Comparison of a piezoelectric contact sensor and an accelerometer for examining mechanomyographic amplitude and mean power frequency versus torque relationships during isokinetic and isometric muscle actions of the biceps brachii

Mechanomyographic Analysis for Muscle Activity Assessment during a Load-Lifting Task

The purpose of this study was to compare electromyographic (EMG) with mechanomyographic (MMG) recordings during isometric conditions, and during a simulated load-lifting task. Twenty-two males (age: 25.5 ± 5.3 years) first performed maximal voluntary contractions (MVC) and submaximal isometric contractions of upper limb muscles at 25%, 50% and 75% MVC. Participants then executed repetitions of a functional activity simulating a load-lifting task above shoulder level, at 25%, 50% and 75% of their maximum activity (based on MVC). The low-frequency part of the accelerometer signal (<5 Hz) was used to segment the six phases of the motion. EMG and MMG were both recorded during the entire experimental procedure. Root mean square (RMS) and mean power frequency (MPF) were selected as signal extraction features. During isometric contractions, EMG and MMG exhibited similar repeatability scores. They also shared similar RMS vs. force relationship, with RMS increasing to 75% MVC and plateauing to 100%. MPF decreased with increasing force to 75% MVC. In dynamic condition, RMSMMG exhibited higher sensitivity to changes in load than RMSEMG. These results confirm the feasibility of MMG measurements to be used during functional activities outside the laboratory. It opens new perspectives for future applications in sports science, ergonomics and human-machine interface conception.

Crosstalk in Mechanomyographic Signals From Elbow Flexor Muscles During Submaximal to Maximal Isometric Flexion, Pronation, and Supination Torque Tasks

This study analyzed the crosstalk in mechanomyographic (MMG) signals from elbow flexors during isometric muscle actions from 20% to 100% maximum voluntary isometric contraction (MVIC). Twenty-five young, healthy, male participants performed the isometric elbow flexion, forearm pronation, and supination tasks at an elbow joint angle of 90 deg. The MMG signals from the biceps brachii (BB), brachialis (BRA), and brachioradialis (BRD) muscles were recorded using accelerometers. The cross-correlation coefficient was used to quantify the crosstalk in MMG signals, recorded in a direction transverse to muscle fiber axis, among the muscle pairs (P1: BB and BRA, P2: BRA and BRD, and P3: BB and BRD). In addition, the MMG RMS and MPF were quantified. The mean normalized RMS and mean MPF exhibited increasing (r > 0.900) and decreasing (r < -0.900) trends, respectively, with increases in the effort levels in all three tasks. The magnitude of crosstalk ranged from 0.915% to 21.565% in all three muscle pairs. The crosstalk was found to exhibit high positive correlations with submaximal to maximal flexion [P1 (r = 0.970), P2 (r = 0.951), and P3 (r = 0.824)], pronation [P1 (r = 0.811), P2 (r = 0.763), and P3 (r = 0.901)] and supination [P1 (r = 0.898), P2 (r = 0.838), and P3 (r = 0.852)] torque levels (eight out of nine p-values were < 0.05). Regardless of the high positive correlation between crosstalk and level of effort, the crosstalk remained at a low range (0.915-21.565%) with increases in the torque levels.

Ultrasound Measurement of Skeletal Muscle Contractile Parameters Using Flexible and Wearable Single-Element Ultrasonic Sensor

