Tongue-placed tactile biofeedback suppresses the deleterious effects of muscle fatigue on joint position sense at the ankle

TL;DR

This study demonstrates that tongue-placed tactile biofeedback can effectively counteract muscle fatigue-induced impairments in ankle joint position sense, highlighting its potential for enhancing proprioception during fatigue.

Contribution

It is the first to show that tongue-placed tactile biofeedback can mitigate muscle fatigue effects on ankle proprioception in healthy individuals.

Findings

Biofeedback suppressed fatigue effects on joint position accuracy.

Subjects maintained better ankle position sense with biofeedback during fatigue.

Results support the role of artificial tactile feedback in sensory re-weighting processes.

Abstract

Whereas the acuity of the position sense at the ankle can be disturbed by muscle fatigue, it recently also has been shown to be improved, under normal ankle neuromuscular state, through the use of an artificial tongue-placed tactile biofeedback. The underlying principle of this biofeedback consisted of supplying individuals with supplementary information about the position of their matching ankle position relative to their reference ankle position through electrotactile stimulation of the tongue. Within this context, the purpose of the present experiment was to investigate whether this biofeedback could mitigate the deleterious effect of muscle fatigue on joint position sense at the ankle. To address this objective, sixteen young healthy university students were asked to perform an active ankle-matching task in two conditions of No-fatigue and Fatigue of the ankle muscles and two conditions of No-biofeedback and Biofeedback. Measures of the overall accuracy and the variability of the positioning were determined using the absolute error and the variable error, respectively. Results showed that the availability of the biofeedback allowed the subjects to suppress the deleterious effects of muscle fatigue on joint position sense at the ankle. In the context of sensory re-weighting process, these findings suggested that the central nervous system was able to integrate and increase the relative contribution of the artificial tongue-placed tactile biofeedback to compensate for a proprioceptive degradation at the ankle.