Force–pain relationship in functional magnetic and electrical stimulation of subjects with paresis and preserved sensation
Abstract Objective Using “painless” magnetic stimulation (FMS) to support the cycling of paretic subjects with preserved sensation is possible and potentially superior to electrical stimulation (FES). We investigated the dependence of the torque and the pain evoked by FMS and FES on stimulation cond...
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| Veröffentlicht in: | Clinical neurophysiology 2010-09, Vol.121 (9), p.1589-1597 |
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| creator | Szecsi, J Götz, S Pöllmann, W Straube, A |
| description | Abstract Objective Using “painless” magnetic stimulation (FMS) to support the cycling of paretic subjects with preserved sensation is possible and potentially superior to electrical stimulation (FES). We investigated the dependence of the torque and the pain evoked by FMS and FES on stimulation conditions in order to optimize magnetic stimulation. Methods Torque and pain induced by quadriceps stimulation in 13 subjects with paresis and preserved sensation (due to multiple sclerosis) were compared under the conditions: (1) small vs large stimulated surfaces of the thigh, (2) varying contraction velocities of the muscle (isometric vs 15 and 30 rpm isokinetic speed), (3) FMS vs FES modalities, and (4) varying magnetic coil locations. Results Torque and pain significantly depended on the amount of surface and location of stimulation during FMS, on the stimulation modality, and on the muscle contraction velocity during FES and FMS. FMS with a saddle-shaped coil produced more torque ( p < 0.05) than any other stimulation modality, even at 30 rpm velocity. Conclusions To support leg cycling of subjects with preserved sensation, the application of FMS stimulation with a large-surface saddle-shaped coil and the focusing of stimulation on the lateral-frontal surface of the thigh produces greater torque and less pain than FES. Significance Optimized magnetic stimulation is a superior alternative to electrical stimulation in the rehabilitation of subjects with preserved sensation. |
| doi_str_mv | 10.1016/j.clinph.2010.03.023 |
| format | Article |
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We investigated the dependence of the torque and the pain evoked by FMS and FES on stimulation conditions in order to optimize magnetic stimulation. Methods Torque and pain induced by quadriceps stimulation in 13 subjects with paresis and preserved sensation (due to multiple sclerosis) were compared under the conditions: (1) small vs large stimulated surfaces of the thigh, (2) varying contraction velocities of the muscle (isometric vs 15 and 30 rpm isokinetic speed), (3) FMS vs FES modalities, and (4) varying magnetic coil locations. Results Torque and pain significantly depended on the amount of surface and location of stimulation during FMS, on the stimulation modality, and on the muscle contraction velocity during FES and FMS. FMS with a saddle-shaped coil produced more torque ( p < 0.05) than any other stimulation modality, even at 30 rpm velocity. Conclusions To support leg cycling of subjects with preserved sensation, the application of FMS stimulation with a large-surface saddle-shaped coil and the focusing of stimulation on the lateral-frontal surface of the thigh produces greater torque and less pain than FES. Significance Optimized magnetic stimulation is a superior alternative to electrical stimulation in the rehabilitation of subjects with preserved sensation.</description><identifier>ISSN: 1388-2457</identifier><identifier>EISSN: 1872-8952</identifier><identifier>DOI: 10.1016/j.clinph.2010.03.023</identifier><identifier>PMID: 20382558</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adult ; Biological and medical sciences ; Central paresis ; Comfort ; Disease Progression ; Electric Stimulation - adverse effects ; Electric Stimulation - methods ; Electrodiagnosis. Electric activity recording ; Electromyography - methods ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Isometric Contraction - physiology ; Isometric torque ; Magnetic Field Therapy - adverse effects ; Magnetic Field Therapy - methods ; Magnetic Resonance Imaging - methods ; Male ; Medical sciences ; Middle Aged ; Multiple Sclerosis - complications ; Multiple Sclerosis - pathology ; Muscle, Skeletal - physiopathology ; Nervous system ; Neurology ; Optimization of peripheral magnetic stimulation ; Pain - etiology ; Paresis - physiopathology ; Paresis - therapy ; Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - pathology ; Thigh - innervation ; Thigh - physiopathology ; Torque ; Vertebrates: nervous system and sense organs</subject><ispartof>Clinical neurophysiology, 2010-09, Vol.121 (9), p.1589-1597</ispartof><rights>International