Journal of Electromyography and Kinesiology

A literature review of the methodology of EMG recordings of the diaphragm

2009-05-08

Abstract: Introduction: EMG measurements of the diaphragm (rEMG) provide insight in to ventilatory muscle activity. Applicability of these measurements has improved, but literature of the different rEMG measurement techniques is inconsistent. This makes it difficult to compare studies of rEMG technique. This study summarizes the current available literature on rEMG and focuses on the validation of the techniques. Furthermore, we propose to use validation criteria to improve the quality, for further research.Methods: Pubmed, Ovid Medline and EMBASE were searched for studies describing rEMG experiments with transcutaneous (tc-rEMG) and/or transesophageal (te-rEMG) methods.Validation criteria included feasibility, repeatability, signal disturbance and ECG gating.Results: 650 studies were eligible for reviewing; 211 were excluded, and 39 articles described the measurement technique and were analyzed according to the criteria. 194 studies referred to another paper with a description of the technique and 206 failed to describe the technique nor had references to it.Conclusions: Many studies showed neither a description of the technique used, nor a validation of this technique. Others referred to studies that described the measurement technique. We propose that future studies on rEMG measurements at least meet the above mentioned criteria, in order to be able to compare study results.

Effects of posture, movement and hand load on shoulder muscle activity

Nicholas T. Antony, Peter J. Keir — 2009-05-27

Abstract: The influence of external factors such as arm posture, hand loading and dynamic exertion on shoulder muscle activity is needed to provide insight into the relationship between internal and external loading of the shoulder joint. Surface electromyography was collected from 8 upper extremity muscles on 16 participants who performed isometric and dynamic shoulder exertions in three shoulder planes (flexion, mid-abduction and abduction) covering four shoulder elevation angles (30°, 60°, 90° and 120°). Shoulder exertions were performed under three hand load conditions: no load, holding a 0.5kg load and 30% grip. It was found that adding a 0.5kg load to the hand increased shoulder muscle activity by 4% maximum voluntary excitation (MVE), across all postures and velocities. Performing a simultaneous shoulder exertion and hand grip led to posture specific redistribution of shoulder muscle activity that was consistent for both isometric and dynamic exertions. When gripping, anterior and middle deltoid activity decreased by 2% MVE, while posterior deltoid, infraspinatus and trapezius activity increased by 2% MVE and biceps brachii activity increased by 6% MVE. Increased biceps brachii activity with gripping may be an initiating factor for the changes in shoulder muscle activity. The finding that hand gripping altered muscle activation, and thus the internal loading, of the shoulder may play an important role in shoulder injury development and rehabilitation.

Scapulothoracic motion and muscle activity during the raising and lowering phases of an overhead reaching task

D. David Ebaugh, Bryan A. Spinelli — 2009-04-30

Abstract: Scapulothoracic muscle activity is essential for normal scapulothoracic motion. While previous research has furthered the understanding of scapulothoracic motion and muscle activity during the raising phase of motion, a gap exists with respect to the lowering phase. The purpose of this study was to compare scapulothoracic motion and scapulothoracic muscle activity between the raising and lowering phases of an overhead reaching task. Twenty healthy subjects volunteered to participate in the study. Three-dimensional scapulothoracic motion was collected using an electromagnetic device. Surface electromyography (EMG) was used to assess muscle activity from the upper trapezius, lower trapezius, and serratus anterior muscles. Overall scapulothoracic motion was similar for the raising and lowering phases of the overhead reaching task. However, significantly lower EMG amplitude values existed during the lowering phase across all muscles. Less muscle activity during the lowering phase may reflect differing neuromuscular control strategies between arm raising and lowering. These findings suggest that scapulothoracic muscle activation levels during eccentric contractions may be closer to an activation threshold below which their ability to control scapulothoracic motion may be compromised subsequently leading to altered scapulothoracic motion (scapular dyskinesis). This provides a possible explanation for why scapular dyskinesis is more notable during the lowering phase of motion.

Reduced scapular muscle control and impaired shoulder joint position sense in subjects with chronic shoulder stiffness

Jing-lan Yang, Mei-Hwa Jan, Cheng-Ju Hung, Pei-Lin Yang, Jiu-jenq Lin — 2009-06-15

