Immediate Effect of Neuromuscular Electrical Stimulation on Balance and Proprioception During One-leg Standing
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background: Neuromuscular electrical stimulation (NMES) is a physical modality used to activate skeletal muscles for strengthening. While voluntary muscle contraction (VMC) follows the progressive recruitment of motor units in order of size from small to large, NMES-induced muscle contraction occurs in a nonselective and synchronous pattern. Therefore, the outcome of muscle strengthening training using NMES-induced versus voluntary contraction might be different, which might affect balance performance. Objects: We examined how the NMES training affected balance and proprioception. Methods: Forty-four young adults were randomly assigned to NMES and VMC group. All participants performed one-leg standing on a force plate and sat on the Biodex (Biodex R Corp.) to measure balance and ankle proprioception, respectively. All measures were conducted before and after a training session. In NMES group, electric pads were placed on the tibialis anterior, gastrocnemius, and soleus muscles for 20 minutes. In VMC group, co-contraction of the three muscles was conducted. Outcome variables included mean distance, root mean square distance, total excursion, mean velocity, 95% confidence circle area acquired from the center of pressure data, and absolute error of dorsi/plantarflexion. Results: None of outcome variables were associated with group (p > 0.35). However, all but plantarflexion error was associated with time (p < 0.02), and the area and mean velocity were 37.0% and 18.6% lower in post than pre in NMES group, respectively, and 48.9% and 16.7% lower in post than pre in VMC group, respectively. Conclusion: Despite different physiology underlying the NMES-induced versus VMC, both training methods improved balance and ankle joint proprioception.
Abstract
Background: Neuromuscular electrical stimulation (NMES) is a physical modality used to activate skeletal muscles for strengthening. While voluntary muscle contraction (VMC) follows the progressive recruitment of motor units in order of size from small to large, NMES-induced muscle contraction occurs in a nonselective and synchronous pattern. Therefore, the outcome of muscle strengthening training using NMES-induced versus voluntary contraction might be different, which might affect balance performance. Objects: We examined how the NMES training affected balance and proprioception. Methods: Forty-four young adults were randomly assigned to NMES and VMC group. All participants performed one-leg standing on a force plate and sat on the Biodex (Biodex R Corp.) to measure balance and ankle proprioception, respectively. All measures were conducted before and after a training session. In NMES group, electric pads were placed on the tibialis anterior, gastrocnemius, and soleus muscles for 20 minutes. In VMC group, co-contraction of the three muscles was conducted. Outcome variables included mean distance, root mean square distance, total excursion, mean velocity, 95% confidence circle area acquired from the center of pressure data, and absolute error of dorsi/plantarflexion. Results: None of outcome variables were associated with group (p > 0.35). However, all but plantarflexion error was associated with time (p < 0.02), and the area and mean velocity were 37.0% and 18.6% lower in post than pre in NMES group, respectively, and 48.9% and 16.7% lower in post than pre in VMC group, respectively. Conclusion: Despite different physiology underlying the NMES-induced versus VMC, both training methods improved balance and ankle joint proprioception.
참고문헌 (47)
- Sjölund B, "Increased cerebrospinal fluid levels of endorphins after electro-acupuncture", Acta Physiol Scand, 100(3), pp.382~384 (1977)
- Godfrey S, "Principles and practice of electrical epilation" (2007), Routledge
- Mendel FC, "New perspectives in edema control via electrical stimulation", J Athl Train, 28(1), pp.63~74 (1993)
- Reed BV, "Effect of high voltage pulsed electrical stimulation on microvascular permeability to plasma proteins. A possible mechanism in minimizing edema", Phys Ther, 68(4), pp.491~495 (1988)
- Alon G, "Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation : a pilot study", Neurorehabil Neural Repair, 21(3), pp.207~215 (2007)
- Kowalczewski J, "Upper-extremity functional electric stimulation-assisted exercises on a workstation in the subacute phase of stroke recovery", Arch Phys Med Rehabil, 88(7), pp.833~839 (2007)
- Liberson WT, "Functional electrotherapy : stimulation of the peroneal nerve synchronized with the swing phase of the gait of hemiplegic patients", Arch Phys Med Rehabil, 42, pp.101~105 (1961)
- Knutson JS, "A novel functional electrical stimulation treatment for recovery of hand function in hemiplegia : 12-week pilot study", Neurorehabil Neural Repair, 23(1), pp.17~25 (2009)
- Miller BF, "Circulatory responses to voluntary and electrically induced muscle contractions in humans", Phys Ther, 80(1), pp.53~60 (2000)
- Scremin OU, "Functional electrical stimulation effect on skeletal muscle blood flow measured with H215O positron emission tomography", Arch Phys Med Rehabil, 79(6), pp.641~646 (1998)
- Sherry JE, "Effect of burstmode transcutaneous electrical nerve stimulation on peripheral vascular resistance", Phys Ther, 81(6), pp.1183~1191 (2001)
