Novel pseudo-wavelet function for MMG signal extraction during dynamic fatiguing contractions

Targeting Transcutaneous Spinal Cord Stimulation Using a Supervised Machine Learning Approach Based on Mechanomyography

Transcutaneous spinal cord stimulation (tSCS) provides a promising therapy option for individuals with injured spinal cords and multiple sclerosis patients with spasticity and gait deficits. Before the therapy, the examiner determines a suitable electrode position and stimulation current for a controlled application. For that, amplitude characteristics of posterior root muscle (PRM) responses in the electromyography (EMG) of the legs to double pulses are examined. This laborious procedure holds potential for simplification due to time-consuming skin preparation, sensor placement, and required expert knowledge. Here, we investigate mechanomyography (MMG) that employs accelerometers instead of EMGs to assess muscle activity. A supervised machine-learning classification approach was implemented to classify the acceleration data into no activity and muscular/reflex responses, considering the EMG responses as ground truth. The acceleration-based calibration procedure achieved a mean accuracy of up to 87% relative to the classical EMG approach as ground truth on a combined cohort of 11 healthy subjects and 11 patients. Based on this classification, the identified current amplitude for the tSCS therapy was in 85%, comparable to the EMG-based ground truth. In healthy subjects, where both therapy current and position have been identified, 91% of the outcome matched well with the EMG approach. We conclude that MMG has the potential to make the tuning of tSCS feasible in clinical practice and even in home use.

Biometrics Verification Modality Using Multi-Channel sEMG Wearable Bracelet

Electrical biosignals have the potential for use as biometric authenticators, owing to their ability to facilitate liveness detection and concealed nature. In this work, the viability of using surface electromyogram (sEMG) as a biometric modality for users verification is investigated. A database of multi-channel sEMG signals is created using a wearable armband from able-bodied users. Each user used his/her muscles to form a password that consists of a unique combination of specific hand gestures. A total of 18 features are extracted from the signals in order to distinguish between the users. Several features are extracted in the frequency domain after estimating the power spectral density while using the Welch’s method. Specifically, average frequency, signal power, median frequency, Kurtosis, Deciles, coefficient of dissymmetry, and the peak frequency of the sEMG signal are considered. To further increase the accuracy of the classifier, time domain features are also extracted through segmentation of the signal into 10 segments, and then calculating both the root mean square and length of the signal. Several classifiers that are based on K-nearest Neighbors (KNN), Linear Discernment Analysis (LDA), and Ensemble of Classifiers are constructed, trained, and statistically compared, resulting in an average accuracy in 97.4%, 98.3%, and 98.5%, respectively. False acceptance rate (FAR) and False Rejection Rate (FRR) are estimated for each classifier in order to determine the effectiveness of the biometrics verification system. Although the ensemble classifier accuracy was found to be the highest, the results show that the KNN classifier exhibits a FAR of 0.2% and FRR of 2.9%. Thus, the KNN classifier was found to he the optimum classifier after the extraction of all 18 features. This work demonstrates the usefulness of sEMG as a biometric authenticator in user verification.

Application of Modern Multi-Sensor Holter in Diagnosis and Treatment

Modern Holter devices are very trendy tools used in medicine, research, or sport. They monitor a variety of human physiological or pathophysiological signals. Nowadays, Holter devices have been developing very fast. New innovative products come to the market every day. They have become smaller, smarter, cheaper, have ultra-low power consumption, do not limit everyday life, and allow comfortable measurements of humans to be accomplished in a familiar and natural environment, without extreme fear from doctors. People can be informed about their health and 24/7 monitoring can sometimes easily detect specific diseases, which are normally passed during routine ambulance operation. However, there is a problem with the reliability, quality, and quantity of the collected data. In normal life, there may be a loss of signal recording, abnormal growth of artifacts, etc. At this point, there is a need for multiple sensors capturing single variables in parallel by different sensing methods to complement these methods and diminish the level of artifacts. We can also sense multiple different signals that are complementary and give us a coherent picture. In this article, we describe actual interesting multi-sensor principles on the grounds of our own long-year experiences and many experiments.

A biosignal analysis for reducing prosthetic control durations: a proposed method using electromyographic and mechanomyographic control theory

OBJECTIVES

This project proposes a unique methodology utilizing electromyography and mechanomyography to determine the intensity of a desired movement which may be useful in further developing decomposition algorithms for prosthetic controls.

METHODS

Ten males performed isometric leg extension muscle actions corresponding to 20, 40, 60, 80, and 100% of their maximal voluntary isometric contraction force. The duration and amplitude of the gross lateral movement of the mechanomyographic signal as well as electromechanical delay were measured during each contraction.

RESULTS

The results indicated that the duration of the gross lateral movement decreased with increases in intensity (20<40=60<80<100% maximal voluntary isometric contraction) and that the amplitude of the gross lateral movement increased with increases in intensity (20<40=60<80<100% maximal voluntary isometric contraction). In addition, electromechanical delay decreased with each increase in intensity. These measurements occurred within 40 ms from the onset of the electromyographic signal.

