Abstract：
:Transcutaneous neuromuscular electrical stimulation applied in clinical settings is currently characterized by a wide heterogeneity of stimulation protocols and modalities. Practitioners usually refer to anatomic charts (often provided with the user manuals of commercially available stimulators) for electrode positioning, which may lead to inconsistent outcomes, poor tolerance by the patients, and adverse reactions. Recent evidence has highlighted the crucial importance of stimulating over the muscle motor points to improve the effectiveness of neuromuscular electrical stimulation. Nevertheless, the correct electrophysiological definition of muscle motor point and its practical significance are not always fully comprehended by therapists and researchers in the field. The commentary describes a straightforward and quick electrophysiological procedure for muscle motor point identification. It consists in muscle surface mapping by using a stimulation pen-electrode and it is aimed at identifying the skin area above the muscle where the motor threshold is the lowest for a given electrical input, that is the skin area most responsive to electrical stimulation. After the motor point mapping procedure, a proper placement of the stimulation electrode(s) allows neuromuscular electrical stimulation to maximize the evoked tension, while minimizing the dose of the injected current and the level of discomfort. If routinely applied, we expect this procedure to improve both stimulation effectiveness and patient adherence to the treatment.The aims of this clinical commentary are to present an optimized procedure for the application of neuromuscular electrical stimulation and to highlight the clinical implications related to its use.
journal_name
J Neuroeng Rehabiljournal_title
Journal of neuroengineering and rehabilitationauthors
Gobbo M,Maffiuletti NA,Orizio C,Minetto MAdoi
10.1186/1743-0003-11-17subject
Has Abstractpub_date
2014-02-25 00:00:00pages
17issn
1743-0003pii
1743-0003-11-17journal_volume
11pub_type
社论abstract：BACKGROUND:Accurate measurement of physical behaviour is paramount to better understand lifestyle, health, and functioning, particularly in adults with physical disability as they may be at higher risk of sedentary lifestyle and subsequent negative health consequences. This study aimed: 1) to evaluate the criterion val...
journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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abstract：BACKGROUND:Myoelectric control of upper extremity powered prostheses has been used clinically for many years, however this approach has not been fully developed for lower extremity prosthetic devices. With the advent of powered lower extremity prosthetic components, the potential role of myoelectric control systems is ...
journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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pub_type： 杂志文章
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
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更新日期：2016-01-23 00:00:00
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,随机对照试验
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更新日期：2020-01-30 00:00:00
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
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journal_title：Journal of neuroengineering and rehabilitation
pub_type： 杂志文章
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journal_title：Journal of neuroengineering and rehabilitation
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