Skeletal muscle is considered as a near-constant volume system, and the contractions of the muscle are related to the changes in tissue thickness. Assessment of the skeletal muscle contractile parameters such as maximum contraction thickness (Th), contraction time (Tc), contraction velocity (Vc), sustain time (Ts), and half-relaxation (Tr) provides valuable information for various medical applications. This paper presents a single-element wearable ultrasonic sensor (WUS) and a method to measure the skeletal muscle contractile parameters in A-mode ultrasonic data acquisition. The developed WUS was made of double-layer polyvinylidene fluoride (PVDF) piezoelectric polymer films with a simple and low-cost fabrication process. A flexible, lightweight, thin, and small size WUS would provide a secure attachment to the skin surface without affecting the muscle contraction dynamics of interest. The developed WUS was employed to monitor the contractions of gastrocnemius (GC) muscle of a human subject. The GC muscle contractions were evoked by the electrical muscle stimulation (EMS) at varying EMS frequencies from 2 Hz up to 30 Hz. The tissue thickness changes due to the muscle contractions were measured by utilizing a time-of-flight method in the ultrasonic through-transmission mode. The developed WUS demonstrated the capability to monitor the tissue thickness changes during the unfused and fused tetanic contractions. The tetanic progression level was quantitatively assessed using the parameter of the fusion index (FI) obtained. In addition, the contractile parameters (Th, Tc, Vc, Ts, and Tr) were successfully extracted from the measured tissue thickness changes. In addition, the unfused and fused tetanus frequencies were estimated from the obtained FI-EMS frequency curve. The WUS and ultrasonic method proposed in this study could be a valuable tool for inexpensive, non-invasive, and continuous monitoring of the skeletal muscle contractile properties.

A preliminary study of classification of upper limb motions and forces based on mechanomyography

Rehabilitation training is essential for patients who have a history of certain illnesses, such as stroke. As a crucial part of rehabilitation training, upper limb training involves such key factors as upper limb motions and forces. This study investigated three upper limb motions (elbow flexion of 135°, Motion 1; shoulder flexion of 90°, Motion 2; and shoulder abduction of 90°, Motion 3) and various forces (muscle Force 0, no force; holding one 1.4 kg dumbbell, muscle Force 1; holding one 2.4 kg dumbbell, muscle Force 2) in combination to evaluate nine motion patterns. These patterns were completed by twelve healthy volunteers. Mechanomyography (MMG) measurements of the biceps brachii (Channel 1), triceps (Channel 2), and deltoid (Channel 3) muscles were collected. These were subsequently divided into signal segments corresponding to each of the motions using a segmentation method based on average energy. After extracting time-domain features and wavelet packet energy features, support vector machine analysis (SVM) was used for the classification of the upper limb motions and forces based on the MMG measurements. Channel 2 and Channel 3 were shown to play an important role in the classification of upper limb motions, and Channel 1 played a role in the classification of the forces. These results demonstrate that collection of MMG measurements from the three muscles is feasible and suggest a foundation for further studies in which rehabilitation training is evaluated based on MMG measurements.

Mechanomyography and muscle function assessment: a review of current state and prospects

Previous studies have explored to saturation the efficacy of the conventional signal (such as electromyogram) for muscle function assessment and found its clinical impact limited. Increasing demand for reliable muscle function assessment modalities continues to prompt further investigation into other complementary alternatives. Application of mechanomyographic signal to quantify muscle performance has been proposed due to its inherent mechanical nature and ability to assess muscle function non-invasively while preserving muscular neurophysiologic information. Mechanomyogram is gaining accelerated applications in evaluating the properties of muscle under voluntary and evoked muscle contraction with prospects in clinical practices. As a complementary modality and the mechanical counterpart to electromyogram; mechanomyogram has gained significant acceptance in analysis of isometric and dynamic muscle actions. Substantial studies have also documented the effectiveness of mechanomyographic signal to assess muscle performance but none involved comprehensive appraisal of the state of the art applications with highlights on the future prospect and potential integration into the clinical practices. Motivated by the dearth of such critical review, we assessed the literature to investigate its principle of acquisition, current applications, challenges and future directions. Based on our findings, the importance of rigorous scientific and clinical validation of the signal is highlighted. It is also evident that as a robust complement to electromyogram, mechanomyographic signal may possess unprecedented potentials and further investigation will be enlightening.

