Evidence map›Paper›PMID 41600467›Full record

Trial reportSensors (Basel, Switzerland)2026

Effects of NMES Combined with Resistance Training Using Underwater Surface EMG Sensors on Neuromuscular Activation of Breaststroke Technique in Breaststroke Athletes: Analysis of Non-Negative Matrix Muscle Synergy.

Yaohao Guo, Tingyan Gao, Bin Kong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Yaohao GuoSchool of Mathematical Sciences, Fudan University, Shanghai 200433, China.
Tingyan GaoFaculty of Physical Education, Fudan University, Shanghai 200433, China.
Bin KongFaculty of Physical Education, Fudan University, Shanghai 200433, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuromuscular electrical stimulation (NMES) is an effective exogenous neuromuscular activation method widely used in sports training and rehabilitation. However, existing research primarily focuses on land-based sports or single-joint movements, with limited in-depth exploration of its intervention effects and underlying neuromuscular control mechanisms for complex, multi-joint coordinated aquatic activities like breaststroke swimming. This study aimed to investigate the effects of NMES combined with traditional resistance training on neuromuscular function during sport-specific technical movements in breaststroke athletes.

methodsA randomized controlled trial was conducted with 30 national-level or above breaststroke athletes assigned to either an experimental group (NMES combined with traditional squat resistance training) or a control group (traditional squat resistance training only) for an 8-week intervention. A specialized fully waterproof wireless electromyography (EMG) sensor system (Mini Wave Infinity Waterproof) was used to synchronously collect surface EMG signals from 10 lower limb and trunk muscles during actual swimming, combined with high-speed video for movement phase segmentation. Changes in lower limb explosive power were assessed using a force plate. Non-negative matrix factorization (NMF) muscle synergy analysis was employed to compare changes in muscle activation levels (iEMG, RMS) and synergy patterns (spatial structure, temporal activation coefficients) across different phases of the breaststroke kick before and after the intervention.

resultsCompared to the control group, the experimental group demonstrated significantly greater improvements in single-leg jump height (Δ = 0.06 m vs. 0.03 m) and double-leg jump height (Δ = 0.07 m vs. 0.03 m). Time-domain EMG analysis revealed that the experimental group showed more significant increases in iEMG values for the adductor longus, adductor magnus, and gastrocnemius lateralis during the leg-retraction and leg-flipping phases (

conclusionsNMES combined with traditional resistance training significantly enhances land-based explosive power in breaststroke athletes and specifically optimizes neuromuscular control strategies during the underwater breaststroke kick. This optimization is characterized by improved activation efficiency of key muscle groups, more economical coordination of antagonist muscles, and adaptive remodeling of inter-muscle synergy patterns in specific movement phases. This study provides novel evidence supporting the application of NMES in swimming-specific strength training, spanning from macroscopic performance to microscopic neural control.

Indexed as

ElectromyographyMuscle, SkeletalResistance TrainingSwimmingAdultAthletesElectric StimulationFemaleHumansMaleYoung Adultbreaststrokemuscle synergy analysisneuromuscular electrical stimulationnon-negative matrix factorizationresistance trainingsurface electromyographyunderwater sensor

Identifiers

PMID41600467
PMCPMC12845606

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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.