Evidence map›Paper›PMID 33519355›Full record

ArticleFrontiers in neuroscience2020

Intensity and Dose of Neuromuscular Electrical Stimulation Influence Sensorimotor Cortical Excitability.

Ainhoa Insausti-Delgado, Eduardo López-Larraz, Jason Omedes, Ander Ramos-Murguialday

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07297381 (Neuromuscular Electrical Stimulation and Action Observation for Healthy Aging), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07297381 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Neuromuscular Electrical Stimulation and Action Observation for Healthy Aging: a Home-based Approach to Promote Sensorimotor Adaptation

TypeinterventionalSponsorAmbra BisioRan2025 to 2026Enrolled39ConditionsAging, HealthyArmsAction Observation - Neuromuscular Electrical Stimulation, Action Observation, Neuromuscular Electrical Stimulation
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Ainhoa Insausti-DelgadoInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.
Eduardo López-LarrazInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.
Jason OmedesInstituto de Investigación en Ingeniería de Aragón (I3A), Zaragoza, Spain.
Ander Ramos-MurguialdayInstitute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Tübingen, Germany.
University of Tübingen · DEIkerbasque · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuromuscular electrical stimulation (NMES) of the nervous system has been extensively used in neurorehabilitation due to its capacity to engage the muscle fibers, improving muscle tone, and the neural pathways, sending afferent volleys toward the brain. Although different neuroimaging tools suggested the capability of NMES to regulate the excitability of sensorimotor cortex and corticospinal circuits, how the intensity and dose of NMES can neuromodulate the brain oscillatory activity measured with electroencephalography (EEG) is still unknown to date. We quantified the effect of NMES parameters on brain oscillatory activity of 12 healthy participants who underwent stimulation of wrist extensors during rest. Three different NMES intensities were included, two below and one above the individual motor threshold, fixing the stimulation frequency to 35 Hz and the pulse width to 300 μs. Firstly, we efficiently removed stimulation artifacts from the EEG recordings. Secondly, we analyzed the effect of amplitude and dose on the sensorimotor oscillatory activity. On the one hand, we observed a significant NMES intensity-dependent modulation of brain activity, demonstrating the direct effect of afferent receptor recruitment. On the other hand, we described a significant NMES intensity-dependent dose-effect on sensorimotor activity modulation over time, with below-motor-threshold intensities causing cortical inhibition and above-motor-threshold intensities causing cortical facilitation. Our results highlight the relevance of intensity and dose of NMES, and show that these parameters can influence the recruitment of the sensorimotor pathways from the muscle to the brain, which should be carefully considered for the design of novel neuromodulation interventions based on NMES.

Indexed as

afferent cortical activationartifact removalelectroencephalography (EEG)neuromuscular electrical stimulation (NMES)sensorimotor oscillatory rhythm

Identifiers

PMID33519355
PMCPMC7845652
OpenAlexW3118487781

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.