Mechanomyographic responses for the biceps brachii are unable to track the declines in peak torque during 25, 50, 75, and 100 fatiguing isokinetic muscle actions

This study examined the peak torque and mechanomyographic (MMG) amplitude and mean frequency (MNF) responses during fatiguing isokinetic muscle actions. On four separate occasions, twenty men (mean ± SD age = 23 ± 3 years) performed 25, 50, 75, and 100 repeated maximal concentric isokinetic muscle actions of the dominant forearm flexors. During each muscle action, the MMG signal was detected from the biceps brachii with an accelerometer. The data were examined with linear regression and one-way repeated measures analyses of variance. The results indicated that the mean percent decline in peak torque value for the 25 repetition trial (25.6%) was significantly less than that for the 50 repetition trial (45.2%). Furthermore, the mean linear slope coefficient for the peak torque versus repetition number relationship for the 50 repetition trial was significantly less than that for the 100 repetition trial. There were no mean differences among the trials for the linear slope coefficients and y-intercepts for the MMG amplitude and MNF versus repetition number relationships. When detected with an accelerometer, the linear slope coefficients and y-intercepts for the MMG amplitude and MNF versus repetition number relationships were not sensitive enough to track the decline in muscle function during fatigue.

Comparison of displacement and acceleration transducers for the characterization of mechanics of muscle and subcutaneous tissues by system identification of a mechanomyogram

The purpose of this study was to clarify the performance of transducers for the mechanical characterization of muscle and subcutaneous tissue with the aid of a system identification technique. The common peroneal nerve was stimulated, and a mechanomyogram (MMG) of the anterior tibialis muscle was detected with a laser displacement meter or an acceleration sensor. The transfer function between stimulation and the MMG was identified by the singular value decomposition method. The MMG detected with a laser displacement meter, DMMG, was approximated with a second-order model, but that detected with an acceleration sensor, AMMG, was approximated with a sixth-order model. The natural frequency of the DMMG coincided with that in the literature and was close to the lowest natural frequency of the AMMG. The highest natural frequency of the AMMG was within the range of the resonance frequencies of human soft tissue. The laser displacement meter is suitable for the precise identification of the MMG, which has a natural frequency of around 3 Hz. The acceleration transducer is suitable for the identification of the MMG with natural frequencies of tens of hertz.

The utility of electromyography and mechanomyography for assessing neuromuscular function: a noninvasive approach

This article introduces the utility of electromyography (EMG) and mechanomyography (MMG) for the assessment of neuromuscular function, and discusses the interpretation of the EMG and MMG signals for various exercise perturbations. The results of these studies suggest that the use of EMG and MMG to determine muscle fatigue is robust. Future studies with clinical populations are needed, however, to determine the optimal use of EMG and/or MMG for assessing muscle function in rehabilitative settings.

Spectral properties of electromyographic and mechanomyographic signals during isometric ramp and step contractions in biceps brachii

The purposes of this study were: (1) to apply wavelet and principal component analysis to quantify the spectral properties of the surface EMG and MMG signals from biceps brachii during isometric ramp and step muscle contractions when the motor units are recruited in an orderly manner, and (2) to compare the recruitment patterns of motor unit during isometric ramp and step muscle contractions. Twenty healthy participants (age = 34 ± 10.7 years) performed step and ramped isometric contractions. Surface EMG and MMG were recorded from biceps brachii. The EMGs and MMGs were decomposed into their intensities in time-frequency space using a wavelet technique. The EMG and MMG spectra were then compared using principal component analysis (PCA) and ANCOVA. Wavelet combined PCA offers a quantitative measure of the contribution of high and low frequency content within the EMG and MMG. The ANCOVA indicated that there was no significant difference in EMG total intensity, EMG(MPF), first and second principal component loading scores (PCI and PCII) between ramp and step contractions, whereas the MMG(MPF) and MMG PCI loading scores were significantly higher during ramp contractions than during step contractions. These findings suggested that EMG and MMG may offer complimentary information regarding the interactions between motor unit recruitment and firing rate that control muscle force production. In addition, our results support the hypothesis that different motor unit recruitment strategy was used by the muscle when contracting under different conditions.

