Papcke Caluê, Krueger Eddy, Olandoski Marcia, Nogueira-Neto Guilherme Nunes, Nohama Percy, Scheeren Eduardo Mendonça
Graduate Program in Health Technology, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Graduate Program in Rehabilitation Sciences, Anatomy Department, Universidade Estadual de Londrina, Londrina, Brazil.
Artif Organs. 2018 Jun;42(6):655-663. doi: 10.1111/aor.13083. Epub 2018 Mar 25.
Neuromuscular electrical stimulation (NMES) is a common tool that is used in clinical and laboratory experiments and can be combined with mechanomyography (MMG) for biofeedback in neuroprostheses. However, it is not clear if the electrical current applied to neuromuscular tissues influences the MMG signal in submaximal contractions. The objective of this study is to investigate whether the electrical stimulation frequency influences the mechanomyographic frequency response of the rectus femoris muscle during submaximal contractions. Thirteen male participants performed three maximal voluntary isometric contractions (MVIC) recorded in isometric conditions to determine the maximal force of knee extensors. This was followed by the application of nine modulated NMES frequencies (20, 25, 30, 35, 40, 45, 50, 75, and 100 Hz) to evoke 5% MVIC. Muscle behavior was monitored by the analysis of MMG signals, which were decomposed into frequency bands by using a Cauchy wavelet transform. For each applied electrical stimulus frequency, the mean MMG spectral/frequency response was estimated for each axis (X, Y, and Z axes) of the MMG sensor with the values of the frequency bands used as weights (weighted mean). Only with respect to the Z (perpendicular) axis of the MMG signal, the stimulus frequency of 20 Hz did not exhibit any difference with the weighted mean (P = 0.666). For the frequencies of 20 and 25 Hz, the MMG signal displayed the bands between 12 and 16 Hz in the three axes (P < 0.050). In the frequencies from 30 to 100 Hz, the muscle presented a higher concentration of the MMG signal between the 22 and 29 Hz bands for the X and Z axes, and between 16 and 34 Hz bands for the Y axis (P < 0.050 for all cases). We observed that MMG signals are not dependent on the applied NMES frequency, because their frequency contents tend to mainly remain between the 20- and 25-Hz bands. Hence, NMES does not interfere with the use of MMG in neuroprosthesis.
神经肌肉电刺激(NMES)是临床和实验室实验中常用的工具,可与肌动图(MMG)结合用于神经假体的生物反馈。然而,施加于神经肌肉组织的电流是否会影响次最大收缩时的MMG信号尚不清楚。本研究的目的是调查电刺激频率是否会影响股直肌在次最大收缩时的肌动图频率响应。13名男性参与者在等长条件下进行了三次最大自主等长收缩(MVIC),以确定膝关节伸肌的最大力量。随后施加九种调制的NMES频率(20、25、30、35、40、45、50、75和100Hz)以诱发5%MVIC。通过分析MMG信号监测肌肉行为,该信号通过使用柯西小波变换分解为频带。对于每个施加的电刺激频率,使用频带值作为权重(加权平均值)估计MMG传感器每个轴(X、Y和Z轴)的平均MMG频谱/频率响应。仅就MMG信号的Z(垂直)轴而言,20Hz的刺激频率与加权平均值无差异(P = 0.666)。对于20和25Hz的频率,MMG信号在三个轴上均显示出12至16Hz的频带(P < 0.050)。在30至100Hz的频率范围内,肌肉在X和Z轴上22至29Hz频带之间以及Y轴上16至34Hz频带之间呈现出更高浓度的MMG信号(所有情况P < 0.050)。我们观察到MMG信号不依赖于所施加的NMES频率,因为它们的频率成分往往主要保留在20至25Hz频带之间。因此,NMES不会干扰MMG在神经假体中的使用。