Mechanomyography reflects the changes in oxygenated hemoglobin during electrically evoked cycling in individuals with spinal cord injury.

IF 2.2 3区 医学 Q3 ENGINEERING, BIOMEDICAL Artificial organs Pub Date : 2024-06-17 DOI:10.1111/aor.14809
Nur Azah Hamzaid, Puteri Nur Farhana Hamdan, Mira Xiao-Hui Teoh, Nasrul Anuar Abd Razak, Nazirah Hasnan, Glen M Davis
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Abstract

Background: Functional electrical stimulation (FES) cycling has been reported to enhance muscle strength and improve muscle fatigue resistance after spinal cord injury (SCI). Despite its proposed benefits, the quantification of muscle fatigue during FES cycling remains poorly documented. This study sought to quantify the relationship between the vibrational performance of electrically-evoked muscles measured through mechanomyography (MMG) and its oxidative metabolism through near-infrared spectroscopy (NIRS) characteristics during FES cycling in fatiguing paralyzed muscles in individuals with SCI.

Methods: Six individuals with SCI participated in the study. They performed 30 min of FES cycling with MMG and NIRS sensors on their quadriceps throughout the cycling, and the signals were analyzed.

Results: A moderate negative correlation was found between MMG root mean square (RMS) and oxyhaemoglobin (O2Hb) [r = -0.38, p = 0.003], and between MMG RMS and total hemoglobin (tHb) saturation [r = -0.31, p = 0.017]. Statistically significant differences in MMG RMS, O2Hb, and tHb saturation occurred during pre- and post-fatigue of FES cycling (p < 0.05).

Conclusions: MMG RMS was negatively associated with O2Hb and muscle oxygen derived from NIRS. MMG and NIRS sensors showed good inter-correlations, suggesting a promising use of MMG for characterizing metabolic fatigue at the muscle oxygenation level during FES cycling in individuals with SCI.

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机械肌电图反映了脊髓损伤患者在电诱发循环过程中氧合血红蛋白的变化。
背景:据报道,功能性电刺激(FES)自行车运动可增强脊髓损伤(SCI)后的肌肉力量并改善肌肉抗疲劳能力。尽管功能性电刺激具有一定的益处,但对骑车过程中肌肉疲劳的量化记录仍然很少。本研究试图量化通过机械肌电图(MMG)测量的电诱发肌肉的振动性能与通过近红外光谱(NIRS)特征测量的 FES 骑行过程中 SCI 患者疲劳瘫痪肌肉的氧化代谢之间的关系:方法:六名 SCI 患者参与了研究。他们进行了 30 分钟的 FES 骑行,在整个骑行过程中在股四头肌上使用 MMG 和 NIRS 传感器,并对信号进行了分析:结果:MMG 均方根(RMS)与氧血红蛋白(O2Hb)之间存在中度负相关[r = -0.38,p = 0.003],MMG 均方根与总血红蛋白(tHb)饱和度之间存在中度负相关[r = -0.31,p = 0.017]。在 FES 骑行前和疲劳后,MMG RMS、O2Hb 和 tHb 饱和度的差异具有统计学意义(p 结论:MMG RMS 和总血红蛋白(tHb)之间存在负相关:MMG RMS 与 O2Hb 和来自 NIRS 的肌肉氧呈负相关。MMG和近红外传感器显示出良好的相互关联性,表明MMG有望用于描述 SCI患者在FES骑行过程中肌肉氧合水平的代谢疲劳。
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来源期刊
Artificial organs
Artificial organs 工程技术-工程:生物医学
CiteScore
4.30
自引率
12.50%
发文量
303
审稿时长
4-8 weeks
期刊介绍: Artificial Organs is the official peer reviewed journal of The International Federation for Artificial Organs (Members of the Federation are: The American Society for Artificial Internal Organs, The European Society for Artificial Organs, and The Japanese Society for Artificial Organs), The International Faculty for Artificial Organs, the International Society for Rotary Blood Pumps, The International Society for Pediatric Mechanical Cardiopulmonary Support, and the Vienna International Workshop on Functional Electrical Stimulation. Artificial Organs publishes original research articles dealing with developments in artificial organs applications and treatment modalities and their clinical applications worldwide. Membership in the Societies listed above is not a prerequisite for publication. Articles are published without charge to the author except for color figures and excess page charges as noted.
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