Clinical Use of Neuromuscular Electrical Stimulation for Neuromuscular Rehabilitation: What Are We Overlooking?

Maffiuletti, Nicola A.; Gondin, Julien; Place, Nicolas; Stevens-Lapsley, Jennifer E.; Vivodtzev, Isabelle; Minetto, Marco Alessandro

doi:10.1016/j.apmr.2017.10.028

Cited by 101 publications

(106 citation statements)

References 78 publications

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“…Artificial muscle activation aims to preserve muscle mass and/or recover/improve muscle function . Skeletal muscle can be artificially stimulated to induce a visible and palpable muscle contraction in the absence of volitional control using 2 different methodologies: Neuromuscular electrical stimulation (NMES), which often involves stimulation of isolated muscle groups in a nonfunctional manner (ie, stimulated in supine) Functional electrical stimulation (FES), which generally involves stimulation of multiple muscle groups while undertaking a combined functional activity such as bedside cycling (Figure ). The muscles are artificially stimulated to contract at the point in range at which volitional activation would occur during the functional activity.…”

Section: Introductionmentioning

confidence: 99%

“…Neuromuscular electrical stimulation (NMES), which often involves stimulation of isolated muscle groups in a nonfunctional manner (ie, stimulated in supine)…”

Section: Introductionmentioning

confidence: 99%

“…Functional electrical stimulation (FES), which generally involves stimulation of multiple muscle groups while undertaking a combined functional activity such as bedside cycling (Figure ). The muscles are artificially stimulated to contract at the point in range at which volitional activation would occur during the functional activity.…”

Section: Introductionmentioning

confidence: 99%

“…Table provides an overview of these parameters. Sufficient quadriceps tension may be achieved with frequencies of 5–100 Hz and a pulse width of 100–400 usecs . With lower pulse width, there is preferential activation of sensory fibers, which can result in higher levels of sensory discomfort for the patient.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review

2018

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Muscle wasting occurs rapidly within days of an admission to the intensive care unit (ICU). Concomitant muscle weakness and impaired physical functioning can ensue, with lasting effects well after hospital discharge. Early physical rehabilitation is a promising intervention to minimize muscle weakness and physical dysfunction. However, there is an often a delay in commencing active functional exercises (such as sitting on the edge of bed, standing and mobilizing) due to sedation, patient alertness, and impaired ability to cooperate in the initial days of ICU admission. Therefore, there is high interest in being able to intervene early through nonvolitional exercise strategies such as electrical muscle stimulation (EMS). Muscle health characterized as the composite of muscle quantity, as well as functional and metabolic integrity, may be potentially maintained when optimal nutrition therapy is provided in complement with early physical rehabilitation in critically ill patients; however, the type, dosage, and timing of these interventions are unclear. This article explores the potential role of nutrition and EMS in maintaining muscle health in critical illness. Within this article, we will evaluate fundamental concepts of muscle wasting and evaluate the effects of EMS, as well as the effects of nutrition therapy on muscle health and the clinical and functional outcomes in critically ill patients. We will also highlight current research gaps in order to advance the field forward in this important area. (Nutr Clin Pract. 2018;33:772-789)

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Section: Introductionmentioning

confidence: 99%

“…Neuromuscular electrical stimulation (NMES), which often involves stimulation of isolated muscle groups in a nonfunctional manner (ie, stimulated in supine)…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review

2018

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“…NMF and, more specifically, the peripheral modifications that occur within the muscle, at or distal to 44 the neuromuscular junction [4], have been evaluated by artificial stimulation of the skeletal muscle 45 and/or motor nerve structures [5][6][7]. Modifications in mechanical and/or electromyographic (EMG) 46 response amplitudes delivered by single, double, or tetanic stimulation to a relaxed muscle are 47 considered to be good indicators of peripheral fatigue [1].…”

mentioning

confidence: 99%

Resting shear elastic modulus as a marker of peripheral fatigue during maximal isometric contractions in humans

