H-reflex measurement and a simulation model for interpreting the effect of an auxiliary electrical stimulation on FES. 2010

Baoping Yuan, and Jose Gomez, and Jose Gonzalez, and Wenwei Yu, and Shuichi Ino
AIST, Japan.

As reported by some researchers, human responses to Functional Electrical Stimulation (FES) are likely to be affected by several factors, such as spasticity, muscle fatigue, nerve habituation and so forth. In our previous study, it has been shown that, an sub-threshold Auxiliary Stimulation (AS) to the Gastrocnemius, with current frequency ranged from 2000 to 6000Hz, could alleviate the symptom of spasticity and muscle fatigue caused by the stimulation to the Tibialis Anterior, enable comparatively stable and durable function restoration assistance. To understand the underlying neuromuscular processes elicited by the auxiliary electrical stimulation and its qualitative natures, we have measured the Hoffmann-reflex (H-reflex) in human soleus muscle before and after the AS in this study,, and proposed a mathematical model which takes into consideration not only the efferent but also afferent neural pathways, to interpret the effectiveness of the AS. Based on the results from the experiment it can be noted that: H(max)/M(max) became lower after AS, AS could reduce the excessive excitability of Alpha MNs. The mathematical model of pre-synaptic inhibition could help us to understand the underlying neuromuscular processes elicited by electrical stimulation and its qualitative nature, and used it to predict the states of spinal cord more easily, quickly, and reasonably in clinic experiment as a medical evaluation method for the paralyzed humans.

UI MeSH Term Description Entries
D008297 Male Males
D008959 Models, Neurological Theoretical representations that simulate the behavior or activity of the neurological system, processes or phenomena; includes the use of mathematical equations, computers, and other electronic equipment. Neurologic Models,Model, Neurological,Neurologic Model,Neurological Model,Neurological Models,Model, Neurologic,Models, Neurologic
D009433 Neural Inhibition The function of opposing or restraining the excitation of neurons or their target excitable cells. Inhibition, Neural
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D004599 Electric Stimulation Therapy Application of electric current in treatment without the generation of perceptible heat. It includes electric stimulation of nerves or muscles, passage of current into the body, or use of interrupted current of low intensity to raise the detection threshold of the skin to pain. Electrotherapy,Electrical Stimulation Therapy,Interferential Current Electrotherapy,Therapeutic Electric Stimulation,Therapeutic Electrical Stimulation,Therapy, Electric Stimulation,Electric Stimulation, Therapeutic,Electrical Stimulation, Therapeutic,Electrotherapy, Interferential Current,Stimulation Therapy, Electric,Stimulation Therapy, Electrical,Stimulation, Therapeutic Electric,Stimulation, Therapeutic Electrical,Therapy, Electrical Stimulation
D004868 Equipment Failure Failure of equipment to perform to standard. The failure may be due to defects or improper use. Defects, Equipment,Device Failure,Failure, Equipment,Malfunction, Equipment,Medical Device Failure,Misuse, Equipment,Device Failure, Medical,Device Failures, Medical,Failure, Medical Device,Failures, Medical Device,Defect, Equipment,Device Failures,Equipment Defect,Equipment Defects,Equipment Failures,Equipment Malfunction,Equipment Malfunctions,Equipment Misuse,Equipment Misuses,Failure, Device,Failures, Device,Failures, Equipment,Malfunctions, Equipment,Misuses, Equipment
D005260 Female Females
D006181 H-Reflex A monosynaptic reflex elicited by stimulating a nerve, particularly the tibial nerve, with an electric shock. H Reflex,H-Reflexes,H Reflexes,Reflex, H
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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