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Gabriel DA. Teaching Essential EMG Theory to Kinesiologists and Physical Therapists Using Analogies Visual Descriptions, and Qualitative Analysis of Biophysical Concepts. SENSORS (BASEL, SWITZERLAND) 2022; 22:6555. [PMID: 36081014 PMCID: PMC9460425 DOI: 10.3390/s22176555] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 08/24/2022] [Accepted: 08/28/2022] [Indexed: 06/15/2023]
Abstract
Electromyography (EMG) is a multidisciplinary field that brings together allied health (kinesiology and physical therapy) and the engineering sciences (biomedical and electrical). Since the physical sciences are used in the measurement of a biological process, the presentation of the theoretical foundations of EMG is most conveniently conducted using math and physics. However, given the multidisciplinary nature of EMG, a course will most likely include students from diverse backgrounds, with varying levels of math and physics. This is a pedagogical paper that outlines an approach for teaching foundational concepts in EMG to kinesiologists and physical therapists that uses a combination of analogies, visual descriptions, and qualitative analysis of biophysical concepts to develop an intuitive understanding for those who are new to surface EMG. The approach focuses on muscle fiber action potentials (MFAPs), motor unit action potentials (MUAPs), and compound muscle action potentials (CMAPs) because changes in these waveforms are much easier to identify and describe in comparison to the surface EMG interference pattern (IP).
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Affiliation(s)
- David A Gabriel
- Electromyographic Kinesiology Laboratory, Faculty of Applied Health Sciences, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1, Canada
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Reliability of surface electromyography in estimating muscle fiber conduction velocity: A systematic review. J Electromyogr Kinesiol 2019; 48:53-68. [DOI: 10.1016/j.jelekin.2019.06.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 05/28/2019] [Accepted: 06/12/2019] [Indexed: 11/22/2022] Open
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von Tscharner V. A model computation of how synchronization and clustering of motor unit action potentials alter the power spectra of electromyograms. Biomed Signal Process Control 2019. [DOI: 10.1016/j.bspc.2018.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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von Tscharner V, Ullrich M, Mohr M, Comaduran Marquez D, Nigg BM. A wavelet based time frequency analysis of electromyograms to group steps of runners into clusters that contain similar muscle activation patterns. PLoS One 2018; 13:e0195125. [PMID: 29668731 PMCID: PMC5906018 DOI: 10.1371/journal.pone.0195125] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Accepted: 03/16/2018] [Indexed: 11/18/2022] Open
Abstract
PURPOSE To wavelet transform the electromyograms of the vastii muscles and generate wavelet intensity patterns (WIP) of runners. Test the hypotheses: 1) The WIP of the vastus medialis (VM) and vastus lateralis (VL) of one step are more similar than the WIPs of these two muscles, offset by one step. 2) The WIPs within one muscle differ by having maximal intensities in specific frequency bands and these intensities are not always occurring at the same time after heel strike. 3) The WIPs that were recorded form one muscle for all steps while running can be grouped into clusters with similar WIPs. It is expected that clusters might have distinctly different, cluster specific mean WIPs. METHODS The EMG of the vastii muscles from at least 1000 steps from twelve runners were recorded using a bipolar current amplifier and yielded WIPs. Based on the weights obtained after a principal component analysis the dissimilarities (1-correlation) between the WIPs were computed. The dissimilarities were submitted to a hierarchical cluster analysis to search for groups of steps with similar WIPs. The clusters formed by random surrogate WIPs were used to determine whether the groups were likely to be created in a non-random manner. RESULTS The steps were grouped in clusters showing similar WIPs. The grouping was based on the frequency bands and their timing showing that they represented defining parts of the WIPs. The correlations between the WIPs of the vastii muscles that were recorded during the same step were higher than the correlations of WPIs that were recorded during consecutive steps, indicating the non-randomness of the WIPs. CONCLUSIONS The spectral power of EMGs while running varies during the stance phase in time and frequency, therefore a time averaged power spectrum cannot reflect the timing of events that occur while running. It seems likely that there might be a set of predefined patterns that are used upon demand to stabilize the movement.
