Why are we doing FES anyway, nothing has been done to stop the spasticity? There obviously is some electrical signal that causes spasticity. Why not use this FES to disrupt that signal? Then you would be much more likely to get recovery going.
Revolutionary study finds optimal FES settings for enhancing muscle recovery training
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Credit: Cyborg and Bionic Systems
Functional electrical stimulation (FES) technology is a new type of treatment, which is through the simulation of the nerve on the muscle issued by the electrical signals for rehabilitation training.
Functional Electrical Stimulation has been a beacon of hope for patients suffering from severe neurological disorders such as stroke, which often leaves individuals with significant movement and cognitive impairments. This new research primarily focuses on optimizing the parameters of FES to enhance muscle recovery without causing additional muscle fatigue, a common setback in previous applications.
The study meticulously analyzed the effects of FES parameter settings on muscle health, establishing a crucial relationship between current amplitude and the optimal stimulation time. This relationship is key to preventing muscles from entering an excessive fatigue state, thereby promoting more effective recovery.
In a detailed experiment involving ten subjects undergoing dumbbell weightlifting training, the research team, led by Sun and Guizhi Xu from Hebei University of Technology, China, monitored the subjects' muscle responses via surface electromyography (sEMG). This technique helped them craft a nuanced understanding of how muscles react under different levels of electrical stimulation.
Their findings suggest that the most significant parameter in FES is the current amplitude, which, when optimized, can prevent muscles from over-fatigue.This breakthrough is depicted in a linear curve developed during the study, demonstrating a direct relationship between current amplitude and maximum safe stimulation time. This curve is anticipated to be a valuable tool for clinicians and therapists focusing on rehabilitation through FES.
Moreover, the research explored the effects of varying the frequency and pulse width of the FES, uncovering that these adjustments could significantly impact muscle fatigue rates and recovery times. This has important implications for the customization of FES treatments to individual patient needs, potentially leading to more personalized and effective rehabilitation strategies.
By integrating a complex array of biomedical engineering techniques, including wavelet transform and RMS normalization, the team was able to provide robust scientific insights that pave the way for the next generation of FES devices. These devices could offer more adjustable and patient-specific settings, reducing the risk of muscle damage and enhancing the overall effectiveness of recovery therapies.
This study not only marks a significant advancement in the use of Functional Electrical Stimulation for muscle recovery but also highlights the potential for future technologies to be more adaptable to the physiological conditions of different patients, ensuring safer and more effective recovery processes.
As the research moves forward, further studies will likely focus on refining these parameters and exploring additional ways to harness the power of FES in medical rehabilitation. The ultimate goal is to provide stroke survivors and individuals with neurological impairments a more effective path to regain muscle function and improve their quality of life.
The paper, "Function Electrical Stimulation Effect on Muscle Fatigue Based on Fatigue Characteristic Curves of Dumbbell Weightlifting Training" was published in the journal Cyborg and Bionic Systems on Jun 6, 2024, at DOI: https://doi.org/10.34133/cbsystems.0124
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