Effects of Transcutaneous Electrical Nerve Stimulation on Voluntary Quadriceps Activation in Healthy Amateur Female Athletes
,
Abstract
Introduction: Compared with professionals and semi-professionals, amateur athletes need more strengthening modalities due to their lower muscle strength, as well as limited facilities and time. Transcutaneous Electrical Nerve Stimulation (TENS) is a sensory-targeted modality traditionally used to treat pain, but it is also one of the most successful methods for increasing muscle activation level, too.
Materials and Methods: A total of 30 sportswomen in basketball, volleyball, futsal, football, and taekwondo with the Mean±SD age of 23.5±3.6 years were randomly divided into two groups: intervention (n=15) and control (n=15). In the intervention group, a single session of TENS with a frequency of 150 Hz and pulse duration of 150 µs was applied for 20 minutes. The control group received placebo TENS. Isokinetic dynamometer and vertical jump test were used to assess quadriceps activation and strength. All samples were evaluated at three different time intervals: before, immediately after, and 30 minutes after the intervention.
Results: The mean maximal voluntary isometric contraction, central activation ratio, and height of jumping in the TENS and control group were not significantly different immediately and 30 minutes after the intervention (P>0.05).
Conclusion: According to this study, a single session of TENS cannot immediately improve quadriceps activation and strength in amateur female athletes.
1. Spanier R. The evolution and prevalence of knee injuries: Repair at what cost? 2014; 5(1):120-30. [DOI:10.18357/ar.spanierr.512014]
2. Deda N, Kalaja A. Epidemiology in knee injuries in volleyball players. European Scientific Journal. 2015; 11(15):44-52. https://eujournal.org/index.php/esj/article/view/5614/5405
3. Dugan SA. Sports-related knee injuries in female athletes: What gives? American Journal of Physical Medicine & Rehabilitation. 2005; 84(2):122-30. [DOI:10.1097/01.PHM.0000154183.40640.93] [PMID]
4. Lockie RG. A 6-week base strength training program for sprint acceleration development and foundation for future progression in amateur athletes. Strength & Conditioning Journal. 2018; 40(1):2-12. [DOI:10.1519/SSC.0000000000000341]
5. Maffiuletti NA, Cometti G, Amiridis IG, Martin A, Pousson M, Chatard JC. The effects of electromyostimulation training and basketball practice on muscle strength and jumping ability. International Journal of Sports Medicine. 2000; 21(6):437-43. [DOI:10.1055/s-2000-3837] [PMID]
6. Seyri K, Maffiuletti NA. Effect of electromyostimulation training on muscle strength and sports performance. Strength and Conditioning Journal. 2011; 33(1):70-5. [DOI:10.1519/SSC.0b013e3182079f11]
7. Pietrosimone BG , Ingersoll CD. Focal knee joint cooling increases the quadriceps central activation ratio. Journal of Sports Sciences. 2009; 27(8):873-9. [DOI:10.1080/02640410902929374] [PMID]
8. Son SJ. Effects of transcutaneous electrical nerve stimulation on voluntary quadriceps activation and vertical ground reaction force during walking in subjects with experimental knee pain [MSc. thesis]. Provo, UT: Brigham Young University; 2014. https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=6273&context=etd
9. Hopkins J, Ingersoll CD, Edwards J, Klootwyk TE. Cryotherapy and transcutaneous electric neuromuscular stimulation decrease arthrogenic muscle inhibition of the vastus medialis after knee joint effusion. Journal of Athletic Training. 2002; 37(1):25-31. [PMID] [PMCID]
10. Pietrosimone BG, Hart JM, Saliba SA, Hertel J, Ingersoll CD. Immediate effects of transcutaneous electrical nerve stimulation and focal knee joint cooling on quadriceps activation. Medicine & Science in Sports & Exercise. 2009; 41(6):1175-81. [DOI:10.1249/MSS.0b013e3181982557] [PMID]
11. Hopkins J, Ingersoll CD, Edwards J, Klootwyk TE. Cryotherapy and transcutaneous electric neuromuscular stimulation decrease arthrogenic muscle inhibition of the vastus medialis after knee joint effusion. Journal of Athletic Training. 2002; 37(1):25-31. [PMID] [PMCID]