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Affiliation(s)
- Vinzenz von Tscharner
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
| | - Martin Ullrich
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
| | - Maurice Mohr
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
| | - Daniel Comaduran Marquez
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
| | - Benno M. Nigg
- Faculty of Kinesiology, Human Performance Laboratory, University of Calgary, Calgary, Alberta, Canada
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Asmussen MJ, von Tscharner V, Nigg BM. Motor Unit Action Potential Clustering-Theoretical Consideration for Muscle Activation during a Motor Task. Front Hum Neurosci 2018; 12:15. [PMID: 29445332 PMCID: PMC5797735 DOI: 10.3389/fnhum.2018.00015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Accepted: 01/12/2018] [Indexed: 11/13/2022] Open
Abstract
During dynamic or sustained isometric contractions, bursts of muscle activity appear in the electromyography (EMG) signal. Theoretically, these bursts of activity likely occur because motor units are constrained to fire temporally close to one another and thus the impulses are "clustered" with short delays to elicit bursts of muscle activity. The purpose of this study was to investigate whether a sequence comprised of "clustered" motor unit action potentials (MUAP) can explain spectral and amplitude changes of the EMG during a simulated motor task. This question would be difficult to answer experimentally and thus, required a model to study this type of muscle activation pattern. To this end, we modeled two EMG signals, whereby a single MUAP was either convolved with a randomly distributed impulse train (EMG-rand) or a "clustered" sequence of impulses (EMG-clust). The clustering occurred in windows lasting 5-100 ms. A final mixed signal of EMG-clust and EMG-rand, with ratios (1:1-1:10), was also modeled. A ratio of 1:1 would indicate that 50% of MUAP were randomly distributed, while 50% of "clustered" MUAP occurred in a given time window (5-100 ms). The results of the model showed that clustering MUAP caused a downshift in the mean power frequency (i.e., ~30 Hz) with the largest shift occurring with a cluster window of 10 ms. The mean frequency shift was largest when the ratio of EMG-clust to EMG-rand was high. Further, the clustering of MUAP also caused a substantial increase in the amplitude of the EMG signal. This model potentially explains an activation pattern that changes the EMG spectra during a motor task and thus, a potential activation pattern of muscles observed experimentally. Changes in EMG measurements during fatiguing conditions are typically attributed to slowing of conduction velocity but could, per this model, also result from changes of the clustering of MUAP. From a clinical standpoint, this type of muscle activation pattern might help describe the pathological movement issues in people with Parkinson's disease or essential tremor. Based on our model, researchers moving forward should consider how MUAP clustering influences EMG spectral and amplitude measurements and how these changes influence movements.
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Affiliation(s)
| | | | - Benno M Nigg
- Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
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Zoppirolli C, Pellegrini B, Bortolan L, Schena F. Effects of short-term fatigue on biomechanical and physiological aspects of double poling in high-level cross-country skiers. Hum Mov Sci 2016; 47:88-97. [PMID: 26904974 DOI: 10.1016/j.humov.2016.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Revised: 01/12/2016] [Accepted: 02/15/2016] [Indexed: 11/16/2022]
Abstract
The study aim was to evaluate biomechanical and physiological alterations in double poling technique (DP) after a short-term fatiguing exercise. Eight high-level skiers performed a sub-maximal DP trial (20kmh(-1), 1°) before (PRE) and after (POST) a DP test to exhaustion while roller skiing on a treadmill. An integrated analysis of DP technique during PRE and POST included measurement of pole, joint, and centre of mass (COM) kinematics, poling forces, cycle timing, and metabolic parameters. Muscle fatigue in three upper-body muscles was assessed by calculating the Dimitrov' fatigue index (FInms5) of specific electromyographic segments. FInms5 tended to increase in the latissimus dorsi and teres major muscles (P=0.023 and P=0.030, respectively) across consecutive DP cycles, as did blood lactate concentration (P=0.001) and rating of perceived exertion (P=0.005). The changes indicated a state of fatigue during POST and coincided with the reduction in poling force exertion capacity (P=0.020). Pole, joint and COM kinematics did not differ between PRE and POST (P>0.050), whereas recovery phase and cycle times were shorter at POST (P<0.001 and P=0.001, respectively). Short-term fatigue led to a reduction in poling force exertion capacity and cycle time in high-level skiers, without altering body and pole kinematics.
