PUMA publications for /group/simtech/componentsTue Jul 19 11:10:29 CEST 2022Magnetic Resonance in Medicine0762097--2106The {pH} heterogeneity in human calf muscle during neuromuscular electrical stimulation772016components fatigue neuromuscular electrical pH during MRS heterogeneity three stimulation Purpose The aim of the study was to examine pH heterogeneity during fatigue induced by neuromuscular electrical stimulation (NMES) using phosphorus magnetic resonance spectroscopy (31P-MRS). It is hypothesized that three pH components would occur in the 31P-MRS during fatigue, representing three fiber types. Methods The medial gastrocnemius of eight subjects was stimulated within a 3-Tesla whole body MRI scanner. The maximal force during stimulation (Fstim) was examined by a pressure sensor. Phosphocreatine (PCr), adenosintriphosphate, inorganic phosphate (Pi), and the corresponding pH were estimated by a nonvolume-selective 31P-MRS using a small loop coil at rest and during fatigue. Results During fatigue, Fstim and PCr decreased to 27% and 33% of their initial levels, respectively. In all cases, the Pi peak increased when NMES was started and split into three different peaks. Based on the single Pi peaks during fatigue, an alkaline (6.76 ± 0.08), a medium (6.40 ± 0.06), and an acidic (6.09 ± 0.05) pH component were observed compared to the pH (7.02 ± 0.02) at rest. Conclusion It is suggested that NMES is able to induce pH heterogeneity in the medial gastrocnemius, and that the single Pi peaks represent the different muscle fiber types of the skeletal muscle. Magn Reson Med 77:2097–2106, 2017. © 2016 International Society for Magnetic Resonance in Medicine