Journal articles: 'Neuromuscular electrical stimulation'

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Lake, David A. "Neuromuscular Electrical Stimulation." Sports Medicine 13, no. 5 (May 1992): 320–36. http://dx.doi.org/10.2165/00007256-199213050-00003.

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Hajibandeh, S., S. Hajibandeh, GA Antoniou, JRH Scurr, and F. Torella. "Neuromuscular electrical stimulation for thromboprophylaxis: A systematic review." Phlebology: The Journal of Venous Disease 30, no. 9 (January 6, 2015): 589–602. http://dx.doi.org/10.1177/0268355514567731.

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Objective To evaluate the effect of neuromuscular electrical stimulation on lower limb venous blood flow and its role in thromboprophylaxis. Method Systematic review of randomised and non-randomised studies evaluating neuromuscular electrical stimulation, and reporting one or more of the following outcomes: incidence of venous thromboembolism, venous blood flow and discomfort profile. Results Twenty-one articles were identified. Review of these articles showed that neuromuscular electrical stimulation increases venous blood flow and is generally associated with an acceptable tolerability, potentially leading to good patient compliance. Ten comparative studies reported DVT incidence, ranging from 2% to 50% with neuromuscular electrical stimulation and 6% to 47.1% in controls. There were significant differences, among included studies, in terms of patient population, neuromuscular electrical stimulation delivery, diagnosis of venous thromboembolism and blood flow measurements. Conclusion Neuromuscular electrical stimulation increases venous blood flow and is well tolerated, but current evidence does not support a role for neuromuscular electrical stimulation in thromboprophylaxis. Randomised controlled trials are required to investigate the clinical utility of neuromuscular electrical stimulation in this setting.

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Gorham-Rowan, M., and R. Morris. "Exploring the effect of laryngeal neuromuscular electrical stimulation on voice." Journal of Laryngology & Otology 130, no. 11 (November 2016): 1022–32. http://dx.doi.org/10.1017/s0022215116009038.

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AbstractObjective:This study was conducted to explore the potential use of neuromuscular electrical stimulation as an adjunctive treatment for muscle tension dysphonia.Methods:Voice data and ratings of fatigue and soreness were obtained for two experiments. Experiment one examined the vocal effects of neuromuscular electrical stimulation applied to the neck for 15 minutes. Experiment two examined the recovery effect of laryngeal neuromuscular electrical stimulation following a vocal loading task among normophonic women.Results:No significant differences in vocal function following 15 minutes of laryngeal neuromuscular electrical stimulation were found. Six of 11 participants receiving laryngeal neuromuscular electrical stimulation exhibited improved recovery following the vocal loading task.Conclusion:A short session of laryngeal neuromuscular electrical stimulation may be beneficial in reducing muscle fatigue for some individuals. Further investigation is warranted to determine the applicability of laryngeal neuromuscular electrical stimulation in voice therapy.

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윤인진. "Neuromuscular Electrical Stimulation for Dysphagia." Journal of the Korean Dysphagia Society 1, no. 2 (July 2011): 60–66. http://dx.doi.org/10.34160/jkds.2011.1.2.002.

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박동휘 and 류주석. "Neuromuscular Electrical Stimulation for Swallowing." Journal of the Korean Dysphagia Society 6, no. 1 (January 2016): 1–6. http://dx.doi.org/10.34160/jkds.2016.6.1.001.

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Fowler, J. A. "Electrical Stimulation and Neuromuscular Disorders." British Journal of Sports Medicine 21, no. 3 (September 1, 1987): 135. http://dx.doi.org/10.1136/bjsm.21.3.135.

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Wiles, C. "Electrical Stimulation and Neuromuscular Disorder." Journal of Neurology, Neurosurgery & Psychiatry 50, no. 12 (December 1, 1987): 1724. http://dx.doi.org/10.1136/jnnp.50.12.1724-a.

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Sheffler, Lynne R., and John Chae. "Neuromuscular electrical stimulation in neurorehabilitation." Muscle & Nerve 35, no. 5 (2007): 562–90. http://dx.doi.org/10.1002/mus.20758.

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Ravikumar, Raveena, Katherine J. Williams, Adarsh Babber, Hayley M. Moore, Tristan RA Lane, Joseph Shalhoub, and Alun H. Davies. "Neuromuscular electrical stimulation for the prevention of venous thromboembolism." Phlebology: The Journal of Venous Disease 33, no. 6 (June 13, 2017): 367–78. http://dx.doi.org/10.1177/0268355517710130.

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Objective Venous thromboembolism, encompassing deep vein thrombosis and pulmonary embolism, is a significant cause of morbidity and mortality, affecting one in 1000 adults per year. Neuromuscular electrical stimulation is the transcutaneous application of electrical impulses to elicit muscle contraction, preventing venous stasis. This review aims to investigate the evidence underlying the use of neuromuscular electrical stimulation in thromboprophylaxis. Methods The Medline and Embase databases were systematically searched, adhering to PRISMA guidelines, for articles relating to electrical stimulation and thromboprophylaxis. Articles were screened according to a priori inclusion and exclusion criteria. Results The search strategy identified 10 randomised controlled trials, which were used in three separate meta-analyses: five trials compared neuromuscular electrical stimulation to control, favouring neuromuscular electrical stimulation (odds ratio of deep vein thrombosis 0.29, 95% confidence interval 0.13–0.65; P = .003); three trials compared neuromuscular electrical stimulation to heparin, favouring heparin (odds ratio of deep vein thrombosis 2.00, 95% confidence interval 1.13–3.52; P = .02); three trials compared neuromuscular electrical stimulation as an adjunct to heparin versus heparin only, demonstrating no significant difference (odds ratio of deep vein thrombosis 0.33, 95% confidence interval 0.10–1.14; P = .08). Conclusion Neuromuscular electrical stimulation significantly reduces the risk of deep vein thrombosis compared to no prophylaxis. It is inferior to heparin in preventing deep vein thrombosis and there is no evidence for its use as an adjunct to heparin.

