This study aims to evaluate on an acute session of the central and peripheral contributions of electrical stimulation on the muscle belly of the triceps surae, electrical stimulation of the tibial nerve and voluntary exercise of the triceps surae muscle, and identify responders individuals and non-responders to stimulation of the tibial nerve. Another objective of the study is to compare the effects of conventional electrical stimulation applied to the sciatic triceps muscle, tibial nerve stimulation and voluntary exercise after eight weeks of training in healthy individuals.
A controlled randomized controlled trial will be carried out by university students, divided equally into four groups: control group (GC), long responding pulse group (PLR), non-responder long pulse group (PLNR) and pulsed current group (CP) after the acute fase of the protocol. Muscular architecture (muscle thickness, pennation angle and fascicle length) of the muscles composing the sural triceps, H-reflex and M-wave tests (central and peripheral contribution), electromyographic signals of the medial and lateral gastrocnemius muscles and sole, voluntary and evoked joint torque of the muscles composing the sural triceps and level of sensorial discomfort. The independent intervention with the neuromuscular electrical stimulation and the isometric exercises performed by the control group will be considered as an independent variable. All groups will have the dependent variables evaluated 6 times, before, during and after the intervention, which will consist of 24 sessions (8 weeks). The training with neuromuscular electrical stimulation (NMES) will be performed 3 times a week and will never be applied for two consecutive days, as well as the voluntary exercises performed by the control group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
The participants will perform 36 maximal voluntary contractions, 3 times per week for 8 weeks.
The participants will perform 36 contractions with the following current parameters: pulsed current (100 Hz, pulse duration 1 ms, Ton: 6 s, Toff: 18 s), 3 times per week for 8 weeks. This group will be classified in responder group in acute fase.
The participants will perform 36 contractions with the following current parameters: pulsed current (100 Hz, pulse duration 1 ms, Ton: 6 s, Toff: 18 s), 3 times per week for 8 weeks. This group will be classified in non responder group in acute fase.
Faculty of Ceilandia UnB
Brasília, Federal District, Brazil
Change from Baseline Central contribution (H reflex) after 15 minutes of acute session of electrical stimulation.
Central contribution will be measured before and after 15 minutes (36 contractions) of electrical stimulation in the acute session.
Time frame: Baseline and after 15 minutes of electrical stimulation in the acute session.
Change from Baseline Central contribution (H reflex) after 8 weeks of training with electrical stimulation.
Central contribution will be measured before and after 8 weeks of training with electrical stimulation.
Time frame: Baseline and after 8 weeks of training with electrical stimulation.
Change from Baseline Peripheral contribution (M wave) after 15 minutes of acute session of electrical stimulation
Peripheral contribution will be measured before and after acute session 15 minutes (36 contractions) of electrical stimulation in the acute session.
Time frame: Baseline and after 15 minutes of electrical stimulation in the acute session
Change from Baseline Peripheral contribution (M wave) after 8 weeks of traning with electrical atimulation
Peripheral contribution will be measured before and after 8 weeks of training with electrical stimulation.
Time frame: Baseline and after 8 weeks of training with electrical stimulation
Change from Baseline Voluntary torque after 8 weeks of training with electrical stimulation
Voluntary torque will be evaluated by an isokinetic dynamometer before and after an 8-week training period with electrical stimulation.
Time frame: Baseline and after 8 weeks of training with electrical stimulation
Change from Baseline Electromyographic signals after 8 weeks of training with electrical stimulation
Electromyographic signals will be evaluated by an electromyography before and after an 8-week training period with electrical stimulation.
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The participants will perform 36 contractions with the following current parameters: pulsed current (100 Hz, pulse duration 250 μs, Ton: 6 s, Toff: 18 s), 3 times per week for 8 weeks.
Time frame: Baseline and after 8 weeks of training with electrical stimulation
Change from Baseline Evoked torque after 8 weeks of training with electrical stimulation
Evoked torque will be evaluated by an isokinetic dynamometer before and after an 8-week training period with electrical stimulation.
Time frame: Baseline and after 8 weeks of training with electrical stimulation
Change from Baseline Discomfort sensory after 8 weeks of training with electrical stimulation
Discomfort sensory will be evaluated by Visual Analogic Scale before and after an 8-week training period with electrical stimulation. The Visual Analogic Scale assess pain by rating the subjective perceived disconfort of the subject from 0 (no pain) to 10 (unbearable pain)
Time frame: Baseline and after 8 weeks of training with electrical stimulation