RT Journal Article T1 Surface-distributed low-frequency asynchronous stimulation delays fatigue of stimulated muscles. A1 Maneski, Lana Z.Popović A1 Malešević, Nebojša M. A1 Savić, Andrej M. A1 Keller, Thierry A1 Popović, Dejan B. AB One important reason why functional electrical stimulation (FES) has not gained widespread clinical use is the limitation imposed by rapid muscle fatigue due to non-physiological activation of the stimulated muscles. We aimed to show that asynchronous low-pulse-rate (LPR) electrical stimulation applied by multipad surface electrodes greatly postpones the occurrence of muscle fatigue compared with conventional stimulation (high pulse rate, HPR). We compared the produced force vs. time of the forearm muscles responsible for finger flexion in 2 stimulation protocols, LPR (fL = 10 Hz) and HPR (fH = 40 Hz). Results: Surface-distributed low-frequency asynchronous stimulation (sDLFAS) doubles the time interval before the onset of fatigue (104 ± 80%) compared with conventional synchronous stimulation. Combining the performance of multipad electrodes (increased selectivity and facilitated positioning) with sDLFAS (decreased fatigue) can improve many FES applications in both the lower and upper extremities. SN 0148-639X YR 2013 FD 2013-12 LK https://hdl.handle.net/11556/4527 UL https://hdl.handle.net/11556/4527 LA eng NO Maneski , L Z P , Malešević , N M , Savić , A M , Keller , T & Popović , D B 2013 , ' Surface-distributed low-frequency asynchronous stimulation delays fatigue of stimulated muscles. ' , Muscle and Nerve , vol. 48 , no. 6 , pp. 930-937 . https://doi.org/10.1002/mus.23840 DS TECNALIA Publications RD 26 jul 2024