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Costa, Danila Rodrigues, Paulo Sérgio da Silva Santos, Cássia Maria Fischer Rubira, and Giédre Berretin-Felix. "Immediate effect of neuromuscular electrical stimulation on swallowing function in individuals after oral and oropharyngeal cancer therapy." SAGE Open Medicine 8 (January 2020): 205031212097415. http://dx.doi.org/10.1177/2050312120974152.

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Objective: To analyze the immediate effect of sensory and motor neuromuscular electrical stimulation, in oral and pharyngeal stages of swallowing, in individuals after oral and oropharyngeal cancer therapy. Methods: The study was conducted on 10 individuals (mean age of 58 years) submitted to oral and oropharyngeal cancer therapy. The individuals were submitted to videofluoroscopy, during which they were randomly asked to swallow 5 mL of liquid, honey, and pudding, in three conditions: without stimulation, with sensory neuromuscular electrical stimulation, and with motor neuromuscular electrical stimulation. The degree of swallowing dysfunction was scored (Dysphagia Outcome and Severity Scale), as well as the presence of food stasis (Eisenhuber scale), and measurement of the oral and pharyngeal transit time. The results were statistically analyzed by the Friedman test or analysis of variance for repeated measures. Results: The Dysphagia Outcome and Severity Scale revealed improvement for one individual with both sensory and motor stimuli, and worsening in two individuals, being one with motor and one with sensory stimulus. In the Eisenhuber scale, the neuromuscular electrical stimulation changed the presence of residues to variable extents. Concerning the oral and pharyngeal transit time, no difference was observed between the different stimulation levels for the consistencies tested (p > 0.05). Conclusion: Both sensory and motor neuromuscular electrical stimulations presented a varied immediate impact on the oral and pharyngeal stages of swallowing in individuals after oral and oropharyngeal cancer therapy. Thus, the results of the immediate effect suggest that the technique is not indicated, evidencing the need of caution in the use of neuromuscular electrical stimulation for the rehabilitation of dysphagia, after HNC treatment.

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Reinold, Michael M., Leonard C. Macrina, Kevin E. Wilk, Jeffrey R. Dugas, E. Lyle Cain, and James R. Andrews. "The Effect of Neuromuscular Electrical Stimulation of the Infraspinatus on Shoulder External Rotation Force Production after Rotator Cuff Repair Surgery." American Journal of Sports Medicine 36, no. 12 (August 29, 2008): 2317–21. http://dx.doi.org/10.1177/0363546508322479.

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Background Muscle weakness, particularly of shoulder external rotation, is common after rotator cuff repair surgery. Neuromuscular electrical stimulation has been shown to be an effective adjunct in the enhancement of muscle recruitment. Hypothesis Shoulder external rotation peak force can be enhanced by neuromuscular electrical stimulation after rotator cuff repair surgery. Study Design Controlled laboratory study. Methods Thirty-nine patients (20 men, 19 women) who had undergone rotator cuff repair surgery were tested a mean of 10.5 days after surgery. Testing consisted of placing patients supine with the shoulder in 45° of abduction, neutral rotation, and 15° of horizontal adduction. Neuromuscular electrical stimulation was applied to the infraspinatus muscle belly and inferior to the spine of the scapula. Placement was confirmed by palpating the muscle during a resisted isometric contraction of the external rotators. Patients performed 3 isometric shoulder external rotation contractions with and without neuromuscular electrical stimulation, each with a 5-second hold against a handheld dynamometer. Neuromuscular electrical stimulation was applied at maximal intensity within comfort at 50 pulses per second, symmetrical waveform, and a 1-second ramp time. The 3 trials under each condition were recorded, and an average was taken. The order of testing was randomized for each patient tested. A paired samples t test was used to determine significant differences between conditions ( P < .05). Each group was also divided based on age, rotator cuff tear size, number of days postoperative, and neuromuscular electrical stimulation intensity. Analysis of variance Models were used to determine the influence of these variables on external rotation force production ( P < .05). Results Peak force production was significantly greater ( P < .001) when tested with neuromuscular electrical stimulation (3.75 kg) as opposed to without neuromuscular electrical stimulation (3.08 kg) for all groups tested. There was no significant difference based on the size of the tear, age of the patient, number of days after surgery, or level of neuromuscular electrical stimulation intensity. Conclusion Peak shoulder external rotation force was significantly increased by 22% when tested with neuromuscular electrical stimulation after rotator cuff repair surgery. Neuromuscular electrical stimulation significantly increased force production regardless of the age of the patient, size of the tear, intensity of the current, or the number of days postoperative. Clinical Relevance Neuromuscular electrical stimulation may be used concomitantly with exercises to enhance the amount of force production and potentially minimize the inhibition of the rotator cuff after repair surgery.

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Loeb, Gerald E. "Galvani’s delayed legacy: neuromuscular electrical stimulation." Expert Review of Medical Devices 2, no. 4 (July 2005): 379–81. http://dx.doi.org/10.1586/17434440.2.4.379.

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Hainaut, Karl, and Jacques Duchateau. "Neuromuscular Electrical Stimulation and Voluntary Exercise." Sports Medicine 14, no. 2 (August 1992): 100–113. http://dx.doi.org/10.2165/00007256-199214020-00003.

