Clinical Use of Neuromuscular Electrical Stimulation for Neuromuscular Rehabilitation: What Are We Overlooking?

Détails

ID Serval
serval:BIB_D9BB08DE13E3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Clinical Use of Neuromuscular Electrical Stimulation for Neuromuscular Rehabilitation: What Are We Overlooking?
Périodique
Archives of physical medicine and rehabilitation
Auteur(s)
Maffiuletti N.A., Gondin J., Place N., Stevens-Lapsley J., Vivodtzev I., Minetto M.A.
ISSN
1532-821X (Electronic)
ISSN-L
0003-9993
Statut éditorial
Publié
Date de publication
04/2018
Peer-reviewed
Oui
Volume
99
Numéro
4
Pages
806-812
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
The clinical success of neuromuscular electrical stimulation (NMES) for neuromuscular rehabilitation is greatly compromised by the poor consideration of different physiological and methodological issues that are not always obvious to the clinicians. Therefore, the aim of this narrative review is to reexamine some of these fundamental aspects of NMES using a tripartite model perspective. First, we contend that NMES does not actually bypass the central nervous system but results in a multitude of neurally mediated responses that contribute substantially to force generation and may engender neural adaptations. Second, we argue that too much emphasis is generally placed on externally controllable stimulation parameters while the major determinant of NMES effectiveness is the intrinsically determined muscle tension generated by the current (ie, evoked force). Third, we believe that a more systematic approach to NMES therapy is required in the clinic and this implies a better identification of the patient-specific impairment and of the potential "responders" to NMES therapy. On the basis of these considerations, we suggest that the crucial steps to ensure the clinical effectiveness of NMES treatment should consist of (1) identifying the neuromuscular impairment with clinical assessment and (2) implementing algorithm-based NMES therapy while (3) properly dosing the treatment with tension-controlled NMES and eventually amplifying its neural effects.
Mots-clé
Algorithms, Electric Stimulation Therapy/methods, Humans, Muscle, Skeletal/physiopathology, Neuromuscular Diseases/physiopathology, Neuromuscular Diseases/rehabilitation, Electric stimulation, Muscle strength, Quadriceps muscle, Rehabilitation
Pubmed
Web of science
Création de la notice
14/12/2017 17:12
Dernière modification de la notice
21/08/2019 5:36
Données d'usage