Influence of stimulation parameters on torque development during the combined application of electrical nerve stimulation and muscle lengthening.

This study investigated the influence of stimulation parameters on torque production when combining a brief muscle lengthening with electrical stimulation. Fifteen volunteers participated in one experimental session where two distinct stimulation modalities were compared: wide-pulse high-frequency (WPHF; pulse duration: 1 ms, frequency: 100 Hz), favoring afferent pathway activation, and narrow-pulse low-frequency (NPLF; pulse duration: 0.05 ms, frequency: 20 Hz), favoring activation of the efferent pathway. Both stimulation modalities were applied to evoke 5-10% of maximal voluntary contraction either in isometric conditions (WPHF and NPLF) or in combination with a muscle lengthening (lengthening condition: WPHF + LEN and NPLF + LEN). The torque-time integral (TTI) during the stimulation trains and the muscle activity after the cessation of the stimulation trains [sustained electromyographic (EMG) activity, normalized to the maximal EMG activity] were assessed and compared between the stimulation modalities and the conditions (2-way ANOVA). An interaction effect was obtained, revealing significant differences in TTI and sustained EMG activity between WPHF + LEN and the other tested conditions ( = 0.048 and = 0.044, respectively). TTI and sustained EMG activity were higher for WPHF + LEN (228.4 ± 105.3 Nm·s and 0.085 ± 0.070, respectively) compared to WPHF (168.4 ± 72.9 Nm·s; 0.052 ± 0.026), NPLF + LEN (136.4 ± 38.9 Nm·s; 0.031 ± 0.016), and NPLF (125.2 ± 36.1 Nm·s; 0.028 ± 0.015). The increased TTI during the WPHF + LEN condition suggests that the contribution of afferent pathways to the evoked torque can be enhanced with the muscle lengthening superimposition. They highlight the importance of using WPHF stimulation that already solicits Ia afferents, to benefit from the cumulative afferent activation induced by the muscle lengthening to further increase torque production. The results of the present study highlight the importance of using electrical stimulation modalities that preferentially activate Ia afferents to take advantage of the superimposition of muscle lengthening to further enhance afferent pathways' contribution to evoked torque and, in turn, increase torque production. These results offer the opportunity to improve the efficacy of the wide-pulse high-frequency stimulation modality.