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Peckham, P. Hunter, and Jayme S. Knutson. "Functional Electrical Stimulation for Neuromuscular Applications." Annual Review of Biomedical Engineering 7, no. 1 (August 15, 2005): 327–60. http://dx.doi.org/10.1146/annurev.bioeng.6.040803.140103.

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Wang, Qiang, Nitin Sharma, Marcus Johnson, Chris M. Gregory, and Warren E. Dixon. "Adaptive Inverse Optimal Neuromuscular Electrical Stimulation." IEEE Transactions on Cybernetics 43, no. 6 (December 2013): 1710–18. http://dx.doi.org/10.1109/tsmcb.2012.2228259.

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Higgins, Michael J., and Carl O. Eaton. "Nontraditional Applications of Neuromuscular Electrical Stimulation." Athletic Therapy Today 9, no. 5 (September 2004): 6–10. http://dx.doi.org/10.1123/att.9.5.6.

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Ogata, Toru. "Neuromuscular Electrical Stimulation for Muscle Strengthening." Japanese Journal of Rehabilitation Medicine 54, no. 10 (2017): 764–67. http://dx.doi.org/10.2490/jjrmc.54.764.

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Reed, Brian. "The Physiology of Neuromuscular Electrical Stimulation." Pediatric Physical Therapy 9, no. 3 (1997): 96???102. http://dx.doi.org/10.1097/00001577-199700930-00002.

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Gibson, Jo. "NICE on transcutaneous neuromuscular electrical stimulation." British Journal of Neuroscience Nursing 10, Sup6 (December 2014): 5. http://dx.doi.org/10.12968/bjnn.2014.10.sup6.5.

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Mayr, Winfried. "Neuromuscular electrical stimulation for mobility support of elderly." European Journal of Translational Myology 25, no. 4 (October 27, 2015): 263. http://dx.doi.org/10.4081/ejtm.2015.5605.

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The stimulator for neuromuscular electrical stimulation for mobility support of elderly is not very complicated, but for application within "MOBIL" we have some additional demands to fulfill. First we have specific safety issues for this user group. A powerful compliance management system is crucial not only to guide daily application, but for creating hard data for the scientific outcome. We also need to assure easy handling of the stimulator, because the subjects are generally not able to cope with too difficult and complex motor skills. So, we developed five generations of stimulators and optimizing solutions after field tests. We are already planning the sixth generation with wireless control of the stimulation units by the central main handheld control unit. In a prototype, we have implemented a newly available high capacity memory, a breakthrough in “compliance data storage” as they offer the necessary high storage capacity and fast data handling for an affordable prize. The circuit also contains a 3D accelerometer sensor which acts as a further important safety features: if the control unit drops, this event is detected automatically by the sensor and activates an emergency switch-off that disables the stimulation to avoid associated risks. Further, we have implemented a hardware emergence shutdown and other safety measures. Finally, in the last example muscle torque measurements are referenced with compliance data. In the study normalized maximum voluntary contraction (MVC) and maximum stimulation induced contraction (MSC) were assessed in regular check-ups along the training period. With additional consideration of adjusted stimulation intensity for training out of the compliance data records we are able to estimate the induced contraction strength, which turned out to amount in average 11% of MVC. This value may seem on a first sight rather low, and ought to be considered in relation to the results at the end of the training period. Therefore the correlation between normalized MVC and normalized MSC was calculated. It is obvious that MVC can increase to strongly variable extent (3 to 65 %), but in few cases also decrease (-4 to 15 %) over the study period. The correlation suggests that an increase of roughly 1 % of normalized MSC can lead to an increase of about 10 % in MVC in the given training conditions. Overall, we can say that we have a stimulator that has turned out to work sufficiently. The most important feature is the integrated compliance recording because this is very useful for interpretation of the study outcome. The electrical stimulation training has shown that even with relatively small induced contraction intensity we still get some increase in the achievable voluntary extension torque.

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Bilek, Furkan, Gulnihal Deniz, Zubeyde Ercan, Nilufer Cetisli Korkmaz, and Gokhan Alkan. "The effect of additional neuromuscular electrical stimulation applied to erector spinae muscles on functional capacity, balance and mobility in post-stroke patients." NeuroRehabilitation 47, no. 2 (September 24, 2020): 181–89. http://dx.doi.org/10.3233/nre-203114.

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OBJECTIVE: The aim of this study was to investigate the effects of neuromuscular electric stimulation applied to the erector spinae on balance, motor function and functional capacity in patients with stroke in a randomized controlled trial. METHODS: Sixty patients with stroke were recruited and randomly distributed into two groups: control group and neuromuscular electric stimulation group. All participants underwent conventional physical therapy five times a week for six weeks. The neuromuscular electric stimulation group received additional electrical stimulation. Outcome measures were evaluated with Brunnel Balance Assessment, Stroke Rehabilitation Movement Assessment, Functional Ambulation Classification, Adapted Patient Evaluation and Conference System, Postural Assesment Scale for Stroke patients, Short Form-36, and Minimental State Examination scales. RESULTS: Significant differences were observed in all scores at the end of the study in both groups. Postural Assesment Scale for Stroke patients and Stroke Rehabilitation Movement Assessment scores were higher in the neuromuscular electric stimulation group compared to the control group (p < 0.05). All the other scores were not statistically significant. CONCLUSION: It is recommended to evaluate and treat trunk muscle, which is usually neglected in treatment, and to consider the combination of conventional treatment and neuromuscular electric stimulation when designing an ideal rehabilitation program.

