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Updated: Jul 20, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Changes in neuromuscular function due to intermittently increased workload during repetitive work in cold conditions
Juha Oksa1, Erja Sormunen, Ulla Koivukangas
1Finnish Institute of Occupational Health, Oulu, Laboratory of Physiology, Finland. juha.oksa@ttl.fi
Cold exposure during repetitive work reduces electromyographic (EMG) gaps, indicating muscle strain. Intermittently increasing workload can help restore neuromuscular function and reduce fatigue in cold environments.
Area of Science:
- Occupational Health
- Ergonomics
- Physiology
Background:
- Cold environments can negatively impact neuromuscular function during repetitive tasks.
- Understanding the effects of cold on muscle activity and fatigue is crucial for workplace safety.
Purpose of the Study:
- To investigate how repetitive work in cold conditions affects electromyographic (EMG) gaps.
- To determine if altering work intensity can reverse cold-induced neuromuscular deterioration.
Main Methods:
- Simulated sausage packing at 19°C and 4°C to measure EMG gaps in eight upper-extremity muscles.
- Assessed continuous light work (Cwork) versus intermittent increased workload (Iwork) at 4°C, monitoring EMG gaps, median frequency, EMG activity, and wrist flexion maximal voluntary contraction (MVC).
Main Results:
- Cold exposure decreased EMG gaps in seven muscles.
- Intermittent work (Iwork) showed more EMG gaps in forearm flexors and extensors compared to continuous work (Cwork).
- Wrist flexion MVC decreased in both Cwork and Iwork conditions, indicating muscle fatigue.
Conclusions:
- Cold-induced reduction in EMG gaps and increased muscle strain can be partially restored by intermittently increasing workload.
- Breaking monotonous work cycles may mitigate negative effects of cold on neuromuscular function.
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