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Affiliation(s)
- Chiara Zoppirolli
- CeRiSM (Research Center Sport Mountain & Health), Rovereto, Italy; Neurological and Movement Science Department, University of Verona, Italy.
| | - Barbara Pellegrini
- CeRiSM (Research Center Sport Mountain & Health), Rovereto, Italy; Neurological and Movement Science Department, University of Verona, Italy
| | - Lorenzo Bortolan
- CeRiSM (Research Center Sport Mountain & Health), Rovereto, Italy; Neurological and Movement Science Department, University of Verona, Italy
| | - Federico Schena
- CeRiSM (Research Center Sport Mountain & Health), Rovereto, Italy; Neurological and Movement Science Department, University of Verona, Italy
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Martinez-Valdes E, Guzman-Venegas RA, Silvestre RA, Macdonald JH, Falla D, Araneda OF, Haichelis D. Electromyographic adjustments during continuous and intermittent incremental fatiguing cycling. Scand J Med Sci Sports 2015; 26:1273-1282. [DOI: 10.1111/sms.12578] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2015] [Indexed: 11/28/2022]
Affiliation(s)
- E. Martinez-Valdes
- University Outpatient Clinic; Sports Medicine and Sports Orthopaedics; University of Potsdam; Potsdam Germany
| | - R. A. Guzman-Venegas
- Facultad de Medicina; Escuela de Kinesiología; Universidad de Los Andes; Santiago Chile
| | - R. A. Silvestre
- Faculty of Medicine; School of Kinesiology; Mayor University; Santiago Chile
| | - J. H. Macdonald
- School of Sport, Health and Exercise Sciences; Bangor University; Bangor UK
| | - D. Falla
- Department of Neurorehabilitation Engineering; Bernstein Focus Neurotechnology Göttingen; Bernstein Center for Computational Neuroscience; University Medical Center; Göttingen Germany
| | - O. F. Araneda
- Facultad de Medicina; Escuela de Kinesiología; Universidad de Los Andes; Santiago Chile
| | - D. Haichelis
- Instituto de Ciencias del Ejercicio; Universidad Santo Tomás; Santiago Chile
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Napoli NJ, Mixco AR, Bohorquez JE, Signorile JF. An EMG comparative analysis of quadriceps during isoinertial strength training using nonlinear scaled wavelets. Hum Mov Sci 2015; 40:134-53. [DOI: 10.1016/j.humov.2014.12.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2014] [Revised: 12/12/2014] [Accepted: 12/15/2014] [Indexed: 12/01/2022]
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Tscharner VV, Barandun M, Stirling LM. Piper rhythm of the electromyograms of the abductor pollicis brevis muscle during isometric contractions. J Electromyogr Kinesiol 2011; 21:184-9. [DOI: 10.1016/j.jelekin.2010.10.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2009] [Revised: 10/10/2010] [Accepted: 10/11/2010] [Indexed: 10/18/2022] Open
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Leporace G, Pereira GR, Nadal J, Batista LA. Differences in time-frequency representation of lower limbs myoelectric activity during single and double leg landing in male athletes. J Electromyogr Kinesiol 2011; 21:506-11. [PMID: 21195629 DOI: 10.1016/j.jelekin.2010.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2010] [Revised: 10/28/2010] [Accepted: 12/02/2010] [Indexed: 11/26/2022] Open
Abstract
This study compared the instantaneous median frequency (IMF) obtained by means of a Choi-Williams transform of an electromyogram of the lower-limb muscles during single-leg (SL) and double-leg (DL) landings performed by fifteen male athletes. The IMF values of the rectus femoris (RF), biceps femoris (BF) and hip adductors (HA) were compared between two landing tasks, within each landing, and before and after ground contact (GC). The IMF values of the RF did not change between landings in contrast to those of the BF, which presented from 20- to 40-ms higher SL values before GC and from 40 to 60 ms after GC. HA presented higher SL values during the 40-60 ms range before GC. Within each landing, the RF IMF decreased from 40 ms to 60 ms after GC in the SL. Similar results were found for the HA IMF, which decreased from 40ms to 80 ms after GC. The BF IMF showed no significant change. These results suggest muscle recruitment related to anterior cruciate ligament protection since the IMF values of the RF decreased in the SL, whereas the BF IMF increased. Results for the HA showed the importance of hip muscles in stabilizing the core region, allowing the activation of distal muscles with greater safety.
