Department of Biomedical and Neuromotor Sciences, University of Bologna, 40127 Bologna, Italy.
Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy.
Int J Environ Res Public Health. 2021 Apr 26;18(9):4597. doi: 10.3390/ijerph18094597.
Microcurrent electrical neuromuscular stimulation (MENS) is believed to alter blood flow, increasing cutaneous blood perfusion, with vasodilation and hyperemia. According to these physiological mechanisms, we investigated the short-term effects of MENS on constant-load exercise and the subsequent recovery process. Ten healthy subjects performed, on separate days, constant-load cycling, which was preceded and followed by active or inactive stimulation to the right quadricep. Blood lactate, pulmonary oxygen, and muscle deoxyhemoglobin on-transition kinetics were recorded. Hemodynamic parameters, heart rate variability, and baroreflex sensitivity were collected and used as a tool to investigate the recovery process. Microcurrent stimulation caused a faster deoxyhemoglobin (4.43 ± 0.5 vs. 5.80 ± 0.5 s) and a slower VO (25.19 ± 2.1 vs. 21.94 ± 1.3 s) on-kinetics during cycling, with higher lactate levels immediately after treatments executed before exercise (1.55 ± 0.1 vs. 1.40 ± 0.1 mmol/L) and after exercise (2.15 ± 0.1 vs. 1.79 ± 0.1 mmol/L). In conclusion, MENS applied before exercise produced an increase in oxygen extraction at muscle microvasculature. In contrast, MENS applied after exercise improved recovery, with the sympathovagal balance shifted toward a state of parasympathetic predominance. MENS also caused higher lactate values, which may be due to the magnitude of the muscular stress by both manual treatment and electrical stimulation than control condition in which the muscle received only a manual treatment.
微电流神经肌肉电刺激(MENS)被认为可以改变血流,增加皮肤血液灌注,导致血管扩张和充血。根据这些生理机制,我们研究了 MENS 对恒负荷运动的短期影响及其随后的恢复过程。10 名健康受试者分别在不同的日子里进行恒负荷自行车运动,在运动前和运动后对右侧股四头肌进行主动或被动刺激。记录血液乳酸、肺氧和肌肉脱氧血红蛋白的过渡动力学。收集血流动力学参数、心率变异性和压力反射敏感性,并将其用作研究恢复过程的工具。微电流刺激导致自行车运动中的脱氧血红蛋白(4.43 ± 0.5 与 5.80 ± 0.5 s)和 VO(25.19 ± 2.1 与 21.94 ± 1.3 s)的过渡动力学更快,运动前(1.55 ± 0.1 与 1.40 ± 0.1 mmol/L)和运动后(2.15 ± 0.1 与 1.79 ± 0.1 mmol/L)即刻乳酸水平更高。结论:运动前应用 MENS 可增加肌肉微循环的氧气摄取。相反,运动后应用 MENS 可改善恢复,交感神经-迷走神经平衡向副交感神经优势状态转移。MENS 还导致更高的乳酸值,这可能是由于手动治疗和电刺激引起的肌肉应激比仅接受手动治疗的对照组更大。