Cross-correlation analysis of mechanomyographic signals detected in two axes

The purpose of this study was to use laser displacement sensors to examine the cross-correlation of surface mechanomyographic (MMG) signals detected from the rectus femoris muscle in perpendicular and transverse axes during isometric muscle actions of the leg extensors. Ten healthy men (mean +/- SD age = 22.1 +/- 1.6 years) and ten healthy women (age = 24.4 +/- 2.8 years) volunteered to perform submaximal to maximal isometric muscle actions of the dominant leg extensors. During each muscle action, two separate MMG signals were detected from the rectus femoris with laser displacement sensors. One MMG sensor was oriented in an axis that was perpendicular (PERP) to the muscle surface, and the second sensor was oriented in an axis that was transverse (TRAN) to the muscle surface. For each subject and force level, the MMG signals from the PERP and TRAN sensors were cross-correlated. The results showed maximum cross-correlation coefficients that ranged from R(x)(,y) = 0.273 to 0.989, but all subjects demonstrated at least one coefficient greater than 0.89. These findings showed a high level of association between the MMG signals detected in the perpendicular and transverse axes. Thus, it may not be necessary to detect MMG signals in multiple axes.

Influence of force tremor on mechanomyographic signals recorded with an accelerometer and a condenser microphone during measurement of agonist and antagonist muscles in voluntary submaximal isometric contractions

The purpose of this study was to investigate the influence of force tremor (FT) on the mechanomyogram (MMG) recorded by a condenser microphone (MIC) and an accelerometer (ACC) for the measurement of agonist and antagonist muscles during submaximal isometric contractions. Following determination of the isometric maximum voluntary contraction (MVC), 10 male subjects were asked to perform elbow flexion and extension at 20%, 40%, 60%, and 80% MVC. Surface electromyogram (EMG) and MMG of the biceps brachii (BB) and triceps brachii (TB) were recorded simultaneously using a MIC (MMG-(MIC)) and an ACC (MMG-(ACC)). We analyzed the root mean square (RMS) for all signals and compared the sum of the power spectrum amplitude (SPA) at 3-6 Hz and 8-12 Hz between the MMG-(MIC) and the MMG-(ACC). During elbow flexion and extension, the RMS of the EMG and the MMG-(MIC) of the agonist were significantly (p<0.05) higher than those of the antagonist in each contraction level. The RMS of the MMG-(ACC) of the antagonist showed no significant (p>0.05) difference from that of the agonist, or tended to be higher than the agonist. The SPA of the MMG-(MIC) of the agonist at 3-6 Hz and 8-12 Hz tended to be higher than the antagonist in elbow flexion and extension at each contraction level. The SPA of the MMG-(ACC) of the agonist and that of the antagonist showed no significant (p>0.05) difference, or the antagonist MMG-(ACC) tended to be higher than that of the agonist. These results suggest the MMG detected by a MIC appears to be less affected by FT than is the ACC because of its inherent characteristic to reduce FT in simultaneously evaluated agonist and antagonist muscles by means of MMG during submaximal isometric contraction.

Mechanomyographic amplitude and frequency responses during dynamic muscle actions: a comprehensive review

The purpose of this review is to examine the literature that has investigated mechanomyographic (MMG) amplitude and frequency responses during dynamic muscle actions. To date, the majority of MMG research has focused on isometric muscle actions. Recent studies, however, have examined the MMG time and/or frequency domain responses during various types of dynamic activities, including dynamic constant external resistance (DCER) and isokinetic muscle actions, as well as cycle ergometry. Despite the potential influences of factors such as changes in muscle length and the thickness of the tissue between the muscle and the MMG sensor, there is convincing evidence that during dynamic muscle actions, the MMG signal provides valid information regarding muscle function. This argument is supported by consistencies in the MMG literature, such as the close relationship between MMG amplitude and power output and a linear increase in MMG amplitude with concentric torque production. There are still many issues, however, that have yet to be resolved, and the literature base for MMG during both dynamic and isometric muscle actions is far from complete. Thus, it is important to investigate the unique applications of MMG amplitude and frequency responses with different experimental designs/methodologies to continually reassess the uses/limitations of MMG.