Related Experiment Video
Updated: May 5, 2026

Assessment of Neuromuscular Function Using Percutaneous Electrical Nerve Stimulation
Published on: September 13, 2015
Comparing the reliability of voluntary and evoked muscle actions
Nathaniel D M Jenkins1, Ty B Palmer, Joel T Cramer
1Department of Nutrition and Health Sciences, The University of Nebraska-Lincoln, Lincoln, NE, USA.
Purpose:
The purpose of this exploratory study was to quantify the test-retest reliability, intertrial variability and correlations between variables calculated during voluntary and evoked muscle actions.
Methods:
During three separate trials of isometric leg extension muscle actions with 14 men [mean age (± SD) = 21.9 (± 3.2) years; height = 179.2 (± 8.0) cm; mass = 77.7 (± 10.9) kg], peak torque (PT(V)), time to peak torque (TPT(V)), rate of torque development (RTD(V)), time to peak rate of torque development (TRTD(V)), electromechanical delay (EMD(V)) and EMG amplitude (EMG(RMS)) were quantified for voluntary muscle actions. Peak twitch torque (PTE ), time to peak twitch torque (TPT(E)), rate of torque development (RTD(E)), time to peak rate of torque development (TRTD(E)), electromechanical delay (EMD(E)), peak-to-peak M-wave (Mp-p) and M-wave area (M(area)) were calculated for evoked twitches. All electromyographic measurements were recorded over the vastus lateralis.
Results:
Voluntary intraclass correlation coefficients (ICC) were 0.84-0.96, except for TRTD(V) (0.30) and EMD(V) (0.74). Evoked ICC were 0.80-0.95, except for EMD(E) (0.52). Relative standard errors of measurement for TPT and TRT(D) were greater for voluntary than evoked, whereas the value for PTE was greater than PT(V). There were low to moderate correlations (r = -0.41-0.51) between common voluntary and evoked variables.
Conclusions:
Evoked variables showed lower intertrial variability than voluntary. Overall, voluntary and evoked muscle actions provide unique, complimentary information regarding neuromuscular function that cannot be used interchangeably.
More Related Videos
Related Concept Videos
Motor Unit Stimulation
The latent period of contraction marks the onset of excitation-contraction coupling, when the action potential propagates across the sarcolemma, preparing the muscle fibers for contraction. As the fibers enter the contraction phase, the...
Generation of Action Potential in Skeletal Muscles
Like neurons, muscle cells are also regarded as excitable due to their capacity to change in response to stimuli, primarily due to voltage-gated ion channels embedded in their plasma membranes, which get activated by alterations in the...
Muscle Stimulation Frequency
Wave summation
At low firing rates, motor neurons induce individual twitch contractions in muscle fibers. These twitches...

