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    Repetitive electrically-evoked muscle contractions lead to the early onset of muscle fatigue. This study assessed the relationship between muscle mechanomyography (%RMS-MMG) and tissue oxygen saturation (%TSI) in extensor carpi radialis (ECR) during electrically-evoked fatiguing exercise in individuals with tetraplegia. Skin-surface mechanomyography (MMG) and near-infrared spectroscopy (NIRS) sensors were placed on the ECR of seven individuals with tetraplegia. All participants performed repetitive electrically-evoked wrist extension to fatigue while their muscle MMG and NIRS responses were monitored against their power output (PO). One out of seven participants showed no changes in %TSI throughout the repeated wrist FES-evoked contraction. The other six participants' %TSI was positively correlated with %PO before fatigue onset. At 50%POpeak , %TSI was negatively correlated (0.489) significantly with declining %PO as the ability of the muscle to take up oxygen became limited. The %RMS-MMG behaved analogously during pre and post-fatigue against declining %PO, whereby both displayed positive correlations of 0.443 and 0.214, respectively, (%RMS-MMG decreased) throughout the exercise session. Regression analysis revealed that %TSI was proportional to pre-fatigue and inversely proportional to %RMS-MMG during post-fatigue. The significant changes in muscle mechanomyography and tissue oxygenation correlations after 50%POpeak implied that the muscle contraction mechanical-and-physiological behavior association had been altered following FES-evoked fatigue. © 2022 International Center for Artificial Organ and Transplantation (ICAOT) and Wiley Periodicals LLC.


    Nurul Salwani Mohamad Saadon, Nur Azah Hamzaid, Nazirah Hasnan, Muhammad Afiq Dzulkifli, Mira Teoh, Glen M Davis. Mechanomyography and tissue oxygen saturation during electrically-evoked wrist extensor fatigue in people with tetraplegia. Artificial organs. 2022 Oct;46(10):1998-2008

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    PMID: 35662061

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