12. Pietrosimone BG, Saliba SA. Changes in voluntary quadriceps activation predict changes in quadriceps strength after therapeutic exercise in patients with knee osteoarthritis. The Knee. 2012; 19(6):939-43. [DOI:10.1016/j.knee.2012.03.002] [PMID]
13. Pietrosimone BG, Selkow NM, Ingersoll CD, Hart JM, Saliba SA. Electrode type and placement configuration for quadriceps activation evaluation. Journal of Athletic Training. 2011; 46(6):621-8. [DOI:10.4085/1062-6050-46.6.621] [PMID] [PMCID]
14. Pietrosimone BG, Saliba SA, Hart JM, Hertel J, Kerrigan DC, Ingersoll CD. Effects of transcutaneous electrical nerve stimulation and therapeutic exercise on quadriceps activation in people with tibiofemoral osteoarthritis. Journal of Orthopaedic & Sports Physical Therapy. 2011; 41(1):4-12. [DOI:10.2519/jospt.2011.3447] [PMID]
15. Pietrosimone BG, Saliba SA, Hart JM, Hertel J, Ingersoll CD. Contralateral effects of disinhibitory tens on quadriceps function in people with knee osteoarthritis following unilateral treatment. North American Journal of Sports Physical Therapy. 2010; 5(3):111-21. [PMID] [PMCID]
16. Delecluse C, Roelants M, Diels R, Koninckx E, Verschueren S. Effects of whole body vibration training on muscle strength and sprint performance in sprint-trained athletes. International Journal of Sports Medicine. 2005; 26(8):662-8. [DOI:10.1055/s-2004-830381] [PMID]
17. Klavora P. Vertical-jump tests: A critical review. Strength and Conditioning Journal. 2000; 22(5):70-4. [DOI:10.1519/00126548-200010000-00020]
18. Vance CGT, Dailey DL, Rakel BA, Sluka KA. Using TENS for pain control: The state of the evidence. Pain Management. 2014; 4(3):197-209. [DOI:10.2217/pmt.14.13] [PMID] [PMCID]
19. DeSantana JM, Walsh DM, Vance C, Rakel BA, RN, Sluka KA. Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain. Current Rheumatology Report. 2008; 10(6):492-9. [DOI:10.1007/s11926-008-0080-z] [PMID] [PMCID]
20. Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: Neural mechanisms and treatment perspectives. Seminars in Arthritis and Rheumatism. 2010; 40(3):250-66. [DOI:10.1016/j.semarthrit.2009.10.001] [PMID]
21. Vanderthommen M, Triffaux M, Demoulin C, Crielaard JM, Jean-Loui Croisier JL. Alteration of muscle function after electrical stimulation bout of knee extensors and flexors. Journal of Sports Science and Medicine. 2012; 11(4):592-9. [PMID] [PMCID]
22. Dehail P, Duclos C, Barat M. Electrical stimulation and muscle strengthening. Annales de Réadaptation et de Médecine Physique. 2008; 51(6):441-51. [DOI:10.1016/j.annrmp.2008.05.001] [PMID]
23. Dehail P, Duclos C, Barat M. Electrical stimulation and muscle strengthening. Annales de Réadaptation et de Médecine Physique. 2008; 51(6):441-51. [DOI:10.1016/j.annrmp.2008.05.001] [PMID]
24. Onigbinde AT, Adeloye OO, Akindoyin O, Nesto T. Effects of motor-level transcutaneous electrical nerve stimulation on ipsilateral and un-stimulated contralateral quadriceps femoris. Technology and Health Care. 2014; 22(5):759-66. [DOI:10.3233/THC-140849] [PMID]
25. Glaviano NR, Saliba SA. Immediate effect of patterned electrical neuromuscular stimulation on pain and muscle activation in individuals with patellofemoral pain. Journal of Athletic Training. 2016; 51(2):118-28. [DOI:10.4085/1062-6050-51.4.06] [PMID] [PMCID]
26. Gulick DT, Castel JC, Palermo FX, Draper DO. Effect of patterned electrical neuromuscular stimulation on vertical jump in collegiate athletes. Sports Health. 2011; 3(2):152-7. [DOI:10.1177/1941738110397871] [PMID] [PMCID]
27. Rosell DR, Custodio RM, Franco-Márquez F, Yáñez-García JM, González Badillo JJ. Traditional vs. sport-specific vertical jump tests: Reliability, validity, and relationship with the legs strength and sprint performance in adult and teen soccer and basketball players. The Journal of Strength and Conditioning Research. 2016; 00(00):1-11. https://www.researchgate.net/publication/303039105
28. Magdalena Stania , Kajetan J. Słomka, The acute effects of mechanical vs electrical stimuli on countermovement jump. Current Research in Motor Control, 2016; 5:287-93.