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Alves, Iura Gonzalez Nogueira, Cássio Magalhães da Silva e Silva, Bruno Prata Martinez, Rodrigo Santos de Queiroz, and Mansueto Gomes-Neto. "Effects of neuromuscular electrical stimulation on exercise capacity, muscle strength and quality of life in COPD patients: A Systematic Review with Meta-Analysis." Clinical Rehabilitation 36, no. 4 (January 11, 2022): 449–71. http://dx.doi.org/10.1177/02692155211067983.

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Objective To determine the effects of neuromuscular electrical stimulation on disabilities and activity limitation of individuals affected by chronic obstructive pulmonary disease. Data sources MEDLINE, PEDro database, Cochrane Controlled Trials Register, and SciELO, were searched from inception until October 2021. Review methods Inclusion criteria were patients with COPD, randomized controlled trials comparing neuromuscular electrical stimulation alone or combined conventional pulmonary rehabilitation and neuromuscular electrical stimulation versus control or sham or pulmonary rehabilitation in disabilities and activity limitation in COPD. There were no mandatory language or publication date restrictions. Two reviewers selected studies independently. Weighted mean differences and 95% confidence intervals were calculated. Results 32 studies met the study criteria, including 1.269 participants. Neuromuscular electrical stimulation improved exercise capacity (MD 1.10, 95% CI: 0.33, 1.86, N = 147), and muscle strength (0.53, 95% CI: 0.20, 0.87, N = 147) compared to sham group. Combined neuromuscular electrical stimulation and conventional rehabilitation improved exercise capacity (MD 34.28 meters, 95% CI: 6.84, 61.73, N = 262) compared to conventional rehabilitation alone. No adverse events were reported. Conclusions Neuromuscular electrical stimulation resulted in small improvement in disabilities and activity limitation (below the MCID) in COPD. Thus, the inclusion of neuromuscular electrical stimulation in rehabilitation programs must consider the cost Because of inadequate methodological conduction and reporting of methods, some studies were of low quality.

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Cacho, Enio Walker Azevedo, Roberta de Oliveira Cacho, Rodrigo Lício Ortolan, Núbia Maria Freire Vieira Lima, Edson Meneses da Silva Filho, and Alberto Cliquet Jr. "REACH AND PALMAR GRASP IN TETRAPLEGICS WITH NEUROMUSCULAR ELECTRICAL STIMULATION." Revista Brasileira de Medicina do Esporte 24, no. 6 (December 2018): 450–54. http://dx.doi.org/10.1590/1517-869220182406180392.

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ABSTRACT Objective: To evaluate the movement strategies of quadriplegics, assisted by neuromuscular electrical stimulation, on reach and palmar grasp using objects of different weights. Methods: It was a prospective clinical trial. Four chronic quadriplegics (C5-C6), with injuries of traumatic origin, were recruited and all of them had their reach and palmar grasp movement captured by four infrared cameras and six retro-reflective markers attached to the trunk and right arm, assisted or not by neuromuscular electrical stimulation to the triceps, extensor carpi radialis longus, extensor digitorum communis, flexor digitorum superficialis, opponens pollicis and lumbricals. It was measured by a Neurological and Functional Classification of Spinal Cord Injuries of the American Spinal Injury Association, Functional Independence Measure and kinematic variables. Results: The patients were able to reach and execute palmar grasp in all cylinders using the stimulation sequences assisted by neuromuscular electrical stimulation. The quadriplegics produced lower peak velocity, a shorter time of movement and reduction in movement segmentation, when assisted by neuromuscular electrical stimulation. Conclusion: This study showed that reach and palmar grasp movement assisted by neuromuscular electrical stimulation was able to produce motor patterns more similar to healthy subjects. Level of evidence IV; Case series.

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Neyroud, Daria, Jimmy Samararatne, Bengt Kayser, and Nicolas Place. "Neuromuscular Fatigue After Repeated Jumping With Concomitant Electrical Stimulation." International Journal of Sports Physiology and Performance 12, no. 10 (November 1, 2017): 1335–40. http://dx.doi.org/10.1123/ijspp.2016-0571.

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Purpose:To evaluate the etiology and extent of neuromuscular fatigue induced by 50 squat jumps performed with and without neuromuscular electrical stimulation (NMES) of the knee extensors.Methods:Nine healthy, recreationally active men (24 ± 2 y) took part in 2 experiments. These consisted of 50 squat jumps performed with stimulation (NMES) or without (CON). Maximal voluntary contraction (MVC) force, maximal voluntary activation level (VAL), and forces evoked by single and double (10 and 100 Hz) stimulations were recorded before and after the 50 jumps. NMES was delivered at the maximal tolerated intensity.Results:Despite average jump height being ∼16% lower in the NMES than in the CON session, a reduction over time in jump height was only found in the NMES condition (−6%). After the 50 jumps, MVC force was reduced to a greater extent in NMES than in CON (−25% ± 11% vs −11% ± 12%). Similarly, forces evoked by single stimulations, as well as by 10-Hz and 100-Hz paired stimulations, were reduced to a greater extent in NMES (−33% ± 12%, −42% ± 15%, and −25% ± 13%) than in CON (−21% ± 6%, −30% ± 9%, and −14% ± 11%). VAL was not significantly altered by either condition.Conclusion:Performing repeated squat jumps with concomitant NMES induced a greater fatigue than squat jumps performed alone and might potentially represent a stronger training stimulus.

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Espeit, Loïc, Vianney Rozand, Guillaume Y. Millet, Julien Gondin, Nicola A. Maffiuletti, and Thomas Lapole. "Influence of wide-pulse neuromuscular electrical stimulation frequency and superimposed tendon vibration on occurrence and magnitude of extra torque." Journal of Applied Physiology 131, no. 1 (July 1, 2021): 302–12. http://dx.doi.org/10.1152/japplphysiol.00968.2020.

