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06.11.2019 | Original Article

Transcutaneous electrical nerve stimulation improves fatigue performance of the treated and contralateral knee extensors

verfasst von: D. G. Behm, E. M. Colwell, G. M. J. Power, H. Ahmadi, A. S. M. Behm, A. Bishop, C. Murph, J. Pike, B. McAssey, K. Fraser, S. Kearley, M. Ryan

Erschienen in: European Journal of Applied Physiology | Ausgabe 11-12/2019

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Abstract

Purpose

Transcutaneous electrical nerve stimulation (TENS) can reduce acute and chronic pain. Unilateral fatigue can produce discomfort in the affected limb and force and activation deficits in contralateral non-exercised muscles. TENS-induced local pain analgesia effects on non-local fatigue performance are unknown. Hence, the aim of the study was to determine if TENS-induced pain suppression would augment force output during a fatiguing protocol in the treated and contralateral muscles.

Methods

Three experiments were integrated for this article. Following pre-tests, each experiment involved 20 min of TENS, sham, or a control condition on the dominant quadriceps. Then either the TENS-treated quadriceps (TENS_Treated) or the contralateral quadriceps (TENS_Contra) was tested. In a third experiment, the TENS and sham conditions involved two\; 100-s isometric maximal voluntary contractions (MVC) (30-s recovery) followed by testing of the contralateral quadriceps (TENS_Contra-Fatigue). Testing involved single knee extensors (KE) MVCs (pre- and post-test) and a post-test 30% MVC to task failure.

Results

The TENS-treated study induced greater (p = 0.03; 11.0%) time to KE (treated leg) failure versus control. The TENS_Contra-Fatigue induced significant (p = 0.04; 11.7%) and near-significant (p = 0.1; 7.1%) greater time to contralateral KE failure versus sham and control, respectively. There was a 14.5% (p = 0.02) higher fatigue index with the TENS (36.2 ± 10.1%) versus sham (31.6 ± 10.6%) conditions in the second fatigue intervention set (treated leg). There was no significant post-fatigue KE fatigue interaction with the TENS_Contra.

Conclusions

Unilateral TENS application to the dominant KE prolonged time to failure in the treated and contralateral KE suggesting a global pain modulatory response.

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Titel: Transcutaneous electrical nerve stimulation improves fatigue performance of the treated and contralateral knee extensors
verfasst von: D. G. Behm
E. M. Colwell
G. M. J. Power
H. Ahmadi
A. S. M. Behm
A. Bishop
C. Murph
J. Pike
B. McAssey
K. Fraser
S. Kearley
M. Ryan
Publikationsdatum: 06.11.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Applied Physiology / Ausgabe 11-12/2019
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI: https://doi.org/10.1007/s00421-019-04253-z

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Transcutaneous electrical nerve stimulation improves fatigue performance of the treated and contralateral knee extensors

Abstract

Purpose

Methods

Results

Conclusions

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