Nur Azah Hamzaid, Puteri Nur Farhana Hamdan, Mira Xiao-Hui Teoh, Nasrul Anuar Abd Razak, Nazirah Hasnan, Glen M. Davis
{"title":"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。","authors":"Nur Azah Hamzaid, Puteri Nur Farhana Hamdan, Mira Xiao-Hui Teoh, Nasrul Anuar Abd Razak, Nazirah Hasnan, Glen M. Davis","doi":"10.1111/aor.14809","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A moderate negative correlation was found between MMG root mean square (RMS) and oxyhaemoglobin (O<sub>2</sub>Hb) [<i>r</i> = −0.38, <i>p</i> = 0.003], and between MMG RMS and total hemoglobin (tHb) saturation [<i>r</i> = −0.31, <i>p</i> = 0.017]. Statistically significant differences in MMG RMS, O<sub>2</sub>Hb, and tHb saturation occurred during pre- and post-fatigue of FES cycling (<i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>MMG RMS was negatively associated with O<sub>2</sub>Hb 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.</p>\n </section>\n </div>","PeriodicalId":8450,"journal":{"name":"Artificial organs","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mechanomyography reflects the changes in oxygenated hemoglobin during electrically evoked cycling in individuals with spinal cord injury\",\"authors\":\"Nur Azah Hamzaid, Puteri Nur Farhana Hamdan, Mira Xiao-Hui Teoh, Nasrul Anuar Abd Razak, Nazirah Hasnan, Glen M. Davis\",\"doi\":\"10.1111/aor.14809\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A moderate negative correlation was found between MMG root mean square (RMS) and oxyhaemoglobin (O<sub>2</sub>Hb) [<i>r</i> = −0.38, <i>p</i> = 0.003], and between MMG RMS and total hemoglobin (tHb) saturation [<i>r</i> = −0.31, <i>p</i> = 0.017]. Statistically significant differences in MMG RMS, O<sub>2</sub>Hb, and tHb saturation occurred during pre- and post-fatigue of FES cycling (<i>p</i> < 0.05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>MMG RMS was negatively associated with O<sub>2</sub>Hb and muscle oxygen derived from NIRS. 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Mechanomyography reflects the changes in oxygenated hemoglobin during electrically evoked cycling in individuals with spinal cord injury
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.
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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