Metaboreflex Activity is Attenuated by Transcutaneous Electrical Nerve Stimulation and Interferential Electrical Stimulation in Healthy Individuals

  • Gaspar Rogerio da Silva Chiappa Centro Universitário de Anápolis - UniEvangélica
  • Julio Zago Universidade de Brasilia
  • Paulo Vieira
  • Andre Winter
  • André Winter
  • Adriana Chiappa
  • Tatiana Rondinel
  • Francisco Santos
  • Gerson Cipriano
  • Marcos Silveira
Keywords: Autonomic nervous system; Neuromodulation; Blood flow; Exercise; Heart rate variability

Abstract

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. 

Published
15-12-2021
How to Cite
Chiappa, G., Zago, J., Vieira, P., Winter, A., Winter, A., Chiappa, A., Rondinel, T., Santos, F., Cipriano, G., & Silveira, M. (2021). Metaboreflex Activity is Attenuated by Transcutaneous Electrical Nerve Stimulation and Interferential Electrical Stimulation in Healthy Individuals. Manual Therapy, Posturology & Rehabilitation Journal, 1-7. https://doi.org/10.17784/mtprehabjournal.2021.19.1219
Section
Research articles