Specific brain activation patterns associated with two neuromuscular electrical stimulation protocols

Sci Rep. 2017 Jun 2;7(1):2742. doi: 10.1038/s41598-017-03188-9.

Abstract

The influence of neuromuscular electrical stimulation (NMES) parameters on brain activation has been scarcely investigated. We aimed at comparing two frequently used NMES protocols - designed to vary in the extent of sensory input. Whole-brain functional magnetic resonance imaging was performed in sixteen healthy subjects during wide-pulse high-frequency (WPHF, 100 Hz-1 ms) and conventional (CONV, 25 Hz-0.05 ms) NMES applied over the triceps surae. Each protocol included 20 isometric contractions performed at 10% of maximal force. Voluntary plantar flexions (VOL) were performed as control trial. Mean force was not different among the three protocols, however, total current charge was higher for WPHF than for CONV. All protocols elicited significant activations of the sensorimotor network, cerebellum and thalamus. WPHF resulted in lower deactivation in the secondary somatosensory cortex and precuneus. Bilateral thalami and caudate nuclei were hyperactivated for CONV. The modulation of the NMES parameters resulted in differently activated/deactivated regions related to total current charge of the stimulation but not to mean force. By targeting different cerebral brain regions, the two NMES protocols might allow for individually-designed rehabilitation training in patients who can no longer execute voluntary movements.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain Mapping
  • Caudate Nucleus / diagnostic imaging
  • Caudate Nucleus / physiology
  • Cerebellum / diagnostic imaging
  • Cerebellum / physiology
  • Electric Stimulation
  • Female
  • Humans
  • Isometric Contraction / physiology*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Muscle Contraction / physiology*
  • Muscle Fatigue / physiology
  • Muscle, Skeletal / innervation
  • Muscle, Skeletal / physiology*
  • Sensorimotor Cortex / diagnostic imaging
  • Sensorimotor Cortex / physiology
  • Thalamus / diagnostic imaging
  • Thalamus / physiology