From: Assessment of muscle activity using electrical stimulation and mechanomyography: a systematic review
Authors | Sensor and electrode type | Electrode site | Dataset | Methodology | Results |
---|---|---|---|---|---|
Study 1: analysis of the effect of changes in the duration of stimulation pulses on contractile measures | |||||
[29] | MMG: laser sensor (model LG10A65PU: Banner Engineering, Minneapolis, MN, USA; Class 2, sensing beam with a 670-nm visible red laser, power output = 0.20 mW, beam size = 0.06 × 0.8 mm, resolution = 10 μm) | BB | 10 healthy male subject, age 19–33 years | Stimulation pulses were increased from 50 to 500 \(\mu s\) until no further increase in the MMG Dm was detected | The duration of the pulse impacted the muscle contractions reflected by MMG |
Remark: the lateral displacement and rate of muscle contraction decreased from 50 to 300 µs, and none of the fibers were maximally activated below 300 µs | |||||
Future work: other muscles and the effect of skin impedance on other moderators must be evaluated in the future | |||||
Study 2: effect of non-isometric muscle activation on joint parameters and MMG | |||||
[30] | MMG: 9-mm2 accelerometer (thickness = 4.5 mm, mass = 0.75 g, sensitivity = 500 mV/g where g = 9.8 m/s2; MP110-10-101, MediSens INS, Japan) | TA | 8 healthy male subjects, age (means ± SDs) 27 ± 2.9 years, height 173 ± 9.1 cm, weight 73 ± 5.5 kg | The ankle joint and MMG were measured after one, two, three, four, seven and eight stimulation pulses separated by a 1–5-min rest; the 10-ms (100-Hz) pulses were administered at an inter-pulse interval of 10, 20, 30, 40, 50, 80 and 100 ms | At different inter-pulse intervals or numbers of stimuli, the MMG exhibited a poor correlation with the changes in joint kinematics |
Remark: torque changes should not be considered for the control of the initial joint movement using functional electrical stimulation | |||||
Study 3: analysis of the effect of the inter-pulse duration on muscle contractile parameters | |||||
[31] | ES: stimulating electrodes (Compex Medical AS, Ecublens, Switzerland); TMG: (BMC Ltd., Ljubljana, Slovenia) | BB | 13 male and 2 female subjects, age 29.5 ± 7.4 years, height 176.9 ± 9.2 cm, body mass 78.7 ± 14.9 kg | A 10-s ES was delivered to the BB positioned at 10, 45, 90° with the arm at rest for 10–20 s on 2 separate days. The delay time (Td), contraction time (Tc), sustained time (Ts), relaxation time (Tr) and maximal displacement (Dm) were compared between the 2 days | The test–retest reliability of TMG parameters was significant for 2 days |
Remark: the interpretation of muscle contraction in terms of modeled muscle shapes depends on twitch contraction | |||||
Future work: the possible maximal stimulation response should be verified | |||||
Study 4: analysis of the effect of submaximal contraction on the MMG response | |||||
[32] | Accelerometer (13 × 18 mm, 0.94 g; MMA7260Q, Free scale) | RF | 13 healthy male, age 21.3 ± 6.5 years, mass 79.3 ± 6.08 kg, height 179 ± 10.71 cm | The femoral nerve was excited by nine NMES frequencies at 1 kHz modulated at 20, 25, 30, 35, 40, 45. 50, 75 and 100 Hz | The relationship between NMES frequencies and MMG responses is not linear |
Remark: a high frequency does not impact the mechanomyographic characteristics and thus does not affect for the application of a neuroprosthetic device | |||||
Study 5: analysis of the effect of post-activation potentiation on the MMG of synergistic muscles | |||||
[33] | EMG: 11-mm pick-up diameter, 25 mm inter-electrode distance; MMG: uniaxial accelerometer (dimensions = 9 × 9 × 5 mm, mass = 0.75 g, model MP101-10, MediSens, Japan) | MG and SOL | 8 male subjects, age (means ± SDs) 26.86 ± 3.7 years, height 176.1 ± 6 6.3 cm, mass 71.2 ± 6 6.1 kg | Before and after a 10-s MVC, a 500-µs pulse was delivered every 1 min for 5 min, and one stimulus was applied after 10 min. The evoked MMG was measured before and after 10-s supramaximal plantar flexion | The potentiation of both muscles with the plantar flexion angle was investigated. The MG showed a higher MMG amplitude than SOL at DF and NP |