Siracusa

Charlot²,

Malgoyre³

et al. 2018

Preprint

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16The aim of this study was to investigate whether the resting Vastus Lateralis (VL) muscle shear 17 elastic modulus (µ), evaluated by shear wave elastography, represents peripheral fatigue during 18 repetition of isometric maximal voluntary contractions (MVCs) of the knee extensor (KE) muscles. 19 Eight healthy well-trained males repeated 60 isometric MVCs of the KE muscles (6 × 10 MVCs; 5 s 20 on/5 s off). Single and double electrical stimulations were delivered to the femoral nerve every ten 21 MVCs during contraction and at rest. The amplitude and properties of the potentiated torque 22 following single (Tw pot ) double electrostimulation and the amplitude of the concomitant VL 23 compound action potential were considered to be indicators of peripheral fatigue. The resting VLµ 24 was measured during a 5-s rest period after each MVC and electrical stimulation series. 25 The resting VLµ significantly decreased (-21.8 ± 3.9%; P < 0.001) by the end of the fatigue protocol, 26 decreasing from the 10 th MVC to the end of the exercise (60 th MVC) for all participants, with the loss 27 ranging from 18 to 29%. The potentiated doublet and single twitch torque (Tw pot ) decreased by 42.5 28 ± 10.8% and 55.7 ± 8.8%, respectively, by the end of exercise (P < 0.001 for both). The relative 29 mechanical properties of Tw pot , i.e. electromechanical delay (P <0 .001), contraction time (P = 30 0.004), and maximal rate of torque development/relaxation (P < 0.001) also changed significantly 31 during exercise. 32 This study shows that the kinetics of the resting VLµ is associated with changes in both voluntary 33 and electrostimulated torque amplitudes and electromechanical properties of the single twitch during 34 the repetition of maximal voluntary fatiguing exercise. Changes in the resting VLµ may reflect a 35 decline in muscle function, e.g. impairment of excitation-contraction coupling, contractile processes, 3 36 and/or elastic properties, throughout the increase in muscle compliance, directly affecting force 37 transmission. Neuromuscular fatigue (NMF) is classically defined as "an exercise-induced reduction in the ability 40 of skeletal muscle to produce power or force, irrespective of task completion" [1]. The study of NMF 41 and underlying mechanisms of recovery, both central and peripheral, is important to prevent overuse 42 injuries [2] and develop new strategies to enhance muscle recovery [3]. 43NMF and, more specifically, the peripheral modifications that occur within the muscle, at or distal to 44 the neuromuscular junction [4], have been evaluated by artificial stimulation of the skeletal muscle 45 and/or motor nerve structures [5][6][7]. Modifications in mechanical and/or electromyographic (EMG) 46 response amplitudes delivered by single, double, or tetanic stimulation to a relaxed muscle are 47 considered to be good indicators of peripheral fatigue [1]. More specifically, the study of these 48 electrically-induced responses allows non-invasive investigation of changes of the (i) neuromuscular 49 propagation/tr...

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Advances in Triboelectric Nanogenerators for Self‐powered Neuromodulation

Elsanadidy

Mosa

Luo

et al. 2023

Adv Funct Materials

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Advances in implantable bioelectronics for the nervous system are reinventing the stimulation, inhibition, and sensing of neuronal activity. These efforts promise not just breakthrough treatments of several neurological and psychiatric conditions but also signal the beginning of a new era of computer‐controlled human therapeutics. Batteries remain the major power source for all implanted electrical neuromodulation devices, which impairs miniaturization and necessitates replacement surgery when the battery is drained. Triboelectric nanogenerators (TENGs) have recently emerged as an innovative power solution for self‐powered, closed loop electrical neurostimulation devices. TENGs can leverage the biomechanical activities of different body organs to sustainably generate electricity for electrical neurostimulation. This review features advances in TENGs as they pave the way for self‐sustainable closed loop neurostimulation. A comprehensive review of TENG research for the neurostimulation of brain, autonomic, and somatic nervous systems is provided. The direction of growth of this field, publication trends, and modes of TENG in implantable bioelectronics are also discussed. Finally, an insightful outlook into challenges facing self‐sustainable neuromodulators to reach clinical practice is provided, and solutions for neurological maladies are proposed.

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Clinical Use of Neuromuscular Electrical Stimulation for Neuromuscular Rehabilitation: What Are We Overlooking?

Cited by 101 publications

References 78 publications

Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review

Exploring the Potential Effectiveness of Combining Optimal Nutrition With Electrical Stimulation to Maintain Muscle Health in Critical Illness: A Narrative Review

Resting shear elastic modulus as a marker of peripheral fatigue during maximal isometric contractions in humans

Advances in Triboelectric Nanogenerators for Self‐powered Neuromodulation

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