- Gardner SE, "Effect of electrical stimulation on chronic wound healing : a meta-analysis", Wound Repair Regen, 7(6), pp.495~503 (1999)
- McCaig CD, "Controlling cell behavior electrically : current views and future potential", Physiol Rev, 85(3), pp.943~978 (2005)
- Nuccitelli R, "A role for endogenous electric fields in wound healing", Curr Top Dev Biol, 58(2), pp.1~26 (2003)
- Currier DP, "Muscular strength development by electrical stimulation in healthy individuals", Phys Ther, 63(6), pp.915~921 (1983)
- Massey BH, "Effects of high frequency electrical stimulation on the size and strength of skeletal muscle", J Sports Med Phys Fitness, 5(3), pp.136~144 (1965)
- Wolf SL, "The effect of muscle stimulation during resistive training on performance parameters", Am J Sports Med, 14(1), pp.18~23 (1986)
- Laughman RK, "Strength changes in the normal quadriceps femoris muscle as a result of electrical stimulation", Phys Ther, 63(4), pp.494~499 (1983)
- McMiken DF, "Strengthening of human quadriceps muscles by cutaneous electrical stimulation", Scand J Rehabil Med, 15(1), pp.25~28 (1983)
- American College of Sports Medicine, "Progression models in resistance training for healthy adults", Med Sci Sports Exerc, 41(3), pp.687~708 (2009)
- Caggiano E, "Effects of electrical stimulation or voluntary contraction for strengthening the quadriceps femoris muscles in an aged male population", J Orthop Sports Phys Ther, 20(1), pp.22~28 (1994)
- Dalia M. Kamel, "Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles", Annals of Rehabilitation Medicine, 41(3), pp.465~474 (2017), 대한재활의학회
- Henneman E, "Relation between size of neurons and their susceptibility to discharge", Science, 126(3287), pp.1345~1347 (1957)
- Tokuno CD, "The influence of natural body sway on neuromuscular responses to an unpredictable surface translation", Exp Brain Res, 174(1), pp.19~28 (2006)
- Bickel CS, "Motor unit recruitment during neuromuscular electrical stimulation : a critical appraisal", Eur J Appl Physiol, 111(10), pp.2399~2407 (2011)
- Binder-Macleod SA, "Effects of stimulation intensity on the physiological responses of human motor units", Med Sci Sports Exerc, 27(4), pp.556~565 (1995)
- Gregory CM, "Recruitment patterns in human skeletal muscle during electrical stimulation", Phys Ther, 85(4), pp.358~364 (2005)
- Knaflitz M, "Inference of motor unit recruitment order in voluntary and electrically elicited contractions", J Appl Physiol(1985), 68(4), pp.1657~1667 (1990)
- Guney H, "Is there any loss of ankle proprioception in diabetic patients without neuropathy?", Isokinet Exerc Sci, 21(4), pp.317~323 (2013)
- Chen X, "Age-related differences in the relationships between lower-limb joint proprioception and postural balance", Hum Factors, 61(5), pp.702~711 (2019)
- Coelho VK, "Knee proprioceptive function and physical performance of patients with patellofemoral pain : a matched case-control study", Knee, 33, pp.49~57 (2021)
- Amiridis I, "Static balance improvement in elderly after dorsiflexors electrostimulation training", Eur J Appl Physiol, 94(4), pp.424~433 (2005)
- Mignardot JB, "Neuromuscular electrical stimulation leads to physiological gains enhancing postural balance in the prefrail elderly", Physiol Rep, 3(7), pp.e12471~ (2015)
- Kornetti DL, "Rating scale analysis of the Berg Balance Scale", Arch Phys Med Rehabil, 85(7), pp.1128~1135 (2004)
- Kear BM, "Timed Up and Go(TUG)test : normative reference values for ages 20 to 59 years and relationships with physical and mental health risk factors", J Prim Care Community Health, 8(1), pp.9~13 (2017)
- Greve J, "Correlation between body mass index and postural balance", Clinics(Sao Paulo), 62(6), pp.717~720 (2007)
- Greve JM, "Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults", Biomed Res Int, 2013, pp.850424~ (2013)
- Seung-su Kim, "Effect on the Center of Pressure of Vision, Floor Condition, and the Height of Center of Mass During Quiet Standing", 한국전문물리치료학회지, 28(2), pp.154~160 (2021), 한국전문물리치료학회[DOI]
- Rennie S, "Electrophysical agents. Contraindications and precautions:an evidence-based approach to clinical decision making in physical therapy", Foreword, 62(5), pp.1~3 (2010)
- Doyle RJ, "Generalizability of center of pressure measures of quiet standing", Gait Posture, 25(2), pp.166~171 (2007)
- Murray MP, "Normal postural stability and steadiness : quantitative assessment", J Bone Joint Surg Am, 57(4), pp.510~516 (1975)
- Prieto TE, "Measures of postural steadiness : differences between healthy young and elderly adults", IEEE Trans Biomed Eng, 43(9), pp.956~966 (1996)
- Acaröz Candan S, "Effects of neuromuscular electrical stimulation of quadriceps on the quadriceps strength and functional performance in nursing home residents : a comparison of short and long stimulation periods", Geriatr Gerontol Int, 19(5), pp.409~413 (2019)
- Hammami R, "Comparison of static balance and the role of vision in elite athletes", J Hum Kinet, 41, pp.33~41 (2014)
- Luo H, "The effect of visual stimuli on stability and complexity of postural control", Front Neurol, 9, pp.48~ (2018)
- Collins AT, "The effects of stochastic resonance electrical stimulation and neoprene sleeve on knee proprioception", J Orthop Surg Res, 4, pp.3~ (2009)
- Li JX, "Proprioception of foot and ankle complex in young regular practitioners of ice hockey, ballet dancing and running", Res Sports Med, 17(4), pp.205~216 (2009)