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Affiliation(s)
- Gustavo Leporace
- Laboratory of Biomechanics and Motor Behavior, State University of Rio de Janeiro, Rio de Janeiro, Brazil
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Adaptations of upper trapezius muscle activity during sustained contractions in women with fibromyalgia. J Electromyogr Kinesiol 2010; 20:457-64. [DOI: 10.1016/j.jelekin.2009.07.002] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2009] [Revised: 07/08/2009] [Accepted: 07/08/2009] [Indexed: 11/20/2022] Open
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Farella M, Palla S, Gallo LM. Time-frequency analysis of rhythmic masticatory muscle activity. Muscle Nerve 2009; 39:828-36. [DOI: 10.1002/mus.21262] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Falla D, Farina D, Kanstrup Dahl M, Graven-Nielsen T. Pain-induced changes in cervical muscle activation do not affect muscle fatigability during sustained isometric contraction. J Electromyogr Kinesiol 2008; 18:938-46. [PMID: 17632012 DOI: 10.1016/j.jelekin.2007.05.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2007] [Revised: 05/30/2007] [Accepted: 05/30/2007] [Indexed: 11/20/2022] Open
Abstract
This study investigated whether pain-induced changes in cervical muscle activation affect myoelectric manifestations of cervical muscle fatigue. Surface EMG signals were detected from the sternocleidomastoid and splenius capitis muscles bilaterally from 14 healthy subjects during 20-s cervical flexion contractions at 25% of the maximal force. Measurements were performed before and after the injection of 0.5 ml of hypertonic (painful) or isotonic (control) saline into either the sternocleidomastoid or splenius capitis in two experimental sessions. EMG average rectified value and mean power spectral frequency were estimated throughout the sustained contraction. Sternocleidomastoid or splenius capitis muscle pain resulted in lower sternocleidomastoid EMG average rectified value on the side of pain (P < 0.01). However, changes over time of sternocleidomastoid EMG average rectified value and mean frequency (myoelectric manifestations of fatigue) during sustained flexion were not changed during muscle pain. These results demonstrate that pain-induced modifications of cervical muscle activity do not change myoelectric manifestations of fatigue. This finding has implications for interpreting the mechanisms underlying greater cervical muscle fatigue in people with neck pain disorders.
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Affiliation(s)
- Deborah Falla
- Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7, D-3, DK-9220 Aalborg, Denmark.
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von Tscharner V, Nigg BM. Point:Counterpoint: Spectral properties of the surface EMG can characterize/do not provide information about motor unit recruitment strategies and muscle fiber type. J Appl Physiol (1985) 2008; 105:1671-3. [DOI: 10.1152/japplphysiol.90598.2008] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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von Walden F, Pozzo M, Elman T, Tesch PA. Muscle fluid shift does not alter EMG global variables during sustained isometric actions. J Electromyogr Kinesiol 2008; 18:849-56. [PMID: 17466537 DOI: 10.1016/j.jelekin.2007.03.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2006] [Revised: 03/05/2007] [Accepted: 03/05/2007] [Indexed: 11/21/2022] Open
Abstract
Body fluid redistribution occurs in astronauts traveling in space, potentially altering interstitial water content and hence impedance. This in turn may impact the features of electromyographic (EMG) signals measured to compare in-flight muscle function with pre- and post-flight conditions. Thus, the current study aimed at investigating the influence of similar fluid shifts on EMG spectral variables during muscle contractile activity. Ten men performed sustained isometric actions (120 s) at 20% and 60% of maximum voluntary contraction (MVC) following 1-h rest in the vertical or supine position. From single differential EMG signals, recorded from the soleus (SOL), the medial (MG) and lateral (LG) gastrocnemius muscles, initial value and rate of change over time (slope) of mean power frequency (MNF) and average rectified value (ARV) were assessed. MNF initial value showed dependence on muscle (P<0.01), but was unaffected by body tilt. MNF rate of change increased (P<0.001) with increased force and differed across muscles (P<0.05), but was not influenced (P=0.85) by altered body position. Thus, fluid shift resulting from vertical to supine tilt had no impact on myoelectrical manifestations of muscle fatigue. Furthermore, since such alteration of body fluid distribution resembles that occurring in microgravity, our findings suggest this may not be a methodological limitation, when comparing EMG fatigue indices on Earth versus in space.