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This study is the first to assess the effect of stimulation frequency and superimposed tendon vibration on extra torque characteristics generated by wide-pulse neuromuscular electrical stimulation. The percentage of subjects showing extra torque (i.e., considered as responders) was similar for low-frequency and high-frequency wide-pulse neuromuscular electrical stimulation. In the responders, the extra torque was greater for high-frequency than for low-frequency wide-pulse neuromuscular electrical stimulation. The superimposition of tendon vibration had no effect on extra torque occurrence or magnitude.

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Avazzadeh, Sahar, Andrea O’Farrell, Kate Flaherty, Sandra O’Connell, Gearóid ÓLaighin, and Leo R. Quinlan. "Comparison of the Hemodynamic Performance of Two Neuromuscular Electrical Stimulation Devices Applied to the Lower Limb." Journal of Personalized Medicine 10, no. 2 (May 7, 2020): 36. http://dx.doi.org/10.3390/jpm10020036.

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Currently, 1% of the population of the Western world suffers from venous leg ulcers as a result of chronic venous insufficiency. Current treatment involves the use of moist wound healing, compression bandages, and intermittent pneumatic compression. Neuromuscular electrical stimulation is a novel potential new therapeutic method for the promotion of increased lower limb hemodynamics. The aim of this study was to measure the hemodynamic changes in the lower limb with the use of two neuromuscular electrical stimulation devices. Twelve healthy volunteers received two neuromuscular stimulation device interventions. The GekoTM and National University of Ireland (NUI) Galway neuromuscular electrical stimulation devices were randomized between dominant and non-dominant legs. Hemodynamic measurements of peak venous velocity (cm/s), the time average mean velocity (TAMEAN) (cm/s), and ejected volume (mL) of blood were recorded. Peak venous velocity was significantly increased by the GekoTM and the NUI Galway device compared to baseline blood flow (p < 0.0001), while only the voluntary contraction produced significant increases in TAMEAN and ejected volume (both p < 0.05). Neuromuscular muscular electrical stimulation can produce adequate increases in lower limb hemodynamics sufficient to prevent venous stasis. Greater use of neuromuscular stimulation devices could be considered in the treatment of conditions related to chronic venous insufficiency but requires further research.

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Malone, John K., Catherine Blake, and Brian M. Caulfield. "Neuromuscular Electrical Stimulation During Recovery From Exercise." Journal of Strength and Conditioning Research 28, no. 9 (September 2014): 2478–506. http://dx.doi.org/10.1519/jsc.0000000000000426.

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Shapiro, Maxim, Uri Gottlieb, and Shmuel Springer. "Optimizing neuromuscular electrical stimulation for hand opening." Somatosensory & Motor Research 36, no. 1 (January 2, 2019): 63–68. http://dx.doi.org/10.1080/08990220.2019.1587401.

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Gruet, M., L. Mely, J. Brisswalter, and J. M. Vallier. "208 Neuromuscular electrical stimulation in cystic fibrosis." Journal of Cystic Fibrosis 11 (June 2012): S109. http://dx.doi.org/10.1016/s1569-1993(12)60378-6.

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Ludlow, Christy L. "Electrical neuromuscular stimulation in dysphagia: current status." Current Opinion in Otolaryngology & Head and Neck Surgery 18, no. 3 (June 2010): 159–64. http://dx.doi.org/10.1097/moo.0b013e3283395dec.

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Karafyllis, Iasson, Michael Malisoff, Marcio de Queiroz, Miroslav Krstic, and Ruzhou Yang. "Predictor-based tracking for neuromuscular electrical stimulation." International Journal of Robust and Nonlinear Control 25, no. 14 (July 18, 2014): 2391–419. http://dx.doi.org/10.1002/rnc.3211.

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Lou, Jenny W. H., Austin J. Bergquist, Abdulaziz Aldayel, Jennifer Czitron, and David F. Collins. "Interleaved neuromuscular electrical stimulation reduces muscle fatigue." Muscle & Nerve 55, no. 2 (November 23, 2016): 179–89. http://dx.doi.org/10.1002/mus.25224.

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Oliveira, Tiago Roux, Luiz Rennó Costa, and Alexandre Visintainer Pino. "Extremum Seeking applied to Neuromuscular Electrical Stimulation." IFAC-PapersOnLine 49, no. 32 (2016): 188–93. http://dx.doi.org/10.1016/j.ifacol.2016.12.212.

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Bergquist, A. J., J. M. Clair, O. Lagerquist, C. S. Mang, Y. Okuma, and D. F. Collins. "Neuromuscular electrical stimulation: implications of the electrically evoked sensory volley." European Journal of Applied Physiology 111, no. 10 (July 30, 2011): 2409–26. http://dx.doi.org/10.1007/s00421-011-2087-9.

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Diéguez-Pérez, Isabel, and Raquel Leirós-Rodríguez. "Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review." Journal of Clinical Medicine 9, no. 8 (August 12, 2020): 2618. http://dx.doi.org/10.3390/jcm9082618.

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Background: Dysphagia causes severe complications among people with a stroke. Physiotherapy allows the cure of this pathology, and among the tools it offers is neuromuscular electrical stimulation. However, this is a technique that has not been protocolized. Therefore, it was considered necessary to carry out a systematic review on the efficacy of the various parameters of application of the neuromuscular electrical stimulation in dysphagia generated after a stroke. Methods: A systematic search for publications was conducted in March 2020 in the Pubmed, Cinahl, Medline, Web of Science and Scopus databases, using as search terms: Electric stimulation therapy, Deglutition disorders and Stroke. Results: 21 articles were obtained in which the application of neuromuscular electrical stimulation was applied in isolation (n = 7) or in combination with other techniques such as strengthening exercises and manual therapy techniques (n = 14), with this second modality of treatment having greater benefits for patients. Conclusion: The greatest efficacy of this technique is reached when applied at 60-80 Hz, 700 μs of pulse duration, at the motor intensity threshold and in sessions of 20–30 min.