29. Paillard T, Noe F, Bernard N, Dupui P, Hazard C. Effects of two types of neuromuscular electrical stimulation training on vertical jump performance. Journal of Strength and Conditioning Research. 2008; 22(4):1273-8. [DOI:10.1519/JSC.0b013e3181739e9c] [PMID]
30. Hart JM, Pietrosimone B, Hertel J, Ingersoll CD. Quadriceps activation following knee injuries: A systematic review. Journal of Athletic Training. 2010; 45(1):87-97. [DOI:10.4085/1062-6050-45.1.87] [PMID] [PMCID]
2. Deda N, Kalaja A. Epidemiology in knee injuries in volleyball players. European Scientific Journal. 2015; 11(15):44-52. https://eujournal.org/index.php/esj/article/view/5614/5405
3. Dugan SA. Sports-related knee injuries in female athletes: What gives? American Journal of Physical Medicine & Rehabilitation. 2005; 84(2):122-30. [DOI:10.1097/01.PHM.0000154183.40640.93] [PMID]
4. Lockie RG. A 6-week base strength training program for sprint acceleration development and foundation for future progression in amateur athletes. Strength & Conditioning Journal. 2018; 40(1):2-12. [DOI:10.1519/SSC.0000000000000341]
5. Maffiuletti NA, Cometti G, Amiridis IG, Martin A, Pousson M, Chatard JC. The effects of electromyostimulation training and basketball practice on muscle strength and jumping ability. International Journal of Sports Medicine. 2000; 21(6):437-43. [DOI:10.1055/s-2000-3837] [PMID]
6. Seyri K, Maffiuletti NA. Effect of electromyostimulation training on muscle strength and sports performance. Strength and Conditioning Journal. 2011; 33(1):70-5. [DOI:10.1519/SSC.0b013e3182079f11]
7. Pietrosimone BG , Ingersoll CD. Focal knee joint cooling increases the quadriceps central activation ratio. Journal of Sports Sciences. 2009; 27(8):873-9. [DOI:10.1080/02640410902929374] [PMID]
8. Son SJ. Effects of transcutaneous electrical nerve stimulation on voluntary quadriceps activation and vertical ground reaction force during walking in subjects with experimental knee pain [MSc. thesis]. Provo, UT: Brigham Young University; 2014. https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=6273&context=etd
9. Hopkins J, Ingersoll CD, Edwards J, Klootwyk TE. Cryotherapy and transcutaneous electric neuromuscular stimulation decrease arthrogenic muscle inhibition of the vastus medialis after knee joint effusion. Journal of Athletic Training. 2002; 37(1):25-31. [PMID] [PMCID]
10. Pietrosimone BG, Hart JM, Saliba SA, Hertel J, Ingersoll CD. Immediate effects of transcutaneous electrical nerve stimulation and focal knee joint cooling on quadriceps activation. Medicine & Science in Sports & Exercise. 2009; 41(6):1175-81. [DOI:10.1249/MSS.0b013e3181982557] [PMID]
11. Hopkins J, Ingersoll CD, Edwards J, Klootwyk TE. Cryotherapy and transcutaneous electric neuromuscular stimulation decrease arthrogenic muscle inhibition of the vastus medialis after knee joint effusion. Journal of Athletic Training. 2002; 37(1):25-31. [PMID] [PMCID]
12. Pietrosimone BG, Saliba SA. Changes in voluntary quadriceps activation predict changes in quadriceps strength after therapeutic exercise in patients with knee osteoarthritis. The Knee. 2012; 19(6):939-43. [DOI:10.1016/j.knee.2012.03.002] [PMID]
13. Pietrosimone BG, Selkow NM, Ingersoll CD, Hart JM, Saliba SA. Electrode type and placement configuration for quadriceps activation evaluation. Journal of Athletic Training. 2011; 46(6):621-8. [DOI:10.4085/1062-6050-46.6.621] [PMID] [PMCID]
14. Pietrosimone BG, Saliba SA, Hart JM, Hertel J, Kerrigan DC, Ingersoll CD. Effects of transcutaneous electrical nerve stimulation and therapeutic exercise on quadriceps activation in people with tibiofemoral osteoarthritis. Journal of Orthopaedic & Sports Physical Therapy. 2011; 41(1):4-12. [DOI:10.2519/jospt.2011.3447] [PMID]
15. Pietrosimone BG, Saliba SA, Hart JM, Hertel J, Ingersoll CD. Contralateral effects of disinhibitory tens on quadriceps function in people with knee osteoarthritis following unilateral treatment. North American Journal of Sports Physical Therapy. 2010; 5(3):111-21. [PMID] [PMCID]
