Particular neuromuscular electrical stimulation (NMES) applications require the use of the same electrodes over a long duration (>1 day) without having access to them. Under such circumstance the quality of the electrode-skin contact cannot be assessed. We used the NMES signal itself to assess the quality of the electrode-skin contact and the electrical properties of the underlying tissues over a week. A 14% decrease in the skin's stratum corneum resistance (from 20 to 17 kΩ) and a 15% decrease in the resistance of the electrodes and underlying tissues (from 550 to 460 Ω) were observed in the 14 healthy subjects investigated. A follow-on investigation of the effect of exercise-induced sweating on the electrical properties of the electrode-skin-underlying tissue composite during NMES indicated a correlation between the decrease in the resistance values observed over the course of the week and the accumulation of sweat at the electrode-skin interface. The value of the capacitance representing the dielectric properties of the skin's stratum corneum increased after exercise-induced sweating but did not change significantly over the course of the week. We conclude that valuable information about the electrode-skin-underlying tissue composite can be gathered using the NMES signal itself, and suggest that this is a practical, safe and relatively simple method for monitoring these electrical properties during long-term stimulation.
A model for current-voltage nonlinearity and asymmetry is a good starting point for explaining the electrical behavior of nanopores in synthetic or biological membranes. Using a Nernst-Planck model, we found three behaviors for the calculated current density in a membrane's pore as a function of voltage: a quasi-ohmic, slow rising linear current at low voltages; a nonlinear current at intermediate voltages; and a non-ohmic, fast rising linear current at large voltages. The slope of the quasi-ohmic current depends mainly on the height of the energy barrier inside the pore, w, through an exponential term, e w . The magnitude of the non-ohmic linear current is controlled by the potential energy gradient at the pore entrance, w/r. The current-voltage relationship is asymmetric if the ion's potential energy inside the pore has an asymmetric triangular profile. The model has only two assumed parameters, the energy barrier height, w, and the relative size of the entrance region of the pore, r, which is a useful feature for fitting and interpreting experimental data.
The skin electrical properties are identified using a standard NeuroMuscular Electrical Stimulation (NMES) voltage pulse. The three component series equivalent electrical model was chosen to account for the skin electrical properties. The values of each of these three electrical components of the equivalent electrical model were identified and compared throughout 40 minute daily NMES sessions and over 5 days. Current measurements were performed during the NMES sessions in a non-invasive way, in order to assess changes occuring during each stimulation session and due to long-term NMES.
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