A novel modulation strategy to increase stimulation duration in neuromuscular electrical stimulation

  • Downey R
  • Bellman M
  • Sharma N
 et al. 
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INTRODUCTION: Neuromuscular electrical stimulation (NMES) has been shown to be an effective treatment for muscular dysfunction. Yet, a fundamental barrier to NMES treatments is the rapid onset of muscle fatigue. The purpose of this study is to examine the effect of feedback-based frequency modulation on the closed-loop performance of the quadriceps during repeated dynamic contractions.

METHODS: In the first experiment, subjects completed four different frequency modulation NMES protocols utilizing the same amplitude modulation control to compare the successful run times (SRTs). A second experiment was performed to determine the change in muscle response to high- and low-frequency stimulation.

RESULTS: Compared with constant-frequency stimulation, results indicate that using an error-driven strategy to vary the stimulation frequency during amplitude modulation increases the number of successful contractions during non-isometric conditions.

CONCLUSION: Simultaneous frequency and amplitude modulation increases the SRT during closed-loop NMES control.

Author-supplied keywords

  • Amplitude modulation
  • Frequency modulation
  • Functional electrical stimulation
  • Muscle fatigue
  • Neuromuscular electrical stimulation

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  • Ryan J. Downey

  • Matthew Bellman

  • Nitin Sharma

  • Qiang Wang

  • Chris M. Gregory

  • Warren E. Dixon

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