A study on the immediate effects of neuromuscular electrical stimulation on the corticospinal tract excitability of the infraspinatus muscle

2021 ◽  
pp. 1-7
Author(s):  
Naoto Endo ◽  
Daisuke Ishii ◽  
Kiyoshige Ishibashi ◽  
Satoshi Yamamoto ◽  
Kotaro Takeda ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Rotator Cuff ◽  
Healthy Subjects ◽  
Corticospinal Tract ◽  
Glenohumeral Joint ◽  
Motor Evoked Potentials ◽  
Compound Muscle Action Potential ◽  
Neuromuscular Electrical Stimulation ◽  
Joint Stability ◽  
Infraspinatus Muscle

BACKGROUND: Rotator cuff muscles are structurally and functionally different from other upper-limb muscles because they are responsible for glenohumeral joint stability. Neuromuscular electrical stimulation (NMES) induces excitability changes (increase or decrease) of the corticospinal tract (CST) in the peripheral muscles, such as those of the finger. However, it remains unclear whether similar results are obtained when targeting the infraspinatus muscle, which has properties that differ from other muscles, in healthy subjects. OBJECTIVE: We investigated the immediate effects of NMES on the corticospinal excitability of the infraspinatus muscle, a rotator cuff muscle, in healthy subjects. METHODS: Thirteen healthy right-handed men (mean age: 26.77 ± 2.08 years) participated in this study. The motor evoked potentials (MEPs) and the maximum compound muscle action potential (Mmax) were recorded before NMES to the right infraspinatus and within 15 minutes after the end of the NMES. RESULTS: NMES on the infraspinatus muscle significantly increased its MEP amplitude (Pre: 0.45 mV [0.33–0.48]; Post: 0.54 mV [0.46–0.60] (median [lower quartile to higher quartile]); p= 0.005) but had no effect on Mmax (Pre: 2.95 mV [2.59–4.71]; Post: 3.35 mV [2.76–4.72]; p= 0.753). CONCLUSIONS: NMES application to the infraspinatus muscle increases CST excitability without producing immediate changes in the neuromuscular junction or muscle hypertrophy.

Effect of biceps rerouting technique to restore glenohumeral joint stability for large irreparable rotator cuff tears: a cadaveric biomechanical study

2020 ◽  
Vol 29 (7) ◽  
pp. 1425-1434 ◽  
Author(s):  
Sang-Yup Han ◽  
Thay Q. Lee ◽  
David J. Wright ◽  
Il-Jung Park ◽  
Maniglio Mauro ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Glenohumeral Joint ◽  
Biomechanical Study ◽  
Rotator Cuff Tears ◽  
Joint Stability

Haemodynamic changes with the use of neuromuscular electrical stimulation compared to intermittent pneumatic compression

2014 ◽  
Vol 30 (5) ◽  
pp. 365-372 ◽  
Author(s):  
KJ Williams ◽  
HM Moore ◽  
AH Davies
Keyword(s):  
Electrical Stimulation ◽  
Healthy Subjects ◽  
Peak Velocity ◽  
Neuromuscular Electrical Stimulation ◽  
Haemodynamic Effect ◽  
Maximum Velocity ◽  
Intermittent Pneumatic Compression ◽  
Laser Doppler ◽  
Thrombosis Prophylaxis ◽  
Electrical Stimulator

Introduction Enhancement of peripheral circulation has been shown to be of benefit in many vascular disorders, and the clinical effectiveness of intermittent pneumatic compression is well established in peripheral vascular disease. This study compares the haemodynamic efficacy of a novel neuromuscular electrical stimulation device with intermittent pneumatic compression in healthy subjects. Methods Ten healthy volunteers (mean age 27.1 ± 3.8 years, body mass index 24.8 ± 3.6 kg/m2) were randomised into two groups, in an interventional crossover trial. Devices used were the SCD Express™ Compression System, (Covidien, Ireland) and the geko™, (Firstkind Ltd, UK). Devices were applied bilaterally, and haemodynamic measurements taken from the left leg. Changes to haemodynamic parameters (superficial femory artery and femoral vein) and laser Doppler measurements from the hand and foot were compared. Results Intermittent pneumatic compression caused 51% ( p = 0.002), 5% (ns) and 3% (ns) median increases in venous peak velocity, time-averaged maximum velocity and volume flow, respectively; neuromuscular electrical stimulator stimulation caused a 103%, 101% and 101% median increases in the same parameters (all p = 0.002). The benefit was lost upon deactivation. Intermittent pneumatic compression did not improve arterial haemodynamics. Neuromuscular electrical stimulator caused 11%, 84% and 75% increase in arterial parameters ( p < 0.01). Laser Doppler readings taken from the leg were increased by neuromuscular electrical stimulator ( p < 0.001), dropping after deactivation. For intermittent pneumatic compression, the readings decreased during use but increased after cessation. Hand flux signal dropped during activation of both devices, rising after cessation. Discussion The neuromuscular electrical stimulator device used in this study enhances venous flow and peak velocity in the legs of healthy subjects and is equal or superior to intermittent pneumatic compression. This warrants further clinical and economic evaluation for deep venous thrombosis prophylaxis and exploration of the haemodynamic effect in venous pathology. It also enhances arterial time-averaged maximum velocity and flow rate, which may prove to be of clinical use in the management of peripheral arterial disease. The effect on the microcirculation as evidenced by laser Doppler fluximetry may reflect a clinically beneficial target in microvascular disease, such as in the diabetic foot.