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Affiliation(s)
- Ferdinand von Walden
- Karolinska Institutet, Department of Physiology, Section for Muscle and Exercise Physiology, Berzelius väg 13, SE-17177, Stockholm, Sweden
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Roman-Liu D, Konarska M. Characteristics of power spectrum density function of EMG during muscle contraction below 30%MVC. J Electromyogr Kinesiol 2008; 19:864-74. [PMID: 18590966 DOI: 10.1016/j.jelekin.2008.05.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2007] [Revised: 05/15/2008] [Accepted: 05/17/2008] [Indexed: 10/21/2022] Open
Abstract
The aim of the study was to quantify changes in PSDF frequency bands of the EMG signal and EMG parameters such as MF, MPF and zero crossing, with an increase in the level of muscle contractions in the range from 0.5% to 30% RMS(max) and to determine the frequency bands with the lowest dependency on RMS level so that this could be used in investigating muscle fatigue. Sixteen men, aged from 23 to 33 years old (mean 26.1), who participated in the study performed two force exertion tests. Fragments of EMG which corresponded to the levels of muscle contraction of 0.5%, 1%, 2.5%, 5%, 10%, 15%, 20%, 25%, 30% RMS(max) registered from left and right trapezius pars descendents (TP) and left and right extensor digitorum superficialis (ED) muscles were selected for analysis. The analysis included changes in standard parameters of the EMG signal and changes in PSDF frequency bands, which occurred across muscle contraction levels. To analyze changes in PSDF across the level of muscle contraction, the spectrum was divided into six frequency bandwidths. The analysis of parameters focused on the differences in those parameters between the analyzed muscles, at different levels of muscle contraction. The study revealed that, at muscle contraction levels below 5% RMSmax, contraction level influences standard parameters of the EMG signal and that at such levels of muscle contraction every change in muscle contraction level (recruitment of additional MUs) is reflected in PSDF. The frequency band with the lowest dependency on contraction level was 76-140 Hz for which in both muscles no contraction level effect was detected for contraction levels above 5% RMS(max). The reproducibility of the results was very high, since the observations in of the left and right muscles were almost equal. The other factor, which strongly influences PSDF of the EMG signal, is probably the examined muscle structure (muscle morphology, size, function, subcutaneous layer, cross talk). It seems that low frequency bands up to 25 Hz are especially feasible for type of muscle.
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Affiliation(s)
- Danuta Roman-Liu
- Central Institute for Labour Protection - National, Research Institute, ul. Czerniakowska 16, 00-701 Warsaw, Poland.
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Farina D, Falla D. Estimation of muscle fiber conduction velocity from two-dimensional surface EMG recordings in dynamic tasks. Biomed Signal Process Control 2008. [DOI: 10.1016/j.bspc.2007.05.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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MACDONALD JAMIEHUGO, FARINA DARIO, MARCORA SAMUELEM. Response of Electromyographic Variables during Incremental and Fatiguing Cycling. Med Sci Sports Exerc 2008; 40:335-44. [DOI: 10.1249/mss.0b013e31815b491e] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Lee CJ, Kim SG, Kim YJ, Han JY, Choi SH, Lee SI. Electrophysiologic Change and Facial Contour following Botulinum Toxin A Injection in Square Faces. Plast Reconstr Surg 2007; 120:769-778. [PMID: 17700130 DOI: 10.1097/01.prs.0000271068.71399.ae] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND This study was proposed to evaluate the facial contour and electrophysiologic changes of the masseter and temporalis muscles before and after botulinum toxin A injection in the wide lower face (square face). METHODS The botulinum toxin A injections were performed on 10 patients for the treatment of square face with masseter hypertrophy. To obtain an objective evaluation of the change in the facial contour, physical measurements, cephalometry, and clinical photographs were taken; and for evaluation of the function of the masseter and temporalis muscles, electromyographic studies were performed before and 1, 3, 5, 7, 9, and 12 months after treatment. RESULTS By physical measurements and cephalometry, the maximal reduction in lower facial contour (mean reduction, 6.6 mm by physical measurements and 7.5 mm by cephalometry) was observed 3 months after the injection, and increased slowly until 12 months after treatment. The maximal amplitude of the right and left masseter muscles decreased to the lowest value 1 month after treatment, with continuous increase being observed thereafter. There were statistically significant differences at all of the follow-up time points in reduction of lower facial contour by physical measurements and in electromyographic studies of the left masseter muscles. There was no hypertrophy of the temporalis muscle to compensate for the atrophy of the masseter muscles. CONCLUSIONS In this study, there was a 2-month interval between the lowest value of the maximal amplitude of the surface electromyography and the maximal clinical effects following botulinum toxin A injection, and there was similarity between the recovery of the masseter function and the diminution of the clinical effect. The clinical effect of botulinum toxin A persisted for 12 months after treatment on physical measurements, and the authors felt that this long-lasting effect of botulinum toxin A beyond expectation could be explained by incomplete recovery of muscle function.
