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急性全身电肌刺激在大腿中部和小腿肌肉效应的空间分布:应用磁共振成像的初步研究。

Spatial Distribution of Muscular Effects of Acute Whole-Body Electromyostimulation at the Mid-Thigh and Lower Leg-A Pilot Study Applying Magnetic Resonance Imaging.

机构信息

Institute of Medical Physics, Friedrich-Alexander-University of Erlangen-Nürnberg, 91052 Erlangen, Germany.

Institute of Radiology, University Hospital Erlangen, 91054 Erlangen, Germany.

出版信息

Sensors (Basel). 2022 Dec 19;22(24):10017. doi: 10.3390/s222410017.


DOI:10.3390/s222410017
PMID:36560386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9786230/
Abstract

Whole-body electromyostimulation (WB-EMS) is an innovative training method that stimulates large areas simultaneously. In order to determine the spatial distribution of WB-EMS with respect to volume involvement and stimulation depth, we determined the extent of intramuscular edema using magnetic resonance imaging (MRI) as a marker of structural effects. Intense WB-EMS first application (20 min, bipolar, 85 Hz, 350 µs) was conducted with eight physically less trained students without previous WB-EMS experience. Transversal T2-weighted MRI was performed at baseline and 72 h post WB-EMS to identify edema at the mid-thigh and lower leg. The depth of the edema ranged from superficial to maximum depth with superficial and deeper muscle groups of the mid-thigh or lower leg area approximately affected in a similar fashion. However, the grade of edema differed between the muscle groups, which suggests that the intensity of EMS-induced muscular contraction was not identical for all muscles. WB-EMS of the muscles via surface cuff electrodes has an effect on deeper parts of the stimulated anatomy. Reviewing the spatial and volume distribution, we observed a heterogeneous pattern of edema. We attribute this finding predominately to different stimulus thresholds of the muscles and differences in the stress resistance of the muscles.

摘要

全身肌电刺激(WB-EMS)是一种创新的训练方法,可同时刺激大面积肌肉。为了确定 WB-EMS 在体积参与和刺激深度方面的空间分布,我们使用磁共振成像(MRI)作为结构效应的标志物来确定肌肉内水肿的程度。在没有先前 WB-EMS 经验的情况下,对 8 名体能较弱的学生进行了首次强烈的 WB-EMS 应用(20 分钟,双极,85 Hz,350 µs)。在基线和 WB-EMS 后 72 小时进行横断 T2 加权 MRI,以识别大腿中部和小腿的水肿。水肿的深度从表浅到最大深度不等,大腿或小腿区域的表浅和更深的肌肉群以相似的方式受到影响。然而,肌肉群之间的水肿程度不同,这表明 EMS 引起的肌肉收缩强度并非对所有肌肉都相同。通过表面袖带电极对肌肉进行 WB-EMS 会对刺激解剖结构的更深部位产生影响。回顾空间和体积分布,我们观察到水肿呈不均匀模式。我们将这一发现主要归因于肌肉的不同刺激阈值和肌肉的抗张强度的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/24b98705b258/sensors-22-10017-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/c45400369616/sensors-22-10017-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/a47e5391a9e6/sensors-22-10017-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/24b98705b258/sensors-22-10017-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/c45400369616/sensors-22-10017-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/a47e5391a9e6/sensors-22-10017-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7a2/9786230/24b98705b258/sensors-22-10017-g003.jpg

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引用本文的文献

[1]
Structural effects of whole body electromyostimulation on knee osteoarthritis: the EMSOAT Study.

Skeletal Radiol. 2025-7-22

[2]
Revised contraindications for the use of non-medical WB-electromyostimulation. Evidence-based German consensus recommendations.

Front Sports Act Living. 2024-4-16

[3]
Non-Athletic Cohorts Enrolled in Longitudinal Whole-Body Electromyostimulation Trials-An Evidence Map.

Sensors (Basel). 2024-2-2

本文引用的文献

[1]
Once Weekly Whole-Body Electromyostimulation Enhances Muscle Quality in Men: Data of the Randomized Controlled Franconian Electromyostimulation and Golf Study.

Front Physiol. 2021-7-21

[2]
Similar Pain Intensity Reductions and Trunk Strength Improvements Following Whole-Body Electromyostimulation vs. Whole-Body Vibration vs. Conventional Back-Strengthening Training in Chronic Non-specific Low Back Pain Patients: A Three-Armed Randomized Controlled Trial.

Front Physiol. 2021-4-13

[3]
Efficacy of Whole-Body Electromyostimulation (WB-EMS) on Body Composition and Muscle Strength in Non-athletic Adults. A Systematic Review and Meta-Analysis.

Front Physiol. 2021-2-26

[4]
Quantitative H and Na muscle MRI in Facioscapulohumeral muscular dystrophy patients.

J Neurol. 2021-3

[5]
The effects of whole-body electromyostimulation (WB-EMS) in comparison to a multimodal treatment concept in patients with non-specific chronic back pain-A prospective clinical intervention study.

PLoS One. 2020-8-21

[6]
Whole-body electromyostimulation in physical therapy: do gender, skinfold thickness or body composition influence maximum intensity tolerance?

J Phys Ther Sci. 2020-6

[7]
Editorial: Whole-Body Electromyostimulation: A Training Technology to Improve Health and Performance in Humans?

Front Physiol. 2020-5-26

[8]
Sitting, squatting, and the evolutionary biology of human inactivity.

Proc Natl Acad Sci U S A. 2020-3-9

[9]
Effects of Compression Tights on Recovery Parameters after Exercise Induced Muscle Damage: A Randomized Controlled Crossover Study.

Evid Based Complement Alternat Med. 2019-1-8

[10]
MRI-informed muscle biopsies correlate MRI with pathology and DUX4 target gene expression in FSHD.

Hum Mol Genet. 2019-2-1

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