</topic><topic>Female</topic><topic>Humans</topic><topic>interleaved</topic><topic>Linear Models</topic><topic>Male</topic><topic>motor unit</topic><topic>Muscle Contraction - physiology</topic><topic>Muscle, Skeletal - physiology</topic><topic>neuromuscular electrical stimulation</topic><topic>Neuromuscular Junction - physiology</topic><topic>NMES</topic><topic>recruitment overlap</topic><topic>Recruitment, Neurophysiological - physiology</topic><topic>Torque</topic><topic>twitch torque</topic><topic>Walking - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiest, Matheus J.</creatorcontrib><creatorcontrib>Bergquist, Austin J.</creatorcontrib><creatorcontrib>Schimidt, Helen L.</creatorcontrib><creatorcontrib>Jones, Kelvin E.</creatorcontrib><creatorcontrib>Collins, David F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiest, Matheus J.</au><au>Bergquist, Austin J.</au><au>Schimidt, Helen L.</au><au>Jones, Kelvin E.</au><au>Collins, David F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2017-04</date><risdate>2017</risdate><volume>55</volume><issue>4</issue><spage>490</spage><epage>499</epage><pages>490-499</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>ABSTRACT
Introduction: In this study, we quantified the “overlap” between motor units recruited by single pulses of neuromuscular electrical stimulation (NMES) delivered over the tibialis anterior muscle (mNMES) and the common peroneal nerve (nNMES). We then quantified the torque produced when pulses were alternated between the mNMES and nNMES sites at 40 Hz (“interleaved” NMES; iNMES). Methods: Overlap was assessed by comparing torque produced by twitches evoked by mNMES, nNMES, and both delivered together, over a range of stimulus intensities. Trains of iNMES were delivered at the intensity that produced the lowest overlap. Results: Overlap was lowest (5%) when twitches evoked by both mNMES and nNMES produced 10% peak twitch torque. iNMES delivered at this intensity generated 25% of maximal voluntary dorsiflexion torque (11 Nm). Discussion: Low intensity iNMES leads to low overlap and produces torque that is functionally relevant to evoke dorsiflexion during walking. Muscle Nerve 55: 490–499, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27422814</pmid><doi>10.1002/mus.25249</doi><tpages>10</tpages></addata></record> |
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subjects | Adult Electric Stimulation Electromyography Female Humans interleaved Linear Models Male motor unit Muscle Contraction - physiology Muscle, Skeletal - physiology neuromuscular electrical stimulation Neuromuscular Junction - physiology NMES recruitment overlap Recruitment, Neurophysiological - physiology Torque twitch torque Walking - physiology Young Adult |
title | Interleaved neuromuscular electrical stimulation: Motor unit recruitment overlap |
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