Efficiency of neuromuscular electrical stimulation: A comparison of elicited force and subject tolerance using three electrical waveforms.

<italic>Objective</italic>: Efficacy of neuromuscular electrical stimulation (NMES) is limited by the discomfort of electrically elicited contractions. Most studies of tolerance to NMES have examined stimulation to maximal tolerance. NMES efficiency is the amount of elicited force at a specific leve...

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Publicado en:Physiotherapy Theory & Practice Vol. 34; no. 7; pp. 551 - 559
Autores principales: Bellew, James W., Allen, Molly, Biefnes, Austin, Grantham, Sara, Miglin, James, Swartzell, Dylan
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2018
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2017.1422820
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        atl: Efficiency of neuromuscular electrical stimulation: A comparison of elicited force and subject tolerance using three electrical waveforms.
      aug:
        au:
          Bellew, James W.
          Allen, Molly
          Biefnes, Austin
          Grantham, Sara
          Miglin, James
          Swartzell, Dylan
        affil: Krannert School of Physical Therapy, University of Indianapolis, Indianapolis, IN, USA
      sug:
        subj:
          Electrical Stimulation, Neuromuscular Evaluation
          Human
          Comparative Studies
          Repeated Measures
          Visual Analog Scaling
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Young Adult
          Analysis of Variance
          Wilcoxon Signed Rank Test
          Friedman Test
          Post Hoc Analysis
          Two-Tailed Test
          Clinical Effectiveness
          Male
          Female
      ab: <italic>Objective</italic>: Efficacy of neuromuscular electrical stimulation (NMES) is limited by the discomfort of electrically elicited contractions. Most studies of tolerance to NMES have examined stimulation to maximal tolerance. NMES efficiency is the amount of elicited force at a specific level of tolerance. This study is the first to describe and examine such. <italic>Design</italic>: A repeated measures design was used. Electrically elicited force (EEF) was measured using three waveforms: burst-modulated alternating current (BMAC), pulsed current (PC), and burst-modulated pulsed current (BMPC). EEF at a tolerance rating of 5/10 on a visual analog scale (VAS) was recorded. The dependent variables were EEF up to 5/10 VAS, current amplitude at 5/10, and percent maximal isometric force at 5/10. <italic>Results</italic>: EEF and percent maximal voluntary isometric force were significantly greater with BMPC versus BMAC (<italic>p</italic> = 0.001 and 0.004). No differences were noted between PC and BMAC or BMPC and PC. Amplitude was significantly greater with BMAC compared to BMPC and PC (<italic>p</italic> = 0.003 and 0.015). No difference in amplitude was noted between PC and BMPC. <italic>Conclusion</italic>: For the same level of discomfort, BMPC yielded one-third greater muscle force than BMAC and at a lesser current amplitude. These data evidence a greater efficiency for BMPC than BMAC.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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