利用非对称高频载波脉冲簇电刺激的肌疲劳缓解技术研究

袁瑞; 郑杨

doi:10.7652/xjtuxb202409018

您当前的位置：

首页 >

文章列表页 >

利用非对称高频载波脉冲簇电刺激的肌疲劳缓解技术研究

—————————————————————— | 更新时间：2025-07-28

- 利用非对称高频载波脉冲簇电刺激的肌疲劳缓解技术研究
- Research on Muscle Fatigue Reduction Using Asymmetric High-Frequency Carrier Pulse Cluster Electrical Stimulation
- 西安交通大学学报 2024年58卷第9期页码：183-190
- 作者机构：
  
  1. 西安交通大学机械工程学院,西安,710049
  2. 西安交通大学精密微纳制造技术全国重点实验室,西安,710049
- 作者简介：
  
  : 2024-03-13。作者简介: 袁瑞(2002—),女,博士生
  郑杨(通信作者),男,副教授,博士生导师。基金项目: 科技创新2030资助项目(2022ZD0209800)
- 基金信息：
  
  : 2024-03-13。作者简介: 袁瑞(2002—),女,博士生;郑杨(通信作者),男,副教授,博士生导师。基金项目: 科技创新2030资助项目(2022ZD0209800);陕西省重点研发计划资助项目(2022ZDLSF04-10);陕西省秦创原引用高层次创新创业人才资助项目(QCYRCXM-2022-34)。
- DOI：10.7652/xjtuxb202409018
  中图分类号： R318.04
- 网络首发：2024-09-10，
  
  纸质出版：2024
- 稿件说明：
移动端阅览
袁瑞, 郑杨. 利用非对称高频载波脉冲簇电刺激的肌疲劳缓解技术研究[J]. 西安交通大学学报, 2024,58(9):183-190.

YUAN Rui, ZHENG Yang. Research on Muscle Fatigue Reduction Using Asymmetric High-Frequency Carrier Pulse Cluster Electrical Stimulation[J]. 2024, 58(9): 183-190.
袁瑞, 郑杨. 利用非对称高频载波脉冲簇电刺激的肌疲劳缓解技术研究[J]. 西安交通大学学报, 2024,58(9):183-190. DOI： 10.7652/xjtuxb202409018.

YUAN Rui, ZHENG Yang. Research on Muscle Fatigue Reduction Using Asymmetric High-Frequency Carrier Pulse Cluster Electrical Stimulation[J]. 2024, 58(9): 183-190. DOI： 10.7652/xjtuxb202409018.

摘要

为了缓解神经肌肉电刺激导致的肌肉疲劳

并减轻高频载波脉冲簇电刺激带来的不适感

提出了非对称高频载波脉冲簇电刺激的肌疲劳缓解技术

利用健康受试者

比较了所提技术和传统对称双相矩形脉冲电刺激的抗疲劳性能。在正中神经、尺神经束近端

分别施加载波频率为10 kHz的窄脉冲簇(高频模式)和传统的对称双相矩形脉冲(低频模式)并引起相同的收缩水平

持续刺激5 min以诱发肌疲劳并记录手指收缩力和指屈肌高密度肌电信号。研究结果显示

与低频刺激相比

高频刺激下肌肉疲劳速率显著降低

具体表现为力衰减变慢

绝对力衰减较小(3.868 8±1.136 8)N

平台力更大(7.296±1.342 4)N

最终获得更大的力输出为(2 282.8±341.48)N·s

同时高频刺激下更高的力-肌电幅值比说明诱发了更高的肌肉激活效率

这可能是高频模式缓解肌疲劳的潜在机制。与传统对称低频刺激相比

非对称高频载波脉冲簇电刺激可能通过诱发更高效率的肌肉激活

从而显著缓解电刺激下肌疲劳问题

这对电刺激技术在脑卒中等患者运动功能康复中的推广应用具有重要意义。

Abstract

To alleviate muscle fatigue caused by neuromuscular electrical stimulation(NMES)and reduce the discomfort associated with high-frequency carrier pulse cluster electrical stimulation

this paper compares the anti-fatigue properties of the proposed asymmetric high-frequency carrier pulse cluster electrical stimulation with the conventional symmetric biphasic rectangular pulse electrical stimulation technique in healthy subjects. Specifically

the clustered narrow pulses with a carrier frequency of 10 kHz(high-frequency mode

HF)and the conventional symmetrical biphasic rectangular pulses(low-frequency mode

