ArticlePhysical therapy2008
Using customized rate-coding and recruitment strategies to maintain forces during repetitive activation of human muscles.
Article in Physical therapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 30 citations in OpenAlex.
- Mimicking muscle activity with electrical stimulation.Journal of neural engineering · 2011Trial
- Sleep restriction reduces voluntary isometric quadriceps strength through reduced neuromuscular efficiency, not impaired contractile performance.European journal of applied physiology · 2024Article
- Contributions of the Cybathlon championship to the literature on functional electrical stimulation cycling among individuals with spinal cord injury: A bibliometric review.Journal of sport and health science · 2022Review
- Dynamic optimization of stimulation frequency to reduce isometric muscle fatigue using a modified Hill-Huxley model.Muscle & nerve · 2018Article
- Power output and fatigue properties using spatially distributed sequential stimulation in a dynamic knee extension task.European journal of applied physiology · 2017Article
- Higher-order power harmonics of pulsed electrical stimulation modulates corticospinal contribution of peripheral nerve stimulation.Scientific reports · 2017Article
- Effect of Stochastic Modulation of Inter-Pulse Interval During Stimulated Isokinetic Leg Extension.European journal of translational myology · 2016Article
- Predicting non-isometric fatigue induced by electrical stimulation pulse trains as a function of pulse duration.Journal of neuroengineering and rehabilitation · 2013Article
- Variable stimulation patterns in younger and older thenar muscle.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2012Article
- Enhancing muscle force and femur compressive loads via feedback-controlled stimulation of paralyzed quadriceps in humans.Archives of physical medicine and rehabilitation · 2011Article
- Trunk and hip muscle activity in early walkers with and without cerebral palsy--a frequency analysis.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2010Article
- Repetetive hindlimb movement using intermittent adaptive neuromuscular electrical stimulation in an incomplete spinal cord injury rodent model.Experimental neurology · 2010Article
- Novel patterns of functional electrical stimulation have an immediate effect on dorsiflexor muscle function during gait for people poststroke.Physical therapy · 2010Review
- Stochastically modulated inter-pulse intervals to increase the efficiency of functional electrical stimulation cycling.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
background and purposeDuring functional electrical stimulation (FES), clinicians typically increase stimulation intensity to offset fatigue and maintain functional levels of force production. However, recent studies have suggested that increasing the stimulation frequency is an effective strategy for overcoming fatigue during FES. The purpose of this study was to compare the effectiveness of 5 stimulation strategies on maintaining forces during repetitive isometric muscle activation. SUBJECTS AND
methodsThe right quadriceps femoris muscles of 12 subjects with no history of lower-extremity orthopedic, neurological, or vascular problems were tested. The 5 stimulation strategies were: progressively increasing the frequency, progressively increasing the intensity, and 3 combination protocols that first increased the intensity and then increased the frequency. The only difference among the 3 combination protocols was the starting frequency used in each protocol (20, 30, or 40 Hz). For all protocols, the stimulation frequency or intensity was increased progressively every time the peak force declined more than 10% from a targeted force level. The specific step increases in frequency or intensity were customized for each subject. A contraction was defined as successful when its peak force exceeded 90% of the targeted force level.
resultsThe results showed that progressively increasing only the frequency produced 59% more successful contractions than progressively increasing only the intensity. In addition, the combination stimulation protocol that began with 30-Hz trains produced the most successful contractions (mean=1,205 contractions; 35%-74% more than the other 4 protocols tested). DISCUSSION AND
conclusionThe results suggest that increasing the stimulation intensity and then the frequency is the best strategy to maintain muscle performance and could help clinicians design optimal stimulation protocols to use for each patient during FES.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.