Remark: a 10-s dorsiflexion and neutral position of the MG showed greater potentiation than SOL, but no significant difference in PAP for plantar flexion was found between the two conditions | |||||
Study 6: analysis of the effect of post-activation potentiation on MMG | |||||
[34] | MMG: (MP110-10-101, MediSens, Inc., Japan; sensitivity = 500 mV/g, where g = 9.8 m/s2) | MG | 10 healthy male subjects, age 25.8 years, height 170.3 ± 4.8 cm, weight 67.8 ± 7.5 kg | After supramaximal stimulation to determine the M-wave and a 10-min rest, three isometric contraction at a 5-s interval were delivered for each twitch stimuli. Twitch contractions were evoked 2, 15, 30, 60 and 180 s after the MVC | No change in the M-wave was found after MVC. MMG measured after the evoked twitch contractions reflect changes in muscle contraction |
Remark: after PAP, the evoked MMG-PP represents the contractile properties of the muscle | |||||
Study 7: analysis of the intensity and contraction velocities of skeletal muscles | |||||
[37] | MMG: accelerometer (ADXL330, Analogue Devices, Inc., Norwood, MA, USA); EMG: Ag–AgCl electrodes (EL503; Biopac Systems Inc.) | Soleus muscle | 3 male and 5 female subjects, age 19 ± 1 years | An H-M recruitment curve was mapped for the soleus muscle by increasing the 0.1-ms square wave at 1.0- to 5-V increments with a 10-s rest interval until an M-wave was recruited | The maximum sEMG corresponding to H-reflex and M-waves showed a moderate correlation between HM and \({MMG}_{PP}\) |
Remark: the time-to-maximum intensity (TTMax) was longer at a low stimulation intensity and declined with increases in the intensity | |||||
Future work: further studies should account for the body composition, muscle fiber composition, gender and training | |||||
Study 8: effect of unilateral surface stimulation session on the contralateral limb | |||||
[35] | MMG: 6.5-g accelerometer (K-Beam 8305A; Kistler, Amherst, MA, USA); EMG: Ag/AgCl bipolar surface electrodes (Blue Sensor M-00-S; Medicotest, Ølstykke, Denmark) | RF | 36 healthy right-footed male subjects, age 25.8 ± 1.3 years, weight 75.0 ± 2.1 kg, height 178.3 ± 1.1 cm | After stimulation at 100 Hz with a 300-µs pulse duration, a cycle of 10 s on and 10 s off was applied for relaxation of the RF of the non-dominant leg of the 18 RS group for 10 min | MMG, EMG and maximum voluntary isometric contraction from the dominant leg before and after stimulation showed no changes in the MMG activity of the RF (p < 0.05) |
Remark: the lack of mechanical changes could be due to the short exposure time to the stimulus | |||||
Future work: the influence of a long exposure time to the stimulus on the tension, rigidity, mass and length of the muscle should be investigated | |||||
Study 9: analysis of the effect of the staircase phenomenon on neuromuscular blockade (NMB) monitoring | |||||
[36] | AMMG (train of four (TOF)–Watch SX; Organon, Dublin, Ireland) | Abductor pollicis | 17 males and 7 females in group C, age 45.9 years, BMI 25.6 kg/m2; 17 males and 5 females in group S, age 47.9 years, BMI 25.1 kg/m2 | Group C received 2-Hz TOF every 15 s over 20 min, and rocuronium was injected into the other hand Group S was tetanically stimulated (50 Hz, 5 s, and 50 mA) | Prior to acceleromyography, tetanic stimulation resulted into reduced onset and recovery times of AMMD amplitudes |
Remark: sp has no influence on the TOF ratio | |||||
Future work: the effect of sensitivity on monitoring NMB function should be investigated |