scholarly journals Can somatosensory electrical stimulation relieve spasticity in post-stroke patients? A TMS pilot study

2018 ◽  
Vol 63 (4) ◽  
pp. 501-506 ◽  
Author(s):  
André Salles Cunha Peres ◽  
Victor Hugo Souza ◽  
João Marcos Yamasaki Catunda ◽  
Kelley Cristine Mazzeto-Betti ◽  
Taiza Elaine Grespan Santos-Pontelli ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Healthy Subjects ◽  
Motor Evoked Potentials ◽  
Wrist Joint ◽  
Single Pulse ◽  
Stroke Patients ◽  
Passive Resistance ◽  
Before And After ◽  
Carry Over ◽  
Carry Over Effect

Abstract Evidence suggests that somatosensory electrical stimulation (SES) may decrease the degree of spasticity from neural drives, although there is no agreement between corticospinal modulation and the level of spasticity. Thus, stroke patients and healthy subjects were submitted to SES (3 Hz) for 30′ on the impaired and dominant forearms, respectively. Motor evoked potentials induced by single-pulse transcranial magnetic stimulation were collected from two forearm muscles before and after SES. The passive resistance of the wrist joint was measured with an isokinetic system. We found no evidence of an acute carry-over effect of SES on the degree of spasticity.

Transcranial electrical stimulation and intraoperative neurophysiology of the corticospinal tract

2012 ◽  
Author(s):  
Vedran Deletis ◽  
Francesco Sala ◽  
Sedat Ulkatan
Keyword(s):  
Spinal Cord ◽  
Electrical Stimulation ◽  
Corticospinal Tract ◽  
Motor Evoked Potentials ◽  
Transcranial Electrical Stimulation ◽  
Irreversible Damage ◽  
Two Factors ◽  
Brain And Spinal Cord ◽  
The Brain ◽  
Wave Collision

Transcranial electrical stimulation is a well-recognized method for corticospinal tract (CT) activation. This article explains the use of TES during surgery and highlights the physiology of the motor-evoked potentials (MEPs). It describes the techniques and methods for brain stimulation and recording of responses. There are two factors that determine the depth of the current penetrating the brain, they are: choice of electrode montage for stimulation over the scalp and the intensity of stimulation. D-wave collision technique is a newly developed technique that allows mapping intraoperatively and finding the anatomical position of the CT within the surgically exposed spinal cord. Different mechanisms may be involved in the pathophysiology of postoperative paresis in brain and spinal cord surgeries so that different MEP monitoring criteria can be used to avoid irreversible damage and accurately predict the prognosis.

The Effect of Neuromuscular Electrical Stimulation of the Infraspinatus on Shoulder External Rotation Force Production after Rotator Cuff Repair Surgery

2008 ◽  
Vol 36 (12) ◽  
pp. 2317-2321 ◽  
Author(s):  
Michael M. Reinold ◽  
Leonard C. Macrina ◽  
Kevin E. Wilk ◽  
Jeffrey R. Dugas ◽  
E. Lyle Cain ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
External Rotation ◽  
Neuromuscular Electrical Stimulation ◽  
Force Production ◽  
Peak Force ◽  
Stimulation Intensity ◽  
Shoulder External Rotation ◽  
Cuff Repair

Background Muscle weakness, particularly of shoulder external rotation, is common after rotator cuff repair surgery. Neuromuscular electrical stimulation has been shown to be an effective adjunct in the enhancement of muscle recruitment. Hypothesis Shoulder external rotation peak force can be enhanced by neuromuscular electrical stimulation after rotator cuff repair surgery. Study Design Controlled laboratory study. Methods Thirty-nine patients (20 men, 19 women) who had undergone rotator cuff repair surgery were tested a mean of 10.5 days after surgery. Testing consisted of placing patients supine with the shoulder in 45° of abduction, neutral rotation, and 15° of horizontal adduction. Neuromuscular electrical stimulation was applied to the infraspinatus muscle belly and inferior to the spine of the scapula. Placement was confirmed by palpating the muscle during a resisted isometric contraction of the external rotators. Patients performed 3 isometric shoulder external rotation contractions with and without neuromuscular electrical stimulation, each with a 5-second hold against a handheld dynamometer. Neuromuscular electrical stimulation was applied at maximal intensity within comfort at 50 pulses per second, symmetrical waveform, and a 1-second ramp time. The 3 trials under each condition were recorded, and an average was taken. The order of testing was randomized for each patient tested. A paired samples t test was used to determine significant differences between conditions ( P < .05). Each group was also divided based on age, rotator cuff tear size, number of days postoperative, and neuromuscular electrical stimulation intensity. Analysis of variance Models were used to determine the influence of these variables on external rotation force production ( P < .05). Results Peak force production was significantly greater ( P < .001) when tested with neuromuscular electrical stimulation (3.75 kg) as opposed to without neuromuscular electrical stimulation (3.08 kg) for all groups tested. There was no significant difference based on the size of the tear, age of the patient, number of days after surgery, or level of neuromuscular electrical stimulation intensity. Conclusion Peak shoulder external rotation force was significantly increased by 22% when tested with neuromuscular electrical stimulation after rotator cuff repair surgery. Neuromuscular electrical stimulation significantly increased force production regardless of the age of the patient, size of the tear, intensity of the current, or the number of days postoperative. Clinical Relevance Neuromuscular electrical stimulation may be used concomitantly with exercises to enhance the amount of force production and potentially minimize the inhibition of the rotator cuff after repair surgery.

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