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http://dx.doi.org/10.5762/KAIS.2010.11.11.4418

Effectiveness of Transcutaneous Electrical Nerve Stimulation(TENS) on the Changes of Postural Balance and Muscle Contraction following Muscle Fatigue  

Cho, Hwi-Young (Dept. of Physical Therapy, Sahmyook University)
Lee, Sun-Hyun (Dept. of Physical Therapy, Sahmyook University)
In, Tae-Sung (Dept. of Physical Therapy, Sahmyook University)
Kang, Sun-Hee (Dept. of Medical Reocrd & Health Information Management, Kongju National University)
Lee, Dong-Yeop (Dept. of Physical Therapy, Sunmoon University)
Song, Chang-Ho (Dept. of Physical Therapy, Sahmyook University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.11, no.11, 2010 , pp. 4418-4426 More about this Journal
Abstract
Muscle fatigue often induces deterioration of postural balance and muscle contraction, such as strength or maximal voluntary contraction(MVC). This study was to investigate the effects of transcutaneous electrical stimulation(TENS) applied to the fatigued muscles on postural imbalance and decline in muscle strength following fatigue of triceps surae. For the 4 months from March, 2010, twenty healthy subjects without vestibular disease and visual disturbance were recruited and induced muscle fatigue of triceps surea performed by repeated voluntary contraction. TENS was applied to gastocnemius immediately after development of muscle fatigue. Postural sway length, velocity and MVC were recorded under these conditions: pre-fatigue, post-fatigue, and TENS application to fatigued muscle during post-fatigue. Muscle fatigue increased postural imbalance as expressed by sway length and velocity and decreased muscle contraction(p<.05), while TENS improved the postural imbalance and MVC following muscle fatigue during stance(p<.05). The results suggested that fatigue on plantar flexor is associated with postural balance and muscle contraction, and TENS application to fatigued muscle was effective in improving postural imbalance and decline in muscle strength following muscle fatigue. TENS will be an effective method in exercise, working environment and daily life.
Keywords
Muscle fatigue; postural balance; transcutaneous electrical nerve stimulation(TENS);
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1 Farkas, T., Kis, Z., Toldi, J., & Wolff, J. R., "Activation of the primary motor cortex by somatosensory stimulation in adult rats is mediated mainly by associational connections from the somatosensory cortex", Neuroscience, vol 90(2), pp. 353-361, 1999.   DOI
2 Levin, M. F., & Huichan, C. W. Y., "Relief of Hemiparetic Spasticity by Tens Is Associated with Improvement in Reflex and Voluntary Motor Functions", Electroencephalography and Clinical Neurophysiology, vol 85(2), pp. 131-142, 1992.   DOI
3 Hahm, T. S., "The effect of 2 Hz and 100 Hz electrical stimulation of acupoint on ankle sprain in rats", Journal of Korean Medical Science, vol 22(2), pp. 347-351, 2007.   DOI
4 박래준, "경피신경전기자극이 근피로에 미치는 영향", 대한물리치료학회지, 제11권, 제1호, pp.71-77, 1999.   과학기술학회마을
5 Hardy, S. G., Spalding, T. B., Liu, H., Nick, T. G., Pearson, R. H., Hayes, A. V., "The effect of transcutaneous electrical stimulation on spinal motor neuron excitability in people without known neuromuscular diseases: The roles of stimulus intensity and location", Physical Therapy, vol 82(4), pp. 354-363, 2002.
6 Cramp, A. F. L., Gilsenan, C., Lowe, A. S., & Walsh, D. M., "The effect of high- and low-frequency transcutaneous electrical nerve stimulation upon cutaneous blood flow and skin temperature in healthy subjects", Clinical Physiology, vol 20(2), pp. 150-157, 2000.   DOI
7 Yaggie, J. A., & McGregor, S. J., "Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits", Archives of Physical Medicine and Rehabilitation, vol 83(2), pp. 224-228, 2002.   DOI
8 Gribble, P. A., & Hertel, J., "Effect of hip and ankle muscle fatigue on unipedal postural control", Journal of Electromyography and Kinesiology, vol 14(6), pp. 641-646, 2004.   DOI
9 Forestier, N., Teasdale, N., & Nougier, V., "Alteration of the position sense at the ankle induced by muscular fatigue in humans", Med Sci Sports Exerc, vol 34(1), pp. 117-122, 2002.   DOI   ScienceOn
10 Brandt, T., Disorders of posture and gait. pp. 269-276, Georgia: Thieme Medical Pub, 1990.
11 Bizid, R., Margnes, E., Francois, Y., Jully, J. L., Gonzalez, G., Dupui, P., "Effects of knee and ankle muscle fatigue on postural control in the unipedal stance", European Journal of Applied Physiology, vol 106(3), pp. 375-380, 2009.   DOI
12 Harkins, K. M., Mattacola, C. G., Uhl, T. L., Malone, T. R., & McCrory, J. L., "Effects of 2 ankle fatigue models on the duration of postural stability dysfunction", Journal of Athletic Training, vol 40(3), pp. 191-194, 2005.
