Pulse energy as a reliable reference for twitch forces induced by transcutaneous neuromuscular electrical stimulation

Chiun Fan Chen, Wen Shiang Chen, Li Wei Chou, Ya Ju Chang, Shih Ching Chen, Te Son Kuo, Jin Shin Lai*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Voltage-controlled neuromuscular electrical stimulation has been considered to be safer in noninvasive applications notwithstanding the fact that voltage-controlled devices purportedly generate forces less predictable than their current-controlled equivalents. This prompted us to evaluate relevant electrical parameters to determine whether forces induced by voltage-controlled stimuli were able to match to those induced by current-controlled ones, which tend to evoke forces that were more predictable. Force magnitudes corresponding to current- and voltage-controlled stimuli were aligned with respect to electric charge (equivalent to average current intensity) and electrical energy (equivalent to average power) of the same stimulation pulse to determine which provided a better coherence. Consistency of forces evaluated with energy was significantly (p < 0.001) better than that evaluated with electric charges, suggesting that electrically stimulated forces can be reliably predicted by monitoring the energy parameter of stimulation pulses. The above results appear to show that electrode-tissue impedance, a factor that makes charge and energy evaluations different, redefined the actual effects of current intensities in generating favorable results. Accordingly, novel schemes that track the energy (or average power) of a stimulation pulse may be used as a reliable benchmark to associate mechanical (force) and electrical (stimulation pulse) characteristics in transcutaneous applications of electrical stimulation.

Original languageEnglish
Article number6177269
Pages (from-to)574-583
Number of pages10
JournalIEEE Transactions on Neural Systems and Rehabilitation Engineering
Issue number4
StatePublished - 2012


  • Electrode-tissue impedance
  • pulse energy
  • transcutaneous neuromuscular electrical stimulation
  • twitch force


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