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Affiliation(s)
- Choong Jae Lee
- Incheon, South Korea From the Departments of Plastic and Reconstructive Surgery and Neurology, College of Medicine, Inha University
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Abstract
This review focuses on methods for extracting information from the surface EMG recorded in dynamic contractions. It examines the techniques, requirements, and limitations associated with detecting the timing of muscle activation, assessing the modulation of signal amplitude, performing EMG spectral analysis, and estimating conduction velocity. The conclusion is that interpretation of the surface EMG in dynamic tasks requires caution.
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Affiliation(s)
- Dario Farina
- Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
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Beck TW, Housh TJ, Johnson GO, Cramer JT, Weir JP, Coburn JW, Malek MH. Electromyographic instantaneous amplitude and instantaneous mean power frequency patterns across a range of motion during a concentric isokinetic muscle action of the biceps brachii. J Electromyogr Kinesiol 2006; 16:531-9. [PMID: 16368246 DOI: 10.1016/j.jelekin.2005.10.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2005] [Revised: 09/15/2005] [Accepted: 10/05/2005] [Indexed: 11/17/2022] Open
Abstract
The purpose of this study was to examine the electromyographic (EMG) instantaneous amplitude (IA) and instantaneous mean power frequency (IMPF) patterns for the biceps brachii muscle across a range of motion during maximal and submaximal concentric isokinetic muscle actions of the forearm flexors. Ten adults (mean +/- SD age = 22.0 +/- 3.4 years) performed a maximal and a submaximal [20% peak torque (PT)] concentric isokinetic forearm flexion muscle action at a velocity of 30 degrees s(-1). The surface EMG signal was detected from the biceps brachii muscle with a bipolar electrode arrangement, and the EMG IA and IMPF versus time relationships were examined for each subject using first- and second-order polynomial regression models. The results indicated that there were no consistent patterns between subjects for EMG IA or IMPF with increases in torque across the range of motion. Some of the potential nonphysiological factors that could influence the amplitude and/or frequency contents of the surface EMG signal during a dynamic muscle action include movement of the muscle fibers and innervation zone beneath the skin surface, as well as changes in muscle fiber length and the thickness of the tissue layer between the muscle and the recording electrodes. These factors may affect the EMG IA and IMPF patterns differently for each subject, thereby increasing the difficulty of drawing any general conclusions regarding the motor control strategies that increase torque across a range of motion.
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Affiliation(s)
- Travis W Beck
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, Lincoln, NE 68583-0806, USA.
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Pozzo M, Alkner B, Norrbrand L, Farina D, Tesch PA. Muscle-fiber conduction velocity during concentric and eccentric actions on a flywheel exercise device. Muscle Nerve 2006; 34:169-77. [PMID: 16688721 DOI: 10.1002/mus.20574] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A gravity-independent flywheel exercise device (FWED) has been proven effective as a countermeasure to loss of strength and muscle atrophy induced by simulated microgravity. This study assessed muscle-fiber conduction velocity (CV) and surface EMG instantaneous mean power spectral frequency (iMNF) during brief bouts of fatiguing concentric (CON) and eccentric (ECC) exercise on a FWED in order to identify electromyographic (EMG) variables that can be used to provide objective indications of muscle status when exercising with a FWED. Multichannel surface EMG signals were recorded from vastus lateralis and medialis muscles of nine men during: (1) isometric, 60-s action at 50% of maximum voluntary action (MVC); (2) two isometric, linearly increasing force ramps (0-100% MVC); and (3) dynamic CON/ECC coupled actions on the FWED. Muscle-fiber CV and iMNF were computed over time during the three tasks. During ramps, CV, but not iMNF, increased with force (P < 0.001). Conduction velocity and iMNF decreased with the same normalized rate of change in constant-force actions. During CON/ECC actions, the normalized rate of change over time was larger for CV than iMNF (P < 0.05). These results suggest that, during fatiguing, dynamic, variable-force tasks, changes in CV cannot be indirectly inferred by EMG spectral analysis. This underlines the importance of measuring both CV and spectral variables for muscle assessment in dynamic tasks.
