Open AccessMetaboreflex Activity is Attenuated by Transcutaneous Electrical Nerve Stimulation and Interferential Electrical Stimulation in Healthy Individuals
Author(s) -
Gaspar R. Chiappa,
Julio Zago,
Paulo José Cardoso Vieira,
André Winter,
André Winter,
Adriana M. Güntzel Chiappa,
Tatiana Zacarias Rondinel,
Francisco Santos,
Gerson Cipriano,
M. Medeiros da Silveira
Publication year - 2021
Publication title -
manual therapy, posturology and rehabilitation journal
Language(s) - English
Resource type - Journals
ISSN - 2236-5435
DOI - 10.17784/mtprehabjournal.2021.19.1219
Subject(s) - stimulation , transcutaneous electrical nerve stimulation , medicine , vasodilation , blood flow , stellate ganglion , anesthesia , cerebral blood flow , circulatory system , hemodynamics , cardiology , alternative medicine , pathology
Background: Transcutaneous electrical nervous stimulation (TENS) and interferential electrical stimulation (IES) attenuates muscle metaboreflex by sympathetic nervous modulation. Objective: We tested the hypothesis that IES may be more effective than TENS to improves blood flow which may be linked to greater of deep tissue. Methods: Eleven health subjects were randomized to TENS (80 Hz, 150μs), IES (4000 Hz, ΔAMF=25 Hz) or sham stimulation group, during 30 minutes. The acute intervention was applied on stellate ganglion region (C7-T4). Results: Were measured metaboreflex activity by calf vascular resistance (CVR) and calf blood flow (CBF) and HRV during three times: rest, exercise (static handgrip) and postexercise circulatory occlusion (PECO+ and PECO-). At the exercise peak, compared with TENS and Sham, the IES group reduced CVR (36 ± 3 vs 43 ± 3; p<0.05) and increased CBF (p<0.01). Also, IES was associated with a greater reduction on the MMA (IES: 9 ± 2, TENS: 14 ± 4, Sham: 26 ± 5 units; p<0.01). Furthermore, the IES group had a higher reduction of LF/HF ratio during PECO- and PECO+ (p<0.05). Conclusion: The IES over the stellate ganglion region seems to have superior efficacy compared with TENS to attenuate metaboreflex activation and vasodilatory responses during exercise in healthy subjects.