ArticleJournal of applied physiology (Bethesda, Md. : 1985)2026
Effects of neuromuscular electrical stimulation on Achilles tendon load.
Article in Journal of applied physiology (Bethesda, Md. : 1985), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Tendon loading assessed by shear wave tensiometry provides insight into tendon health and performance. Comparing loads during voluntary contractions and neuromuscular electrical stimulation (NMES) may inform rehabilitation strategies. This study compared Achilles tendon loading during voluntary plantarflexion (PF) and NMES-evoked contractions of the triceps surae in healthy individuals. Twenty participants (30.7 ± 7.8 years; 10 male and 10 female) performed ankle PF under four conditions using a dynamometer: maximal voluntary isometric contraction (MVIC), maximal tolerated NMES-evoked contraction (ESTIM), voluntary contraction at 20% MVIC torque (VOL20), and NMES-evoked contraction at 20% MVIC torque (ESTIM20). Achilles tendon loading was assessed using shear wave tensiometry. The MVIC generated the highest PF torque values (means ± SD, 78.8 ± 17.2 N·m), followed by ESTIM (29.6 ± 9.7 N·m), VOL20 (18.1 ± 4.8 N·m), and ESTIM20 (16.7 ± 3.9 N·m), respectively. Normalized shear wave speeds at MVIC [(NMES-evoked shear wave speed or 20% MVIC shear wave speed × voluntary shear wave speed
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