journal article·2026-01-23Open access

Analysis of the Effects of Neuromodulation Suit Application on Muscle Contractile Properties in an Elite Football Player: A Case Study

Eldin Jeleskovic, Nedim Covic, Ivan Peric

Applied Sciences· Volume 16· Issue 3

Abstract

Background: Neuromodulation encompasses a range of methods aimed at selectively modifying nervous system function to enhance motor and neurophysiological processes. Although neuromodulation suits have shown benefits in clinical populations, their application in sports remains unexplored. Therefore, the aim of this case study was to examine the acute effects of a neuromodulation suit on the contractile properties of the rectus femoris muscle in an elite football player. Methods: The subject was an 18.8-year-old male professional football player. After conducting an anthropometric evaluation, initial tensiomyography (TMG) was carried out to evaluate the contractile properties of the rectus femoris, such as delay time (Td), contraction time (Tc), sustain time (Ts), relaxation time (Tr), and maximum radial displacement (Dm), in both legs. The athlete then donned a neuromodulation suit set to 20 Hz for a duration of 60 min. Following this, the same TMG measurements were repeated to assess post-intervention changes. Results: The right leg showed a reduction in Tc from 33.33 to 31.93 milliseconds (ms); Dm increased from 6.61 to 11.17 millimeters (mm). Conversely, the left rectus femoris exhibited prolonged Tc from 26.84 to 29.45 ms. Conclusions: A single 60 min session of neuromodulation suit application produced acute changes in muscle contractile properties. Findings suggest a potential positive effect on rapid force production and reduced muscle stiffness, alongside notable inter-limb variability.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Sports injuries and prevention · Muscle activation and electromyography studies · Pain Management and Treatment

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Faculty of Sport and Physical Education, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina

Faculty of Kinesiology, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia

Funding

Ottobock SE & Co. KGaA

References (31)

