ArticleEuropean journal of applied physiology2014
Reducing muscle fatigue during transcutaneous neuromuscular electrical stimulation by spatially and sequentially distributing electrical stimulation sources.
Article in European journal of applied physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Spatially distributed sequential stimulation applied to the paralyzed quadriceps muscles while performing motor-assisted FES cycling.Journal of neuroengineering and rehabilitation · 2025Trial
- Wearable Bioelectronics for Home-Based Monitoring and Treatment of Muscle Atrophy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Review
- Delayed muscle fatigue during electrical stimulation of the proximal nerve using asymmetric random high-frequency carrier pulse cluster.Journal of neuroengineering and rehabilitation · 2025Article
- Efficacy of high- versus moderate-intensity spatially distributed sequential stimulation in subjects with spinal cord injury: an isometric study.Journal of neuroengineering and rehabilitation · 2025Article
- A wearable functional electrical stimulation device with a movable electrode for motor point tracking.Frontiers in bioengineering and biotechnology · 2025Article
- Article
- Combining transcutaneous spinal stimulation and functional electrical stimulation increases force generated by lower limbs: When more is more.bioRxiv : the preprint server for biology · 2023Article
- Effects of trunk neuromuscular electrical stimulation on the motor circuits of able-bodied individuals.Experimental brain research · 2023Article
- Asynchronous axonal firing patterns evoked via continuous subthreshold kilohertz stimulation.Journal of neural engineering · 2023Article
- User-centered design and spatially-distributed sequential electrical stimulation in cycling for individuals with paraplegia.Journal of neuroengineering and rehabilitation · 2022Article
- Ultrasound Echogenicity as an Indicator of Muscle Fatigue during Functional Electrical Stimulation.Sensors (Basel, Switzerland) · 2022Article
- Toward a wearable monitor of local muscle fatigue during electrical muscle stimulation using tissue Doppler imaging.Wearable technologies · 2022Article
- A Generic Sequential Stimulation Adapter for Reducing Muscle Fatigue during Functional Electrical Stimulation.Sensors (Basel, Switzerland) · 2021Article
- Does increasing the number of channels during neuromuscular electrical stimulation reduce fatigability and produce larger contractions with less discomfort?European journal of applied physiology · 2021Article
- Standardizing fatigue-resistance testing during electrical stimulation of paralysed human quadriceps muscles, a practical approach.Journal of neuroengineering and rehabilitation · 2021Article
- Stimulation of paralysed quadriceps muscles with sequentially and spatially distributed electrodes during dynamic knee extension.Journal of neuroengineering and rehabilitation · 2019Article
- Current Change Rate Influences Sensorimotor Cortical Excitability During Neuromuscular Electrical Stimulation.Frontiers in human neuroscience · 2019Article
- Mitigation of excessive fatigue associated with functional electrical stimulation.Journal of neural engineering · 2018Article
- Distributed stimulation increases force elicited with functional electrical stimulation.Journal of neural engineering · 2018Article
- Variation of Finger Activation Patterns Post-stroke Through Non-invasive Nerve Stimulation.Frontiers in neurology · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeA critical limitation with transcutaneous neuromuscular electrical stimulation is the rapid onset of muscle fatigue. We have previously demonstrated that spatially distributed sequential stimulation (SDSS) shows a drastically greater fatigue-reducing ability compared to a single active electrode stimulation (SES). The purposes of this study were to investigate (1) the fatigue-reducing ability of SDSS in more detail focusing on the muscle contractile properties and (2) the mechanism of this effect using array-arranged electromyogram (EMG).
methodsSDSS was delivered through four active electrodes applied to the plantarflexors, sending a stimulation pulse to each electrode one after another with 90° phase shift between successive electrodes. In the first experiment, the amount of exerted ankle torque and the muscle contractile properties were investigated during a 3 min fatiguing stimulation. In the second experiment, muscle twitch potentials with SDSS and SES stimulation electrode setups were compared using the array-arranged EMG.
resultsThe results demonstrated negligible torque decay during SDSS in contrast to considerable torque decay during SES. Moreover, small changes in the muscle contractile properties during the fatiguing stimulation using SDSS were observed, while slowing of muscle contraction and relaxation was observed during SES. Further, the amplitude of the M-waves at each muscle portion was dependent on the location of the stimulation electrodes during SDSS.
conclusionWe conclude that SDSS is more effective in reducing muscle fatigue compared to SES, and the reason is that different sets of muscle fibers are activated alternatively by different electrodes.
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