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Affiliation(s)
- Marco Pozzo
- Department of Physiology and Pharmacology, Section for Muscle and Exercise Physiology, Karolinska Institutet, Berzelius väg 13, SE17177 Stockholm, Sweden.
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Beck TW, Housh TJ, Weir JP, Cramer JT, Vardaxis V, Johnson GO, Coburn JW, Malek MH, Mielke M. An examination of the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test for assessing surface EMG signal stationarity. J Neurosci Methods 2006; 156:242-8. [PMID: 16621017 DOI: 10.1016/j.jneumeth.2006.03.011] [Citation(s) in RCA: 44] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2005] [Revised: 03/07/2006] [Accepted: 03/13/2006] [Indexed: 11/19/2022]
Abstract
The purpose of this study was to examine the accuracy of the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test for assessing stationarity of surface electromyographic (EMG) signals. Five stationary signals were generated by custom programs written with LabVIEW programming software. These signals consisted of sine waves, sums of sine waves, and sums of sine waves and random noise. The sixth signal was a stationary computer generated surface EMG signal downloaded from the surface EMG for the non-invasive assessment of muscles (SENIAM) project database. There were no changes in the amplitude or frequency contents of the stationary signals over time. Several nonstationary signals were also created, including a nonstationary chirp signal generated with LabVIEW programming software, a nonstationary computer generated surface EMG signal downloaded from the SENIAM project database, and a real surface EMG signal recorded from the biceps brachii during a concentric isokinetic muscle action of the forearm flexors at a velocity of 30 degrees s(-1). Both the stationary and nonstationary signals were tested for stationarity using the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test. The results indicated that each of the three stationarity tests demonstrated at least one form of inaccuracy (i.e. false positive and/or false negative results) in examining the stationarity of the test signals. These findings may reflect the fact that these tests were designed to determine whether or not a signal is random, rather than examine signal stationarity exclusively. Thus, the Runs Test, Reverse Arrangements Test, and modified Reverse Arrangements Test may not be appropriate for assessing stationarity in surface EMG signals.
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Affiliation(s)
- Travis W Beck
- Department of Nutrition and Health Sciences, Human Performance Laboratory, University of Nebraska-Lincoln, Lincoln, NE 68583-0806, USA.
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Falla D, Graven-Nielsen T, Farina D. Spatial and temporal changes of upper trapezius muscle fiber conduction velocity are not predicted by surface EMG spectral analysis during a dynamic upper limb task. J Neurosci Methods 2006; 156:236-41. [PMID: 16621005 DOI: 10.1016/j.jneumeth.2006.03.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2005] [Revised: 03/07/2006] [Accepted: 03/08/2006] [Indexed: 11/18/2022]
Abstract
The purpose of the study was to examine the temporal and spatial correlation between estimates of trapezius muscle fiber conduction velocity (CV) and surface EMG instantaneous mean power spectral frequency (iMPF) during dynamic movement of the upper limb. Surface EMG signals were detected from the upper division of the trapezius muscle in 13 healthy volunteers using linear arrays of eight electrodes at three locations in the cephalad-caudal direction. Subjects were asked to tap with their hands in a cyclic manner between targets positioned mid thigh and 120 degrees of shoulder flexion, to the beat of a metronome set at 88 beats per minute for 5 min. Muscle fiber CV and iMPF were estimated for each cycle at the time instant corresponding to 90 degrees of shoulder flexion. Non-significant correlations were identified between CV and iMPF initial values (R(2)=0.03-0.01), rate of change over time (R(2)=0.10-0.004) and normalized rate of change (R(2)=0.12-0.01) at all three locations on the upper trapezius muscle. These results demonstrate that both spatial and temporal variations in trapezius muscle fiber CV are not predicted by EMG spectral analysis during dynamic movement of the upper limb. This finding suggests that spectral analysis cannot be used to infer changes in the spatial and temporal behavior of muscle fiber CV during dynamic tasks.