Show source-provided references
1. Vagus Nerve Stimulation10.1007/s40473-014-0010-5 ↗
2. Autonomic Modulation by Electrical Stimulation of the Parasympathetic Nervous System: An Emerging Intervention for Cardiovascular Diseases10.1111/1755-5922.12179 ↗
3. Review of the Uses of Vagal Nerve Stimulation in Chronic Pain Management10.1007/s11916-015-0528-6 ↗
4. The Burden of Neurological Diseases in Europe: An Analysis for the Global Burden of Disease Study 201710.1016/S2468-2667(20)30190-0 ↗
5. The Effects of Using an Electrodress (Mollii®) to Reduce Spasticity and Enhance Functioning in Children with Cerebral Palsy: A Pilot Study10.1080/21679169.2020.1807602 ↗
6. García-Alén, L., Ros-Alsina, A., Sistach-Bosch, L., Wright, M., and Kumru, H. (2024). Noninvasive Electromagnetic Neuromodulation of the Central and Peripheral Nervous System for Upper-Limb Motor Strength and Functionality in Individuals with Cervical Spinal Cord Injury: A Systematic Review and Meta-Analysis. Sensors, 24.10.3390/s24144695 ↗
7. Emerging Modalities and Implantable Technologies for Neuromodulation10.1016/j.cell.2020.02.054 ↗
8. Materials and Technologies for Soft Implantable Neuroprostheses10.1038/natrevmats.2016.63 ↗
9. Brain Imaging Correlates of Peripheral Nerve Stimulation10.4103/2152-7806.103016 ↗
10. Pennati, G.V. (2017). Theoretical Framework for Clinical Applications of Mollii, Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Rehabilitation Medicine.
11. Rubio-Zarapuz, A., Apolo-Arenas, M.D., Tomas-Carus, P., Tornero-Aguilera, J.F., Clemente-Suárez, V.J., and Parraca, J.A. (2024). Comparative Analysis of Psychophysiological Responses in Fibromyalgia Patients: Evaluating Neuromodulation Alone, Neuromodulation Combined with Virtual Reality, and Exercise Interventions. Medicina, 60.10.3390/medicina60030404 ↗
12. The Effect of the EXOPULSE Mollii Suit on Pain and Fibromyalgia-Related Symptoms: A Randomized Sham-Controlled Crossover Trial10.1002/ejp.4729 ↗
13. The Effect of the EXOPULSE Mollii Suit on Motor Functions in Patients with Multiple Sclerosis: A Randomized Sham-Controlled Crossover Trial
14. Čular, D., Babić, M., Zubac, D., Kezić, A., Macan, I., Peyré-Tartaruga, L.A., Ceccarini, F., and Padulo, J. (2023). Tensiomyography: From muscle assessment to talent identification tool. Front. Physiol., 14.10.3389/fphys.2023.1163078 ↗
15. Reliability and measurement error of tensiomyography to assess mechanical muscle function: A systematic review10.1519/JSC.0000000000002250 ↗
16. Neuromuscular Characteristics of Elite and Age Groups Triathletes from World Multisport Championships
17. Petri, C., Campa, F., Holway, F., Pengue, L., and Arrones, L.S. (2024). ISAK-Based Anthropometric Standards for Elite Male and Female Soccer Players. Sports, 12.10.3390/sports12030069 ↗
18. Spehnjak, M., Gušić, M., Molnar, S., Baić, M., Andrašić, S., Selimi, M., Mačak, D., Madić, D.M., Fišer, S.Ž., and Sporiš, G. (2021). Body Composition in Elite Soccer Players from Youth to Senior Squad. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18094982 ↗
19. Body Composition of Professional Football (Soccer) Players Determined by Dual X-Ray Absorptiometry10.1385/JCD:4:1:51 ↗
20. A Combined Muscle Model and Wavelet Approach to Interpreting the Surface EMG Signals from Maximal Dynamic Knee Extensions10.1123/jab.26.1.62 ↗
21. Signal Intensity of MR-Images of Thigh Muscles Following Acute Open- and Closed-Chain Kinetic Knee Extensor Exercise10.1007/s00421-005-1339-y ↗
22. Changes in Quadriceps Femoris Muscle Strength Using Isometric Exercise versus Electrical Stimulation10.2519/jospt.1987.8.11.537 ↗
23. The Influence of Low-Frequency Electrostimulation and Isokinetic Training on the Maximal Strength of M. Quadriceps Femoris10.3233/IES-2002-0105 ↗
24. Combined Effects of Fatigue and Eccentric Damage on Muscle Power10.1152/japplphysiol.00403.2009 ↗
25. Pajovic, L., Toskic, L., Stankovic, V., Lilic, L., and Cicovic, B. (2023). Muscle contractile properties measured by the tensiomyography (TMG) method in top—Level football players of different playing positions. The case of Serbian super League. Int. J. Environ. Res. Public Health, 20.10.3390/ijerph20020924 ↗
26. Alternating Stimulation of Synergistic Muscles during Functional Electrical Stimulation Cycling Improves Endurance in Persons with Spinal Cord Injury10.1016/j.jelekin.2010.07.015 ↗
27. Garnier, Y.M., Lepers, R., Canepa, P., Martin, A., and Paizis, C. (2022). Effect of the Knee and Hip Angles on Knee Extensor Torque: Neural, Architectural, and Mechanical Considerations. Front. Physiol., 12.10.3389/fphys.2021.789867 ↗
28. Concurrent and Predictive Validity of Isokinetic Dynamometry and Tensiomyography in Differently Trained Women and Men10.3233/IES-185152 ↗
29. Assessment of skeletal muscle contractile properties by radial displacement: The case for tensiomyography10.1007/s40279-018-0912-6 ↗
30. Effects of anterior cruciate ligament reconstruction on neuromuscular tensiomyographic characteristics of the lower extremity in competitive male soccer players10.1007/s00167-014-3165-4 ↗
31. Transcutaneous electrical spinal-cord stimulation in humans10.1016/j.rehab.2015.05.003 ↗