EMG-EMG coherence during voluntary control of human standing tasks: a systematic scoping review

Intermuscular Coherence during Quiet Standing in Sub-Acute Patients after Stroke: An Exploratory Study

Asymmetrically impaired standing control is a prevalent disability among stroke patients; however, most of the neuromuscular characteristics are unclear. Therefore, the main purpose of this study was to investigate between-limb differences in intermuscular coherence during quiet standing. Consequently, 15 patients who had sub-acute stroke performed a quiet standing task without assistive devices, and electromyography was measured on the bilateral tibialis anterior (TA), soleus (SL), and medial gastrocnemius (MG). The intermuscular coherence of the unilateral synergistic (SL-MG) pair and unilateral antagonist (TA-SL and TA-MG) pairs in the delta (0-5 Hz) and beta (15-35 Hz) bands were calculated and compared between the paretic and non-paretic limbs. The unilateral synergistic SL-MG coherence in the beta band was significantly greater in the non-paretic limb than in the paretic limb (p = 0.017), while unilateral antagonist TA-MG coherence in the delta band was significantly greater in the paretic limb than in the non-paretic limb (p < 0.01). During quiet standing, stroke patients showed asymmetry in the cortical control of the plantar flexor muscles, and synchronous control between the antagonistic muscles was characteristic of the paretic limb. This study identified abnormal muscle activity patterns and asymmetrical cortical control underlying impaired standing balance in patients with sub-acute stroke using an intermuscular coherence analysis.

Increased EMG-EMG coherence in the theta and alpha bands during bimanual force modulation

During the execution of movements, error correction processes have been inferred by EEG activation at oscillation frequencies in the theta (4-8 Hz) and alpha (8-12 Hz) bands. The current study examined whether evidence for error detection and correction could be found at the muscular level through the use of EMG-EMG coherence, which quantifies the amount of synchronous EMG activity between limbs in the frequency domain. Participants (n = 13) performed a bimanual force production task involving either wrist flexors or extensors under conditions in which the force was to be held constant or continuously modulated. As predicted, the modulation of changing force output resulted in significantly greater force variability and increased EMG-EMG coherence throughout the theta and alpha band for both flexor and extensor responses. These results are consistent with EEG activation frequencies associated with error correction, motor reprogramming and sustained attention and indicate that evidence for these cortical processes can also be observed at the muscular level in the form of correlated EMG frequency content between limbs.