13 Krause, D. A., Jacobs, R. S., Pilger, K. E., Sather, B. R., Sibunka, S. P., & Hollman, J. H., "Electromyographic Analysis of the Gluteus Medius in Five Weight-Bearing Exercises", Journal of Strength and Conditioning Research, vol 23(9), pp. 2689-2694, 2009.   DOI
14 Watanabe S, Kobara K, & Ishida H. "Influence of fingertip contact with a wall on postural sway and electromyographyic activity of the soleus muscle", Electromyography and clinical neurophysiology, vol 50(5), pp. 229-33, 2010.
15 Perennou, D. A., Leblond, C., Amblard, B., Micallef, J. P., Herisson, C., & Pelissier, J. Y., "Transcutaneous electric nerve stimulation reduces neglect-related postural instability after stroke", Archives of Physical Medicine and Rehabilitation, vol 82(4), pp. 440-448, 2001.   DOI
16 Lord, S. R., Clark, R. D., & Webster, I. W., "Physiological Factors Associated with Falls in an Elderly Population", Journal of the American Geriatrics Society, vol 39(12), pp. 1194-1200, 1991.   DOI
17 이승원, 김남조, 박대성, 이동엽, 이상숙, 이해현, 김성렬, 송창호, "정상성인군과 노인군의 TENS 적용을 통한 자세동요 비교", 한국스포츠리서치, 제18권, 제5 호, pp. 659-668, 2007.
18 Ross, S. E., "Noise-enhanced postural stability in subjects with functional ankle instability", British journal of sports medicine, vol 41, pp. 656-59, 2007.   DOI
19 Dickstein, R., Laufer, Y., & Katz, M., "TENS to the posterior aspect of the legs decreases postural sway during stance", Neuroscience Letters, vol 393(1), pp. 51-55, 2006.   DOI
20 Cramp, F. L., McCullough, G. R., Lowe, A. S., & Walsh, D. M., "Transcutaneous electric nerve stimulation: The effect of intensity on local and distal cutaneous blood flow and skin temperature in healthy subjects", Archives of Physical Medicine and Rehabilitation, vol 83(1), pp. 5-9, 2002.   DOI
21 Ng, S. S. & Hui-Chan, C. W. "Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke", Stroke, vol 38(11), pp. 2953-59, 2007.   DOI
22 Enoka, R. M., & Stuart, D. G., "Neurobiology of muscle fatigue", Journal of Applied Physiology, vol 72(5), pp. 1631-1648, 1992.   DOI
23 Mulvey, M. R., Fawkner, H. J., Radford, H., & Johnson, M. I., "The use of transcutaneous electrical nerve stimulation (TENS) to aid perceptual embodiment of prosthetic limbs", Medical Hypothesis, vol 72(2), pp. 140-142, 2009.   DOI
24 Vuillerme, N., Burdet, C., Isableu, B., & Demetz, S., "The magnitude of the effect of calf muscles fatigue on postural control during bipedal quiet standing with vision depends on the eye-visual target distance", Gait & Posture, vol 24(2), pp. 169-172, 2006.   DOI
25 Moss, C. L. & Wright, P. T. "Comparison of three methods of assessing muscle strength and imbalance ratios of the knee", Journal of Athletic Training, vol 28(1), pp. 55-8, 1993.
26 Giannesini, B., Cozzone, P. J., & Bendahan, D., "Non-invasive investigations of muscular fatigue: metabolic and electromyographic components", Biochimie, vol 85(9), pp. 873-883, 2003.   DOI
27 Guyton, A. C., & Hall, J. E., Medical Physiology 11th Edition, Chapter 6 & 67, Philadelphia: Saunders Company, 2006.
28 Pline, K. M., Madigan, M. L., & Nussbaum, M. A., "Influence of fatigue time and level on increases in postural sway", Ergonomics, vol 49(15), pp. 1639-1648, 2006.   DOI
29 Hawkins, R. D., & Fuller, C. W., "An examination of the frequency and severity of injuries and incidents at three levels of professional football", British Journal of Sports Medicine, vol 32(4), pp. 326-331, 1998.   DOI
30 Keshner, E. A., Allum, J. H., & Pfaltz, C. R., "Postural coactivation and adaptation in the sway stabilizing responses of normals and patients with bilateral vestibular deficit", Exp Brain Res, vol 69(1), pp. 77-92, 1987.
31 Paillard, T., Maitre, J., Chaubet, V., & Borel, L., "Stimulated and voluntary fatiguing contractions of quadriceps femoris differently disturb postural control", Neuroscience Letters, 477(1), pp. 48-51, 2010.   DOI
32 Hiemstra, L. A., Lo, I. K., & Fowler, P. J., "Effect of fatigue on knee proprioception: implications for dynamic stabilization", J Orthop Sports Phys Ther, vol 31(10), pp. 598-605, 2001.   DOI
33 Ledin, T., Fransson, P. A., & Magnusson, M., "Effects of postural disturbances with fatigued triceps surae muscles or with 20% additional body weight", Gait&Posture, vol 19(2), pp. 184-193, 2004.
34 Onambele, G. L., Narici, M. V., & Maganaris, C. N., "Calf muscle-tendon properties and postural balance in old age", Journal of Applied Physiology, vol 100(6), pp. 2048-2056, 2006.   DOI