Federation of Clinical Neurophysiology</rights><rights>2010 International Federation of Clinical Neurophysiology</rights><rights>2015 INIST-CNRS</rights><rights>2010 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-dfa36eb8ac3b0681886119438205e08d61dc6d114429060a0099bf70aee453283</citedby><cites>FETCH-LOGICAL-c446t-dfa36eb8ac3b0681886119438205e08d61dc6d114429060a0099bf70aee453283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1388245710003111$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23156827$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20382558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Szecsi, J</creatorcontrib><creatorcontrib>Götz, S</creatorcontrib><creatorcontrib>Pöllmann, W</creatorcontrib><creatorcontrib>Straube, A</creatorcontrib><title>Force–pain relationship in functional magnetic and electrical stimulation of subjects with paresis and preserved sensation</title><title>Clinical neurophysiology</title><addtitle>Clin Neurophysiol</addtitle><description>Abstract Objective Using “painless” magnetic stimulation (FMS) to support the cycling of paretic subjects with preserved sensation is possible and potentially superior to electrical stimulation (FES). We investigated the dependence of the torque and the pain evoked by FMS and FES on stimulation conditions in order to optimize magnetic stimulation. Methods Torque and pain induced by quadriceps stimulation in 13 subjects with paresis and preserved sensation (due to multiple sclerosis) were compared under the conditions: (1) small vs large stimulated surfaces of the thigh, (2) varying contraction velocities of the muscle (isometric vs 15 and 30 rpm isokinetic speed), (3) FMS vs FES modalities, and (4) varying magnetic coil locations. Results Torque and pain significantly depended on the amount of surface and location of stimulation during FMS, on the stimulation modality, and on the muscle contraction velocity during FES and FMS. FMS with a saddle-shaped coil produced more torque ( p < 0.05) than any other stimulation modality, even at 30 rpm velocity. Conclusions To support leg cycling of subjects with preserved sensation, the application of FMS stimulation with a large-surface saddle-shaped coil and the focusing of stimulation on the lateral-frontal surface of the thigh produces greater torque and less pain than FES. Significance Optimized magnetic stimulation is a superior alternative to electrical stimulation in the rehabilitation of subjects with preserved sensation.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Central paresis</subject><subject>Comfort</subject><subject>Disease Progression</subject><subject>Electric Stimulation - adverse effects</subject><subject>Electric Stimulation - methods</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Electromyography - methods</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Isometric Contraction - physiology</subject><subject>Isometric torque</subject><subject>Magnetic Field Therapy - adverse effects</subject><subject>Magnetic Field Therapy - methods</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - pathology</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Nervous system</subject><subject>Neurology</subject><subject>Optimization of peripheral magnetic stimulation</subject><subject>Pain - etiology</subject><subject>Paresis - physiopathology</subject><subject>Paresis - therapy</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - pathology</subject><subject>Thigh - innervation</subject><subject>Thigh - physiopathology</subject><subject>Torque</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>1388-2457</issn><issn>1872-8952</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks1u1TAQhSMEoqXwBghlg1jlMv6J42yQUEUBqRILYG05zoTrkOsET1JUiUXfgTfsk-A0F5DYsPJ4_J2xfWay7CmDHQOmXvY7N_gw7XccUgrEDri4l50yXfFC1yW_n2KhdcFlWZ1kj4h6AKhA8ofZCQeheVnq0-zHxRgd3t78nKwPecTBzn4MtPdTnvbdEty6t0N-sF8Czt7lNrQ5Dujm6F3K0-wPy6bKxy6npenTGeXf_bzPJxuRPN1pphRivMI2Jwx0J3icPejsQPjkuJ5lny_efDp_V1x-ePv-_PVl4aRUc9F2VihstHWiAaWZ1oqxWqYvQImgW8Vap1rGpOQ1KLAAdd10FVhEWQquxVn2Yqs7xfHbgjSbgyeHw2ADjguZSupaSFWupNxIF0eiiJ2Zoj_YeG0YmNV205vNdrPabkCYZHuSPTtesDQHbP-IfvucgOdHwFJyrYs2OE9_OcFKpXmVuFcbh8mOK4_RkPMYHLY-JltNO_r_veTfAiu0duorXiP14xJTN8kwQ9yA-biOyDohLA2HYIyJX2FdugE</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Szecsi, J</creator><creator>Götz, S</creator><creator>Pöllmann, W</creator><creator>Straube, A</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Force–pain relationship in functional magnetic and electrical stimulation of subjects with paresis and preserved sensation</title><author>Szecsi, J ; Götz, S ; Pöllmann, W ; Straube, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-dfa36eb8ac3b0681886119438205e08d61dc6d114429060a0099bf70aee453283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Central