LF)are delivered to the proximal segment of the median/ulnar nerve bundles

eliciting the same level of contraction. Stimulation is continued for 5 minutes to induce muscle fatigue

and finger flexion forces and high-density electromyography(EMG)signals of the finger flexors are recorded. The results show that the rate of muscle fatigue is significantly reduced under the HF stimulation compared with the LF stimulation. This is manifested by a slower force decay rate

smaller absolute force decay(3.868 8±1.136 8)N

and a larger force plateau(7.296±1.342 4)N

resulting in greater force output(2 282.8±341.48)N·s. The higher force-to-EMG amplitude ratio under the HF stimulation indicated a higher efficiency of muscle activation

which may be a potential mechanism for alleviating muscle fatigue by the HF modes. The present study suggests that the asymmetric pulse clusters at a kilohertz carrier frequency may significantly alleviate muscle fatigue by inducing a higher efficiency of muscle activation compared to the conventional symmetric LF stimulation

which can potentially promote the application of the NMES-based motor neurorehabilitation technique in stroke patients.

关键词

Keywords

references

姚安艳, 严璐. 脑卒中后运动功能障碍患者的康复训练研究进展 [J]. 贵州中医药大学学报, 2022, 44(3): 91-95.

李欣然, 李瑞青. 神经肌肉电刺激在脑卒中后运动障碍中的研究进展 [J]. 中山大学学报(医学科学版), 2024, 45(2): 180-189.

LI Xinran, LI Ruiqing. Advances in neuromuscular electrical stimulation in post-stroke movement disorders [J]. Journal of Sun Yat-sen University(Medical Sciences), 2024, 45(2): 180-189.

陈娇, 杨香. 神经肌肉电刺激治疗脑卒中运动障碍的研究进展 [J]. 医疗装备, 2023, 36(13): 160-164.

黄琳, 段周芳. 神经肌肉电刺激治疗缺血性脑卒中的作用分析 [J]. 四川生理科学杂志, 2023, 45(1): 92-93.

SHEFFLER L R, CHAE J. Neuromuscular electrical stimulation in neurorehabilitation [J]. Muscle Nerve, 2007, 35(5): 562-590.

QUANDT F, HUMMEL F C. The influence of functional electrical stimulation on hand motor recovery in stroke patients: a review [J]. Experimental Translational Stroke Medicine, 2014, 6: 9.

BAO Shichun, KHAN A, SONG Rong, et al. Rewiring the lesioned brain: electrical stimulation for post-stroke motor restoration [J]. Journal of Stroke, 2020, 22(1): 47-63.

GOBBO M, MAFFIULETTI N A, ORIZIO C, et al. Muscle motor point identification is essential for optimizing neuromuscular electrical stimulation use [J]. Journal of Neuro Engineering and Rehabilitation, 2014, 11: 17.

BICKEL C S, GREGORY C M, DEAN J C. Motor unit recruitment during neuromuscular electrical stimulation: a critical appraisal [J]. European Journal of Applied Physiology, 2011, 111(10): 2399-2407.

GREGORY C M, BICKEL C S. Recruitment patterns in human skeletal muscle during electrical stimulation [J]. Physical Therapy, 2005, 85(4): 358-364.

VARGAS L, BARATTA J, HU Xiaogang. Distribution of M-wave and H-reflex in hand muscles evoked via transcutaneous nerve stimulation: a preliminary report [C]//2021 43rd Annual International Conference of the IEEE Engineering in Medicine Biology Society(EMBC). Piscatway,USA: IEEE, 2021: 5897-5900.

SHIN H, CHEN R, HU Xiaogang. Delayed fatigue in finger flexion forces through transcutaneous nerve stimulation [J]. Journal of Neural Engineering, 2018, 15(6): 066005.

ZHENG Yang, HU Xiaogang. Improved muscle activation using proximal nerve stimulation with subthreshold current pulses at kilohertz-frequency [J]. Journal of Neural Engineering, 2018, 15(4): 046001.

PASLUOSTA C, KIELE P, STIEGLITZ T. Paradigms for restoration of somatosensory feedback via stimulation of the peripheral nervous system [J]. Clinical Neurophysiology, 2018, 129(4): 851-862.

NEUDORFER C, CHOW C T, BOUTET A, et al. Kilohertz-frequency stimulation of the nervous system: A review of underlying mechanisms [J]. Brain Stimulation, 2021, 14(3): 513-530.

