A new strategy for controlling the level of activation in artificially stimulated muscle.

Distributed stimulation of slow skeletal muscle has previously been used to produce smooth tetanic contractions at low stimulus rates. This involved distributed or interleaved stimulation of portions of the muscle with near equal tension contributions. Extending this to fast and mixed muscle encounters difficulties in getting and maintaining equal twitch responses for the portions. This need has now been circumvented by using distributed stimulation with unequal interpulse intervals. Described here is a microprocessor-based eight channel distributed muscle stimulator that can adjust stimulation timing to produce an optimally smooth tension over a range of stimulus rates even when the portions are unequal. This design is based on modeling results. Distributed stimulation experiments performed on skeletal muscle show that this method can be used to achieve smooth tension at physiological stimulus rates, which should reduce fatigue. This has important implications in functional neuromuscular stimulation (FNS) as well as in enabling experiments to be conducted to characterize the biomechanical behavior of partially activated fast and mixed muscle.