16. Delecluse C, Roelants M, Diels R, Koninckx E, Verschueren S. Effects of whole body vibration training on muscle strength and sprint performance in sprint-trained athletes. International Journal of Sports Medicine. 2005; 26(8):662-8. [DOI:10.1055/s-2004-830381] [PMID]
17. Klavora P. Vertical-jump tests: A critical review. Strength and Conditioning Journal. 2000; 22(5):70-4. [DOI:10.1519/00126548-200010000-00020]
18. Vance CGT, Dailey DL, Rakel BA, Sluka KA. Using TENS for pain control: The state of the evidence. Pain Management. 2014; 4(3):197-209. [DOI:10.2217/pmt.14.13] [PMID] [PMCID]
19. DeSantana JM, Walsh DM, Vance C, Rakel BA, RN, Sluka KA. Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and pain. Current Rheumatology Report. 2008; 10(6):492-9. [DOI:10.1007/s11926-008-0080-z] [PMID] [PMCID]
20. Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: Neural mechanisms and treatment perspectives. Seminars in Arthritis and Rheumatism. 2010; 40(3):250-66. [DOI:10.1016/j.semarthrit.2009.10.001] [PMID]
21. Vanderthommen M, Triffaux M, Demoulin C, Crielaard JM, Jean-Loui Croisier JL. Alteration of muscle function after electrical stimulation bout of knee extensors and flexors. Journal of Sports Science and Medicine. 2012; 11(4):592-9. [PMID] [PMCID]
22. Dehail P, Duclos C, Barat M. Electrical stimulation and muscle strengthening. Annales de Réadaptation et de Médecine Physique. 2008; 51(6):441-51. [DOI:10.1016/j.annrmp.2008.05.001] [PMID]
23. Dehail P, Duclos C, Barat M. Electrical stimulation and muscle strengthening. Annales de Réadaptation et de Médecine Physique. 2008; 51(6):441-51. [DOI:10.1016/j.annrmp.2008.05.001] [PMID]
24. Onigbinde AT, Adeloye OO, Akindoyin O, Nesto T. Effects of motor-level transcutaneous electrical nerve stimulation on ipsilateral and un-stimulated contralateral quadriceps femoris. Technology and Health Care. 2014; 22(5):759-66. [DOI:10.3233/THC-140849] [PMID]
25. Glaviano NR, Saliba SA. Immediate effect of patterned electrical neuromuscular stimulation on pain and muscle activation in individuals with patellofemoral pain. Journal of Athletic Training. 2016; 51(2):118-28. [DOI:10.4085/1062-6050-51.4.06] [PMID] [PMCID]
26. Gulick DT, Castel JC, Palermo FX, Draper DO. Effect of patterned electrical neuromuscular stimulation on vertical jump in collegiate athletes. Sports Health. 2011; 3(2):152-7. [DOI:10.1177/1941738110397871] [PMID] [PMCID]
27. Rosell DR, Custodio RM, Franco-Márquez F, Yáñez-García JM, González Badillo JJ. Traditional vs. sport-specific vertical jump tests: Reliability, validity, and relationship with the legs strength and sprint performance in adult and teen soccer and basketball players. The Journal of Strength and Conditioning Research. 2016; 00(00):1-11. https://www.researchgate.net/publication/303039105
28. Magdalena Stania , Kajetan J. Słomka, The acute effects of mechanical vs electrical stimuli on countermovement jump. Current Research in Motor Control, 2016; 5:287-93.
29. Paillard T, Noe F, Bernard N, Dupui P, Hazard C. Effects of two types of neuromuscular electrical stimulation training on vertical jump performance. Journal of Strength and Conditioning Research. 2008; 22(4):1273-8. [DOI:10.1519/JSC.0b013e3181739e9c] [PMID]
30. Hart JM, Pietrosimone B, Hertel J, Ingersoll CD. Quadriceps activation following knee injuries: A systematic review. Journal of Athletic Training. 2010; 45(1):87-97. [DOI:10.4085/1062-6050-45.1.87] [PMID] [PMCID]
| Files | ||
| Issue | Vol 13 No 4 (2019) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.32598/JMR.13.4.215 | |
| Keywords | ||
| Electrical nerve stimulation (TENS) Quadriceps Voluntary muscle activation Amateur athlete | ||
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How to Cite
1.
Sadeghi H, Mir SM, Malmir K, Ghotbi N. Effects of Transcutaneous Electrical Nerve Stimulation on Voluntary Quadriceps Activation in Healthy Amateur Female Athletes. jmr. 2019;13(4):215-220.