Abstract: The purpose of the present study was to determine (1) if joint position sense (JPS) in subjects with shoulder stiffness (SS) differs from that in controls; (2) if, when JPS is reduced in SS, it is related to scapular muscular activities in the mid/end ranges of motion; and (3) if a person’s function is associated with his or her level of JPS. Eighteen subjects with unilateral SS and 18 controls were included. Each subject performed abduction by self-selecting an end/mid range position. The electromagnetic motion-capturing system collected kinematic data while surface electromyography collected muscle activities (upper trapezius, lower trapezius, and serratus anterior muscles). Subjects were asked to move the upper limb to the target position (end/mid range) accurately without visual guidance. Reduced JPS was observed in subjects with SS (2.7 degrees in mid range, p<0.05). The JPS was enhanced by an increased scapula muscular activation level in the end range of motion (R=−0.61 for SS and −0.41 for controls) and by coordination among muscles’ activation in the mid-range of motion (R=−0.87 for SS and R=−0.53 for controls). Impaired JPS was also related to self-reported functional status (R=−0.56) in subjects with SS. Shoulder JPS in subjects with chronic SS is impaired in comparison with controls. In the mid-range motion, the coordination of scapula muscular activation is related to shoulder JPS. Impaired JPS is also function-related in subjects with SS. These findings suggest that the coordination among scapula muscles’ activation were important to consider in the rehabilitation of patients with chronic SS.

Quantifying ‘normal’ shoulder muscle activity during abduction

James Wickham, Tania Pizzari, Katie Stansfeld, Amanda Burnside, Lyn Watson — 2009-07-22

Abstract: The purpose of this experiment was to obtain electromyographic (EMG) activity from a sample of healthy shoulders to allow a reference database to be developed and used for comparison with pathological shoulders. Temporal and intensity shoulder muscle activation characteristics during a coronal plane abduction/adduction movement were evaluated in the dominant healthy shoulder of 24 subjects. Surface and intramuscular fine wire electrodes recorded EMG activity from 15 shoulder muscles (deltoid×3, trapezius×3, subscapularis×2, latissimus dorsi, pectoralis major, pectoralis minor, supraspinatus, infraspinatus, serratus anterior and rhomboids) at 2000Hz for 10s whilst each subject performed 10 dynamic coronal plane abduction/adduction movements from 0° to 166° to 0° with a light dumbbell. Results revealed that supraspinatus (−.102s before movement onset) initiated the movement with middle trapezius (−.019s) and middle deltoid (−.014s) also activated before the movement onset. Similar patterns were also found in the time of peak amplitude and %MVC with a pattern emerging where the prime movers (supraspinatus and middle deltoid) were among the first to reach peak amplitude or display the highest %MVC values. In conclusion, the most reproducible patterns of activation arose from the more prime mover muscle sites in all EMG variables analysed and although variability was present, there emerged ‘invariant characteristics’ that were considered ‘normal’ for this group of non pathological shoulders. The authors believe that the methodology and certain parts of the analysis in this study can be duplicated and used by future researchers who require a reference database of muscle activity for use as a control group in comparisons to their respective pathological shoulder group.

Interpretation of EMG integral or RMS and estimates of “neuromuscular efficiency” can be misleading in fatiguing contraction

2009-02-24

Abstract: In occupational and sports physiology, reduction of neuromuscular efficiency (NME) and elevation of amplitude characteristics, such as root mean square (RMS) or integral of surface electromyographic (EMG) signals detected during fatiguing submaximal contraction are often related to changes in neural drive. However, there is data showing changes in the EMG integral (IEMG) and RMS due to peripheral factors. Causes for these changes are not fully understood. On the basis of computer simulation, we demonstrate that lengthening of intracellular action potential (IAP) profile typical for fatiguing contraction could affect EMG amplitude characteristics stronger than alteration in neural drive (central factors) defined by number of active motor units (MUs) and their firing rates. Thus, relation of these EMG amplitude characteristics only to central mechanisms can be misleading. It was also found that to discriminate between changes in RMS or IEMG due to alterations in neural drive from changes due to alterations in peripheral factors it is better to normalize RMS of EMG signals to the RMS of M-wave. In massive muscles, such normalization is more appropriate than normalization to either peak-to-peak amplitude or area of M-wave proposed in literature.

EMG spectral indices and muscle power fatigue during dynamic contractions

2009-04-30

Abstract: The purpose of this study was to examine acute exercise-induced changes on muscle power output and surface electromyography (sEMG) parameters (amplitude and spectral indices of muscle fatigue) during a dynamic fatiguing protocol. Fifteen trained subjects performed five sets consisting of 10 leg presses (10RM), with 2min rest between sets. Surface electromyography was recorded from vastus medialis (VM) and lateralis (VL) and biceps femoris (BF) muscles. A number of EMG-based parameters were compared for estimation accuracy and sensitivity to detect peripheral muscle fatigue. These were: Mean Average Voltage, median spectral frequency, Dimitrov spectral index of muscle fatigue (FInsm5), as well as other parameters obtained from a time–frequency analysis (Choi–Williams distributions) such as mean and variance of the instantaneous frequency and frequency variance. The log FInsm5 as a single parameter predictor accounted for 37% of the performance variance of changes in muscle power and the log FInsm5 and MFM as a two factor combination predictor accounted for 44%. Peripheral impairments assessed by sEMG spectral index FInsm5 may be a relevant factor involved in the loss of power output after dynamic high-loading fatiguing task.