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Affiliation(s)
- Deborah Falla
- Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, DK-9220 Aalborg, Denmark.
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Farina D, Ferguson RA, Macaluso A, De Vito G. Correlation of average muscle fiber conduction velocity measured during cycling exercise with myosin heavy chain composition, lactate threshold, and VO2max. J Electromyogr Kinesiol 2006; 17:393-400. [PMID: 16709460 DOI: 10.1016/j.jelekin.2006.03.003] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2005] [Revised: 03/11/2006] [Accepted: 03/13/2006] [Indexed: 11/22/2022] Open
Abstract
The aim of the study was to investigate the correlation between myosin heavy chain (MHC) composition, lactate threshold (LT), maximal oxygen uptake VO2max, and average muscle fiber conduction velocity (MFCV) measured from surface electromyographic (EMG) signals during cycling exercise. Ten healthy male subjects participated in the study. MHC isoforms were identified from a sample of the vastus lateralis muscle and characterized as type I, IIA, and IIX. At least three days after a measure of LT and VO2max, the subjects performed a 2-min cycling exercise at 90 revolutions per minute and power output corresponding to LT, during which surface EMG signals were recorded from the vastus lateralis muscle with an adhesive electrode array. MFCV and instantaneous mean power spectral frequency of the surface EMG were estimated at the maximal instantaneous knee angular speed. Output power corresponding to LT and VO2max were correlated with percentage of MHC I (R2=0.77; and 0.42, respectively; P<0.05). MFCV was positively correlated with percentage of MHC I, power corresponding to LT and to VO2max (R2=0.84; 0.74; 0.53, respectively; P<0.05). Instantaneous mean power spectral frequency was not correlated with any of these variables or with MFCV, thus questioning the use of surface EMG spectral analysis for indirect estimation of MFCV in dynamic contractions.
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Affiliation(s)
- Dario Farina
- Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Fredrik Bajers Vej 7 D-3, Aalborg University, DK-9220 Aalborg, Denmark.
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Falla D, Farina D. Muscle fiber conduction velocity of the upper trapezius muscle during dynamic contraction of the upper limb in patients with chronic neck pain. Pain 2005; 116:138-45. [PMID: 15927379 DOI: 10.1016/j.pain.2005.03.038] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2004] [Revised: 02/15/2005] [Accepted: 03/30/2005] [Indexed: 11/19/2022]
Abstract
The purpose of this study was to compare average muscle fiber conduction velocity (CV) and its changes over time in the upper trapezius muscle during a repetitive upper limb task in people with chronic neck pain and in healthy controls. Surface EMG signals were detected bilaterally from the upper trapezius muscle of 19 patients and nine healthy controls using linear adhesive arrays of four electrodes. Subjects were asked to tap their hands in a cyclic manner between targets positioned mid-thigh and 120 degrees of shoulder flexion, to the beat of a metronome set at 88 beats/min for up to 5 min. Muscle fiber CV and instantaneous mean power spectral frequency were estimated for each cycle at the time instant corresponding to 90 degrees of shoulder flexion. Average muscle fiber CV of the upper trapezius muscle was higher in people with chronic neck pain (mean+/-SE, 4.8+/-0.1m/s) than in control subjects (4.4+/-0.1 m/s; P<0.05). Furthermore, the exercise-induced decrease in CV over time was enhanced in the patient group (P<0.05). It was concluded that membrane muscle fiber properties of the upper trapezius and their changes over time during dynamic contraction of the upper limb are different in a sample of people with chronic neck pain with respect to controls. This may be associated with the histological and morphological changes, which have previously been identified in people with pain over the trapezius muscle.
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Affiliation(s)
- Deborah Falla
- Division of Physiotherapy, The University of Queensland, Brisbane, Qld 4072, Australia.
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