CONCLUSIONS

Thus, these measurements may be incorporated into existing prosthetic control algorithms to reduce grasp times and identify the intensity of a movement earlier. In addition, the gross lateral movement and electromechanical delay measurements may provide more intuitive controls for prosthetic users.

Mechanomyography-based muscle fatigue detection during electrically elicited cycling in patients with spinal cord injury

Patients with spinal cord injury (SCI) benefit from muscle training with functional electrical stimulation (FES). For safety reasons and to optimize training outcome, the fatigue state of the target muscle must be monitored. Detection of muscle fatigue from mel frequency cepstral coefficient (MFCC) feature of mechanomyographic (MMG) signal using support vector machine (SVM) classifier is a promising new approach. Five individuals with SCI performed FES cycling exercises for 30 min. MMG signals were recorded on the quadriceps muscle group (rectus femoris (RF), vastus lateralis (VL), vastus medialis (VM)) and categorized into non-fatigued and fatigued muscle contractions for the first and last 10 min of the cycling session. For each subject, a total of 1800 contraction-related MMG signals were used to train the SVM classifier and another 300 signals were used for testing. The average classification accuracy (4-fold) of non-fatigued and fatigued state was 90.7% using MFCC feature, 74.5% using root mean square (RMS), and 88.8% with combined MFCC and RMS features. Inter-subject prediction accuracy suggested training and testing data to be based on a particular subject or large collection of subjects to improve fatigue prediction capacity. Graphical abstract ᅟ.

A systematic review of muscle activity assessment of the biceps brachii muscle using mechanomyography

This systematic review aims to categorically analyses the literature on the assessment of biceps brachii (BB) muscle activity through mechanomyography (MMG). The application of our search criteria to five different databases identified 319 studies. A critical review of the 48 finally selected records, revealed the diversity of protocols and parameters that are employed in MMG-based assessments of BB muscle activity. The observations were categorized into the following: muscle torque, fatigue, strength and physiology. The available information on the muscle contraction protocol, sensor(s), MMG signal parameters and obtained results were then tabulated based on these categories for further analysis. The review affirms that - 1) MMG is suitable for skeletal muscle activity assessment and can be employed potentially for further investigation of the BB muscle activity and condition (e.g., force, torque, fatigue, and contractile properties), 2) a majority of the records focused on static contractions of the BB, and the analysis of dynamic muscle contractions using MMG is thus a research gap, and 3) very few studies have focused on the analysis of BB muscle activity under externally stimulated contractions. Taken together, the findings of this review on BB activity assessment using MMG affirm the potential of MMG as an alternative tool.

Super wavelet for sEMG signal extraction during dynamic fatiguing contractions

In this research an algorithm was developed to classify muscle fatigue content from dynamic contractions, by using a genetic algorithm (GA) and a pseudo-wavelet function. Fatiguing dynamic contractions of the biceps brachii were recorded using Surface Electromyography (sEMG) from thirteen subjects. Labelling the signal into two classes (Fatigue and Non-Fatigue) aided in the training and testing phase. The genetic algorithm was used to develop a pseudo-wavelet function that can optimally decompose the sEMG signal and classify the fatigue content of the signal. The evolved pseudo wavelet was tuned using the decomposition of 70% of the sEMG trials. 28 independent pseudo-wavelet evolution were run, after which the best run was selected and then tested on the remaining 30% of the trials to measure the classification performance. Results show that the evolved pseudo-wavelet improved the classification rate of muscle fatigue by 4.45 percentage points to 14.95 percentage points when compared to other standard wavelet functions (p<0.05), giving an average correct classification of 87.90%.

Mechanomyographic parameter extraction methods: an appraisal for clinical applications

The research conducted in the last three decades has collectively demonstrated that the skeletal muscle performance can be alternatively assessed by mechanomyographic signal (MMG) parameters. Indices of muscle performance, not limited to force, power, work, endurance and the related physiological processes underlying muscle activities during contraction have been evaluated in the light of the signal features. As a non-stationary signal that reflects several distinctive patterns of muscle actions, the illustrations obtained from the literature support the reliability of MMG in the analysis of muscles under voluntary and stimulus evoked contractions. An appraisal of the standard practice including the measurement theories of the methods used to extract parameters of the signal is vital to the application of the signal during experimental and clinical practices, especially in areas where electromyograms are contraindicated or have limited application. As we highlight the underpinning technical guidelines and domains where each method is well-suited, the limitations of the methods are also presented to position the state of the art in MMG parameters extraction, thus providing the theoretical framework for improvement on the current practices to widen the opportunity for new insights and discoveries. Since the signal modality has not been widely deployed due partly to the limited information extractable from the signals when compared with other classical techniques used to assess muscle performance, this survey is particularly relevant to the projected future of MMG applications in the realm of musculoskeletal assessments and in the real time detection of muscle activity.