Duration of differential activations is functionally related to fatigue prevention during low-level contractions

A. Holtermann, C. Grönlund, J. Ingebrigtsen, J.S. Karlsson, K. Roeleveld — 2009-06-01

Abstract: The aim of this study was to investigate the importance of duration of differential activations between the heads of the biceps brachii on local fatigue during prolonged low-level contractions. Fifteen subjects carried out isometric elbow flexion at 5% of maximal voluntary contraction (MVC) for 30min. MVCs were performed before and at the end of the prolonged contraction. Surface electromyographic (EMG) signals were recorded from both heads of the biceps brachii. Differential activation was analysed based on the difference in EMG amplitude (activation) between electrodes situated at the two heads. Differential activations were quantified by the power spectral median frequency of the difference in activation between the heads throughout the contraction. The inverse of the median frequency was used to describe the average duration of the differential activations. The relation between average duration of the differential activations and the fatigue-induced reduction in maximal force was explored by linear regression analysis. The main finding was that the average duration of differential activation was positively associated to relative maximal force at the end of the 30min contraction (R2=0.5, P<0.01). The findings of this study highlight the importance of duration of differential activations for local fatigue, and support the hypothesis that long term differential activations prevent fatigue during prolonged low-level contractions.

Lumbar muscle electromyographic dynamic topography during flexion-extension

Yong Hu, Stanley HF Siu, Joseph NF Mak, Keith DK Luk — 2009-06-22

Abstract: The objective of this study is to introduce dynamic topography of surface electromyography (SEMG) to visualize lumbar muscle myoelectric activity and provides a new view to analyze muscle activity in vivo. A total of 20 healthy male subjects and 15 males LBP were enrolled. An electrode-array was applied to the lumbar region to collect SEMG. The root mean square (RMS) value was calculated for each channel, and then a 160×120 matrix was constructed using a linear cubic spline interpolation of each scan to create a 2-D color topographic image. Along a definite interval of action, a series of RMS topography matrices was concatenated as a function of position and time, to form a dynamic topographical video of lumbar muscle activity. Relative area (RA), relative width (RW), relative height (RH) and Width-to-Height Ratio (W/H) were chosen as the four quantitative parameters in measuring topographic features. Normal RMS dynamic topography was found to have a consistent, symmetric pattern with a high intensity area in the paraspinal area. LBP patients had a different RMS dynamic topography, with an asymmetric, broad, or disorganized distribution. Quantitative SEMG features were found significantly different between normal control and LBP. After physiotherapy rehabilitation, the dynamic topography images of LBP tended towards the normal pattern.There are obvious differences in lumbar muscle coordination between healthy subjects and LBP patients. The dynamic topography allows the continuous visualization of the distribution of surface EMG signals and the coordination of muscular contractions.

Is muscle co-activation a predisposing factor for low back pain development during standing? A multifactorial approach for early identification of at-risk individuals

Erika Nelson-Wong, Jack P. Callaghan — 2009-05-25

Abstract: Purpose and scope: Low back pain development has been associated with static standing postures in occupational settings. Previous work has demonstrated gluteus muscle co-activation as a predominant pattern in previously asymptomatic individuals who develop low back pain when exposed to 2-h of standing. The purpose of this work was to investigate muscle co-activation as a predisposing factor in low back pain development while including a multifactorial approach of clinical assessment tools and psychosocial assessments to identify individuals who are at risk for pain development during standing.Results: Forty percent of participants developed low back pain during the 2-h of standing. Pain developers demonstrated bilateral gluteus medius and trunk flexor–extensor muscle co-activation prior to reports of pain development. Pain developers and non-pain developers demonstrated markedly different patterns of muscle activation during the 2-h of standing. A novel screening test of active hip abduction was the only clinical assessment tool that predicted pain development.Conclusions: Gluteus medius and trunk muscle co-activation appears to be a predisposing rather than adaptive factor in low back pain development during standing. A combination of a positive active hip abduction test and presence of muscle co-activation during standing may be useful for early identification of at-risk individuals.