paresis</topic><topic>Comfort</topic><topic>Disease Progression</topic><topic>Electric Stimulation - adverse effects</topic><topic>Electric Stimulation - methods</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Electromyography - methods</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Isometric Contraction - physiology</topic><topic>Isometric torque</topic><topic>Magnetic Field Therapy - adverse effects</topic><topic>Magnetic Field Therapy - methods</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis - complications</topic><topic>Multiple Sclerosis - pathology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Nervous system</topic><topic>Neurology</topic><topic>Optimization of peripheral magnetic stimulation</topic><topic>Pain - etiology</topic><topic>Paresis - physiopathology</topic><topic>Paresis - therapy</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - pathology</topic><topic>Thigh - innervation</topic><topic>Thigh - physiopathology</topic><topic>Torque</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Szecsi, J</creatorcontrib><creatorcontrib>Götz, S</creatorcontrib><creatorcontrib>Pöllmann, W</creatorcontrib><creatorcontrib>Straube, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szecsi, J</au><au>Götz, S</au><au>Pöllmann, W</au><au>Straube, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Force–pain relationship in functional magnetic and electrical stimulation of subjects with paresis and preserved sensation</atitle><jtitle>Clinical neurophysiology</jtitle><addtitle>Clin Neurophysiol</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>121</volume><issue>9</issue><spage>1589</spage><epage>1597</epage><pages>1589-1597</pages><issn>1388-2457</issn><eissn>1872-8952</eissn><abstract>Abstract Objective Using “painless” magnetic stimulation (FMS) to support the cycling of paretic subjects with preserved sensation is possible and potentially superior to electrical stimulation (FES). We investigated the dependence of the torque and the pain evoked by FMS and FES on stimulation conditions in order to optimize magnetic stimulation. Methods Torque and pain induced by quadriceps stimulation in 13 subjects with paresis and preserved sensation (due to multiple sclerosis) were compared under the conditions: (1) small vs large stimulated surfaces of the thigh, (2) varying contraction velocities of the muscle (isometric vs 15 and 30 rpm isokinetic speed), (3) FMS vs FES modalities, and (4) varying magnetic coil locations. Results Torque and pain significantly depended on the amount of surface and location of stimulation during FMS, on the stimulation modality, and on the muscle contraction velocity during FES and FMS. FMS with a saddle-shaped coil produced more torque ( p < 0.05) than any other stimulation modality, even at 30 rpm velocity. Conclusions To support leg cycling of subjects with preserved sensation, the application of FMS stimulation with a large-surface saddle-shaped coil and the focusing of stimulation on the lateral-frontal surface of the thigh produces greater torque and less pain than FES. Significance Optimized magnetic stimulation is a superior alternative to electrical stimulation in the rehabilitation of subjects with preserved sensation.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>20382558</pmid><doi>10.1016/j.clinph.2010.03.023</doi><tpages>9</tpages></addata></record> |
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| ispartof | Clinical neurophysiology, 2010-09, Vol.121 (9), p.1589-1597 |
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| subjects | Adult Biological and medical sciences Central paresis Comfort Disease Progression Electric Stimulation - adverse effects Electric Stimulation - methods Electrodiagnosis. Electric activity recording Electromyography - methods Female Fundamental and applied biological sciences. Psychology Humans Investigative techniques, diagnostic techniques (general aspects) Isometric Contraction - physiology Isometric torque Magnetic Field Therapy - adverse effects Magnetic Field Therapy - methods Magnetic Resonance Imaging - methods Male Medical sciences Middle Aged Multiple Sclerosis - complications Multiple Sclerosis - pathology Muscle, Skeletal - physiopathology Nervous system Neurology Optimization of peripheral magnetic stimulation Pain - etiology Paresis - physiopathology Paresis - therapy Somesthesis and somesthetic pathways (proprioception, exteroception, nociception) interoception electrolocation. Sensory receptors Spinal Cord Injuries - complications Spinal Cord Injuries - pathology Thigh - innervation Thigh - physiopathology Torque Vertebrates: nervous system and sense organs |
| title | Force–pain relationship in functional magnetic and electrical stimulation of subjects with paresis and preserved sensation |
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