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Hanada, Masatoshi, Akihiko Soyama, Masaaki Hidaka, Hiroki Nagura, Masato Oikawa, Ayumi Tsuji, Karina Tamy Kasawara, et al. "Effects of quadriceps muscle neuromuscular electrical stimulation in living donor liver transplant recipients: phase-II single-blinded randomized controlled trial." Clinical Rehabilitation 33, no. 5 (January 4, 2019): 875–84. http://dx.doi.org/10.1177/0269215518821718.

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Objective: To evaluate the efficacy of neuromuscular electrical stimulation on quadriceps muscle strength and thickness in liver transplantation patients. Design: Phase-II, randomized, parallel-group, allocation-concealed, assessor-blinded, single-center controlled trial. Setting: Inpatient rehabilitation sector. Subjects: Patients following living donor liver transplantation. Interventions: The quadriceps muscle stimulation and the control groups received bilateral muscle electrical stimulation on the quadriceps and tibialis anterior muscles, respectively. Neuromuscular electrical stimulation sessions in both groups were conducted for 30 minutes per session, once per day for five weekdays over four weeks by a physical therapist. Main measures: Quadriceps muscle strength and quadriceps muscle thickness. Results: Neuromuscular electrical stimulation was applied to the quadriceps muscles group ( n = 23) or the tibialis anterior muscle in the control group ( n = 22). The decrease in quadriceps muscle thickness differed significantly between both groups on postoperative day 30 (median −3 vs −8, P < 0.01). The changes in predicted quadriceps strength and 6 minutes walking distance were not significantly different between groups (quadriceps strength median −12% vs −5%, P = 0.40; 6 minutes walking distance median −18 vs −21 m, P = 0.74). Conclusion: Neuromuscular electrical stimulation of the quadriceps muscle for liver transplantation recipients was able to maintain the quadriceps muscle thickness after surgery. Future larger scale studies are needed to consider the effectiveness of neuromuscular electrical stimulation and how to incorporate this intervention in the overall strategy of the physical therapy program.

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Neyroud, Daria, Melina Gonzalez, Sarah Mueller, Daniel Agostino, Sidney Grosprêtre, Nicola A. Maffiuletti, Bengt Kayser, and Nicolas Place. "Neuromuscular adaptations to wide-pulse high-frequency neuromuscular electrical stimulation training." European Journal of Applied Physiology 119, no. 5 (February 18, 2019): 1105–16. http://dx.doi.org/10.1007/s00421-019-04100-1.

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Carter, Jennifer. "Point/Counterpoint: Electrical Stimulation for Dysphagia: The Argument for Electrical Stimulation for Dysphagia." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 20, no. 4 (December 2011): 96–101. http://dx.doi.org/10.1044/sasd20.4.96.

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This article is one side of the debate about the use of neuromuscular electrical stimulation (NMES or “VitalStim”) in dysphagia treatment and presents the case supporting the use of this modality. I present published results of clinical trials examining the effectiveness of NMES and acknowledge some flaws in the trials. The evidence shows that, when added to traditional therapy, NMES makes a statistically significant positive difference for a variety of traditional treatment approaches to which it may be added.

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D’Ancona, Carlos Arturo Levi, Alberto Clilclet, Lia Yumi Ikari, Renato Jesus Pedro, and Walter da Silva Júnior. "Impact of treadmill gait training with neuromuscular electrical stimulation on the urodynamic profile of patients with high cervical spinal cord injury." Einstein (São Paulo) 8, no. 3 (September 2010): 325–28. http://dx.doi.org/10.1590/s1679-45082010ao1691.

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ABSTRACT Objective: To evaluate the impact of gait training with neuromuscular electrical stimulation on urodynamic parameters of patients with neurogenic bladder. Methods: Eight male quadriplegic patients with complete cervical injury level ranging from C4 to C7 comprised the study population. They underwent treadmill gait training with neuromuscular electrical stimulation for six months, only after having their quadriceps and tibialis anterior muscles stimulated for five months in order to support at least 50% of their body weight (pre-gait training). Urodynamic testing was performed before the treadmill gait training and six months after. Results: The mean time after cervical lesion was 74.63 months. The urodynamic parameters before and after neuromuscular training by electrical stimulation did not show significant difference. Conclusion: This study demonstrated that neuromuscular training with electrical stimulation can benefit the urinary tract. This promising minimally invasive field requires further and more complete studies to confirm a possible benefit to the low urinary tract.

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Joy, AK, Annada Sankar Mohes, Th Bidyarani, Aten Jongkey, and L. Darendtajit Singh. "Neuromuscular Electrical Stimulation for Early Recovery of Motor Control of Ankle along with Spasticity in Stroke Patients A Prospective Randomized Controlled Study." Indian Journal of Physical Medicine and Rehabilitation 27, no. 4 (2016): 121–27. http://dx.doi.org/10.5005/ijopmr-27-4-121.

