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Influence of functional electrical stimulation parameters in quadriceps concentric contraction

INTRODUCTION: Functional electrical stimulation (FES) is used in clinical practice for muscle strengthening, as well as for functional recovery and preservation of weakened muscles. However, one of the problems in clinical application is the lack of adequate standards for determining the attainment of a predetermined movement, since the stimulation parameters are often adjusted heuristically. The present study investigated the influence of some parameters (frequency, current intensity and pulse duration) of the FES used to establish the joint angle and force produced in knee extension. METHODS: The experimental procedure was divided in two phases (Phase I and Phase II). The total sample included 41 healthy volunteers of both sexes (27 and 14 in Phase I and Phase II). During Phase I 18 profiles of FES were applied in the quadriceps muscle of subjects, changing the above-mentioned FES parameters. RESULTS: It was observed that the pulse duration of the electrical stimulation pulse did not exhibit significant relevance in the evoked movements. Among the discrete values of frequency investigated, the stimulation at 50 Hz was selected because it showed higher statistical significant difference considering the values of current intensity measured. During the Phase II, devoted to place the knee joint angle in a pre-determined value, the current intensity of the FES was adjusted according to the linear model established during the Phase I, which considered anthropometric characteristics of the subjects. In this Phase we found a correlation coefficient r = 0,798 between the pre-determined angle and the reached one. CONCLUSION: This paper presents a model for the determination of FES parameters for establishing angular variations of the knee associated with electrical stimulation. Considering frequency and pulse duration constants we estimate, using a first order equation and correlation coefficient of 0.72, the current intensity dependent of desired angle variation.

Functional Electrical Stimulation FES; Angular variation; Muscle force


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