BARSS T S, AINSLEY E N, CLAVERIA-GONZALEZ F C, et al. Utilizing physiological principles of motor unit recruitment to reduce fatigability of Electrically-Evoked contractions: a narrative review [J]. Archives of Physical Medicine and Rehabilitation, 2018, 99(4): 779-791.

BOULET J, WHITE M, BRUCE I C. Temporal considerations for stimulating spiral ganglion neurons with cochlear implants [J]. Journal of the Association for Research in Otolaryngology, 2016, 17(1): 1-17.

ZHENG Yang, HU Xiaogang. Reduced muscle fatigue using kilohertz-frequency subthreshold stimulation of the proximal nerve [J]. Journal of Neural Engineering, 2018, 15(6): 066010.

FORMENTO E, D'ANNA E, GRIBI S, et al. A biomimetic electrical stimulation strategy to induce asynchronous stochastic neural activity [J]. Journal of Neural Engineering, 2020, 17(4): 046019.

MERRILL D R, BIKSON M, JEFFERYS J G R. Electrical stimulation of excitable tissue:design of efficacious and safe protocols [J]. Journal of Neuroscience Methods, 2005, 141(2): 171-198.

沈强, 邰常峰, 蒋大宗. 利用单电极不对称双向脉冲刺激实现哺乳动物有髓神经纤维选择性兴奋的仿真研究 [J]. 电子学报, 2001, 29(3): 354-357.

SHEN Qiang, TAI Changfeng, JIANG Dazong. Modeling study on selective activation of small mammalian nerve fibers using asymmetric biphasic pulses with a monopolar point electrode [J]. Acta Electronica Sinica, 2001, 29(3): 354-357.

DE JESUS GUIRRO R R. DE OLIVEIRA GUIRRO E C,DE SOUSA N T A. sensory and motor thresholds of transcutaneous electrical stimulation are influenced by gender and age [J]. PMR, 2015, 7(1): 42-47.

MAFFIULETTI N A, HERRERO A J, JUBEAU M, et al. Differences in electrical stimulation thresholds between men and women [J]. Annals of Neurology, 2008, 63(4): 507-512.

MORRISSEY M C. Electromyostimulation from a clinical perspective: a review [J]. Sports Medicine, 1988, 6(1): 29-41.

KEYSER R E. Peripheral fatigue: high-energy phosphates and hydrogen ions [J]. PM R: the Journal of Injury, Function, and Rehabilitation, 2010, 2(5): 347-358.

ENOKA R M, DUCHATEAU J. Muscle fatigue: what, why and how it influences muscle function [J]. The Journal of Physiology, 2008, 586(1): 11-23.

HAUTIER C A, ARSAC L M, DEGHDEGH K, et al. Influence of fatigue on EMG/force ratio and cocontraction in cycling [J]. Medicine and Science in Sports and Exercise, 2000, 32(4): 839-843.

MILLER J P, ELDABE S, BUCHSER E, et al. Parameters of spinal cord stimulation and their role in electrical charge delivery: a review [J]. Neuromodulation: Journal of the International Neuromodulation Society, 2016, 19(4): 373-384.

VARGAS L, MUSSELMAN E D, GRILL W M, et al. Asynchronous axonal firing patterns evoked via continuous subthreshold kilohertz stimulation [EB/OL]. [2024-02-12].https://iopscience.iop.org/article/10.1088/1741-2552/acc20f/meta.

ZHENG Yang, SHIN H, HU Xiaogang. Muscle fatigue post-stroke elicited from Kilohertz-Frequency subthreshold nerve stimulation [J]. Frontiers in Neurology, 2018, 9: 1061.

GENG Bo, YOSHIDA Ken, JENSEN W. Impacts of selected stimulation patterns on the perception threshold in electrocutaneous stimulation [J]. Journal of Neuro Engineering and Rehabilitation, 2011, 8: 9.

CHAUDHURI A, BEHAN P O. Fatigue in neurological disorders [J]. The Lancet, 2004, 363(9413): 978-988.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

隧道内燃料电池汽车氢气泄漏扩散特性及影响因素

混合电解槽阵列协同的风光耦合制氢系统双层多目标优化

采用试验设计方法的第三代CO2气体箔轴承箔片几何参数敏感性分析

不同板叠材料热声热机能量转换过程数值模拟研究

三塔合一间接空冷系统结构参数对夏季运行特性的影响研究