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Abstract Background and Purpose Effect of neuromuscular electrical stimulation in acute stroke patients while stimulating only single muscle is not known. The purpose of the study is to find the influence of early neuromuscular electrical stimulation to the motor point of tibialis anterior muscle of the affected limb in achieving early motor control of the ankle with reduction in spasticity in poststroke patients. Methods One hundred and thirty-two subjects were selected between 45and 65 years of age and within 2 weeks of the first attack of stroke. They were randomly divided into study and control groups comprising 66 subjects in each group. Study group received neuromuscular electrical stimulation to tibialis anterior muscle of the affected limb, 15 minutes twice daily, 5 days a week up to 3 weeks along with conventional exercise therapy whereas control group received only exercise therapy for that period. Outcome measures include Modified Ashworth Scale for spasticity of ankle plantar flexors, motor power of ankle dorsiflexors and plantar flexors, motor control of ankle joint. They were recorded before starting treatment, after 3 weeks and at 7 weeks following starting the treatment. Results Significant improvement of spasticity was noticed after 7 weeks follow-up (p=0.014). Significant improvement also noticed in ankle dorsiflexor motor power (p<0.001), ankle motor control (p=0.007). Conclusions Neuromuscular electrical stimulation along with traditional exercise programme is superior to exercise alone for early recovery of ankle motor control, plantar-flexor spasticity and ankle dorsiflexor motor strength.

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Danytė, Skirmantė, and Vilma Dudonienė. "Transcutaneous Electrical Nerve Stimulation and Dynamic Neuromuscular Stabilization are Equally Effective in Patients of Different Ages with Spinal Degeneration." Reabilitacijos mokslai: slauga, kineziterapija, ergoterapija 1, no. 26 (May 31, 2022): 11–20. http://dx.doi.org/10.33607/rmske.v1i26.1181.

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Background. Back pain is the most common symptom caused by intervertebral disc degeneration, thus various interventions are used to relieve it, including transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization. The aim. To determine the effect of transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization on the static endurance of trunk muscles, back pain and functional disability in individuals of different ages with intervertebral disc degeneration. Methods. The study included 40 individuals diagnosed with lumbar disc degeneration. According to age, the subjects were divided into two groups: the first (n = 22), with a mean age of 34.27 ± 7.81 yrs. and the second (n = 18) with a mean age of 55.28 ± 5.86 yrs. Both groups underwent transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization to relieve back pain. The duration of the study was 8 weeks. Before the intervention, after 4 weeks and after 8 weeks of the intervention, the static endurance of the trunk muscles and the pain intensity were assessed according to the numerical analog pain scale and the functional disability according to the Roland-Morris questionnaire. Results. Transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization of eight-week duration significantly increased static endurance of trunk muscles, reduced pain intensity, and functional disability in different age groups. No significant differences were found between groups after either 4 or 8 weeks of intervention. Conclusion. The use of transcutaneous electrical nerve stimulation and dynamic neuromuscular stabilization may reduce back pain and functional impairment in patients with intervertebral disc degeneration, regardless the age of patients. Keywords: transcutaneous electrical nerve stimulation, dynamic neuromuscular stabilization, back pain, disc degeneration.

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Lee, Jae-Hyoung, Lucinda L. Baker, Robert E. Johnson, and Julie K. Tilson. "Effectiveness of neuromuscular electrical stimulation for management of shoulder subluxation post-stroke: a systematic review with meta-analysis." Clinical Rehabilitation 31, no. 11 (March 27, 2017): 1431–44. http://dx.doi.org/10.1177/0269215517700696.

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Objectives: To examine the effectiveness of neuromuscular electrical stimulation (NMES) for the management of shoulder subluxation after stroke including assessment of short (1 hour or less) and long (more than one hour) daily treatment duration. Data sources: MEDLINE, CENTRAL, CINAHL, WOS, KoreaMed, RISS and reference lists from inception to January 2017 Review methods: We considered randomized controlled trials that reported neuromuscular electrical stimulation for the treatment of shoulder subluxation post-stroke. Two reviewers independently selected trials for inclusion, assessed trial quality, and extracted data. Results: Eleven studies were included (432 participants); seven studies were good quality, four were fair. There was a significant treatment effect of neuromuscular electrical stimulation for reduction of subluxation for persons with acute and subacute stroke (SMD:–1.11; 95% CI:–1.53, –0.68) with either short (SMD:–0.91; 95% CI:–1.43, –0.40) or long (SMD:–1.49; 95% CI:–2.31, –0.67) daily treatment duration. The effect for patients with chronic stroke was not significant (SMD:–1.25; 95% CI:–2.60, 0.11). There was no significant effect of neuromuscular electrical stimulation on arm function or shoulder pain. Conclusion: This meta-analysis suggests a beneficial effect of neuromuscular electrical stimulation, with either short or long daily treatment duration, for reducing shoulder subluxation in persons with acute and subacute stroke. No significant benefits were observed for persons with chronic stroke or for improving arm function or reducing shoulder pain.

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Laufer, Yocheved, Julie Deanne Ries, Peter M. Leininger, and Gad Alon. "Quadriceps Femoris Muscle Torques and Fatigue Generated by Neuromuscular Electrical Stimulation With Three Different Waveforms." Physical Therapy 81, no. 7 (July 1, 2001): 1307–16. http://dx.doi.org/10.1093/ptj/81.7.1307.

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Abstract Background and Purpose. Neuromuscular electrical stimulation is used by physical therapists to improve muscle performance. Optimal forms of stimulation settings are yet to be determined, as are possible sex-related differences in responsiveness to electrical stimulation. The objectives of the study were: (1) to compare the ability of 3 different waveforms to generate isometric contractions of the quadriceps femoris muscles of individuals without known impairments, (2) to compare muscle fatigue caused by repeated contractions induced by these same waveforms, and (3) to examine the effect of sex on muscle force production and fatigue induced by electrical stimulation. Subjects. Fifteen women and 15 men (mean age=29.5 years, SD=5.4, range=22–38) participated in the study. Methods. A portable battery-operated stimulator was used to generate either a monophasic or biphasic rectangular waveform. A stimulator that was plugged into an electrical outlet was used to generate a 2,500-Hz alternating current. Phase duration, frequency, and on-off ratios were kept identical for both stimulators. Participants did not know the type of waveform being used. Torque was measured using a computerized dynamometer: a maximal voluntary isometric contraction (MVIC) of the right quadriceps femoris muscle set at 60 degrees of knee flexion was determined during the first session. In each of the 3 testing sessions, torque of contraction and fatigue elicited by one waveform were measured. Order of testing was randomized. Torque elicited by electrical stimulation was expressed as a percentage of average MVIC. A mixed-model analysis of variance was used to determine the effect of stimulation and sex on strength of contraction and fatigue. Bonferroni-corrected post hoc tests were used to further distinguish between the effects of the 3 stimulus waveforms. Results. The results indicated that the monophasic and biphasic waveforms generated contractions with greater torque than the polyphasic waveform. These 2 waveforms also were less fatiguing. The torques from the maximally tolerated electrically elicited contractions were greater for the male subjects than for the female subjects. Discussion and Conclusion. Muscle torque and fatigue of electrically induced contractions depend on the waveform used to stimulate the contraction, with monophasic and biphasic waveforms having an advantage over the polyphasic waveform. All tested waveforms elicited, on average, stronger contractions in male subjects than in female subjects when measured as a percentage of MVIC.

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Zhou, Hui, Yi Lu, Wanzhen Chen, Zhen Wu, Haiqing Zou, Ludovic Krundel, and Guanglin Li. "Stimulating the Comfort of Textile Electrodes in Wearable Neuromuscular Electrical Stimulation." Sensors 15, no. 7 (July 16, 2015): 17241–57. http://dx.doi.org/10.3390/s150717241.

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Galofaro, Elisa, Erika D’Antonio, Nicola Lotti, and Lorenzo Masia. "Rendering Immersive Haptic Force Feedback via Neuromuscular Electrical Stimulation." Sensors 22, no. 14 (July 6, 2022): 5069. http://dx.doi.org/10.3390/s22145069.

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Haptic feedback is the sensory modality to enhance the so-called “immersion”, meant as the extent to which senses are engaged by the mediated environment during virtual reality applications. However, it can be challenging to meet this requirement using conventional robotic design approaches that rely on rigid mechanical systems with limited workspace and bandwidth. An alternative solution can be seen in the adoption of lightweight wearable systems equipped with Neuromuscular Electrical Stimulation (NMES): in fact, NMES offers a wide range of different forces and qualities of haptic feedback. In this study, we present an experimental setup able to enrich the virtual reality experience by employing NMES to create in the antagonists’ muscles the haptic sensation of being loaded. We developed a subject-specific biomechanical model that estimated elbow torque during object lifting to deliver suitable electrical muscle stimulations. We experimentally tested our system by exploring the differences between the implemented NMES-based haptic feedback (NMES condition), a physical lifted object (Physical condition), and a condition without haptic feedback (Visual condition) in terms of kinematic response, metabolic effort, and participants’ perception of fatigue. Our results showed that both in terms of metabolic consumption and user fatigue perception, the condition with electrical stimulation and the condition with the real weight differed significantly from the condition without any load: the implemented feedback was able to faithfully reproduce interactions with objects, suggesting its possible application in different areas such as gaming, work risk assessment simulation, and education.

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Volpato, Helena Bruna Bettoni, Paulo Szego, Mario Lenza, Silvia Lefone Milan, Claudia Talerman, and Mario Ferretti. "Femoral quadriceps neuromuscular electrical stimulation after total knee arthroplasty: a systematic review." Einstein (São Paulo) 14, no. 1 (October 30, 2015): 77–98. http://dx.doi.org/10.1590/s1679-45082015rw3140.

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Abstract The purpose of this study was to evaluate the effects of neuromuscular electrical stimulation in patients submitted to total knee arthroplasty. This was a systematic review with no language or publication status restriction. Our search was made in Cochrane Library, MEDLINE, Embase and LILACS. Randomized or quasi-randomized clinical trials evaluating neuromuscular electrical stimulation after total knee arthroplasty were included. Four studies with moderate risk of bias and low statistical power were included, totalizing 376 participants. There was no statistically significant difference in knee function, pain and range of motion during 12 month follow-up. This review concluded that neuromuscular electrical stimulation was less effective than traditional rehabilitation in function, muscular strength and range of motion. However, this technique was useful for quadriceps activation during the first days after surgery.

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Bax, Leon, Filip Staes, and Arianne Verhagen. "Does Neuromuscular Electrical Stimulation Strengthen the Quadriceps Femoris?" Sports Medicine 35, no. 3 (2005): 191–212. http://dx.doi.org/10.2165/00007256-200535030-00002.

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Carnaby-Mann, Giselle D., and Michael A. Crary. "Adjunctive Neuromuscular Electrical Stimulation for Treatment-Refractory Dysphagia." Annals of Otology, Rhinology & Laryngology 117, no. 4 (April 2008): 279–87. http://dx.doi.org/10.1177/000348940811700407.

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Eyigor, Sibel. "Neuromuscular Electrical Stimulation in Dysphagia: Alone or Combine?" Türkiye Fiziksel Tip ve Rehabilitasyon Dergisi 61, no. 3 (September 30, 2015): 195–96. http://dx.doi.org/10.5152/tftrd.2015.84453.

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Lee Huckabee, Maggie. "The Risks of Good Intentions: Neuromuscular Electrical Stimulation." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 6, no. 1 (April 1997): 10–13. http://dx.doi.org/10.1044/sasd6.1.10.

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Journal articles on the topic 'Neuromuscular electrical stimulation'

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