Identification Procedure in a model of single fibre action potential – Part I: Estimation of fibre diameter and radial distance

Javier Rodríguez, Armando Malanda, Luis Gila, Ignacio Rodríguez, Javier Navallas — 2009-04-06

Abstract: The Dimitrov–Dimitrova (D–D) model generates a single fibre action potential (SFAP) as the convolution of an excitation function and a filter impulse function. We propose a method to estimate the parameters involved in these functions from a SFAP waveform (inverse problem) and call it Identification Procedure. The Identification Procedure comprises two parts. The present paper, Part I, is centred on the estimation of the radial distance, r, and the fibre diameter, d, of a given SFAP. To this end we develop a technique which we call the candidate pair method (CP-method), and we test it on fibrillation potentials (FPs) as experimental data. We found that the D–D model cannot synthesize all the SFAP waveforms observed in the experimental recordings, but in the cases where it can, the CP-method then provides the values of r and d that are more likely to have synthesized the SFAP. Having a method that provides information about the fibre diameter straight from a SFAP waveform is very desirable as this parameter has clinical and physiological relevance. Moreover, the CP-method plays a major role in the Identification Procedure that is carried out in Part II.

Identification procedure in a model of single fibre action potential – Part II: Global approach and experimental results

Javier Rodríguez, Armando Malanda, Luis Gila, Ignacio Rodríguez, Javier Navallas — 2009-04-09

Abstract: The present paper describes a global procedure for estimating all the synthesis parameters that generate a single fibre action potential (SFAP) in the Dimitrov–Dimitrova (D–D) convolutional model. We call this inverse problem Identification Procedure, and it is presented in two parts, this paper being the second. The procedure incorporates the candidate pair (CP) method developed in Part I, which provides the values of radial distance r and fibre diameter d of the simulated SFAP that best matches a potential under study. The CP-method required prior knowledge of all the excitation parameters. However, since the Identification Procedure makes no assumption about the excitation, multiple combinations of the synthesis parameters result in very similar SFAPs whose shape is close the signal under study. Analysis of the possible combinations reveals that r and d can be modelled as two jointly Gaussian random variables. The interest of the Identification Procedure is that, for a certain SFAP, it provides estimates of r and d, along with estimates of different parameters that determine the IAP waveform. Moreover, the procedure is able to determine the degree of error that accompanies the estimation of r and d.

Mathematical equation of fusion index of tetanic contraction of skeletal muscles

S. Watanabe, T. Kitawaki, H. Oka — 2009-03-31

Abstract: The fusion index (FI) is an index that can evaluate the tetanic progression of the skeletal muscles. Although the FI-frequency curve (FFC), which is obtained by changing the stimulation frequency, is greatly affected by muscle fiber type and fiber compositions, there are no reports of a mathematical equation that can express the FFC. In this study, the FFC was measured for the gastrocnemius, vastus intermedius, and soleus muscles of rats, and the mathematical equation (FFC-equation) was proposed. The FFC-equation (FI(f)) was proportional to the h-th power of f, and was in inverse proportion to the sum of the h-th power of k and the h-th power of f. f was the stimulation frequency, k was the stimulation frequency at 50% of FI, and h reflected the gradient of FFC. As a result, the approximated curve produced by the FFC-equation corresponded with the measured FFC. k reflected the fiber compositions and h represented the ratio of relaxation time to contraction time of the twitch contraction. The calcium ion fluctuation in muscle plasma may be described by the FFC-equation obtained from the experimental data.

Muscle activity patterns during quick increase of movement amplitude in rapid elbow extensions

Nozomi Takatoku, Motoko Fujiwara — 2009-04-17

Abstract: In this study, we investigated a motor strategy for increasing the amplitude of movement in rapid extensions at the elbow joint. This study focused on the changes in a triphasic electromyographic (EMG) pattern, i.e., the first agonist burst (AG1), the second agonist burst (AG2) and the antagonist burst (ANT), for increasing the amplitude of movement required after the initiation of movement. Subjects performed 40° (Basic task) and 80° of extension (Wide task). These tasks were performed under two conditions; performing a predetermined task (SF condition) and performing a task in response to a visual stimulus immediately after movement commencement (ST condition). Kinematic parameters and EMG activity from the agonist (triceps brachii) and the antagonist (biceps brachii) muscles were recorded. As a result, the onset latency of AG1 and AG2 and the duration of AG1 were longer under the ST condition than the SF condition. No difference was observed between the SF and ST condition with respect to ANT activity. It is concluded that the motor strategy for increasing the amplitude of movement after the initiation of movement was to control the movement velocity and the timing to stop movement by the coactivation duration of AG1 and ANT and to stop the desired position accurately by AG2 activity.

Which type of repetitive muscle contractions induces a greater acute impairment of position sense?

Sylvie Fortier, Fabien A. Basset, François Billaut, David Behm, Normand Teasdale — 2009-05-04

Abstract: The objective of this study was to determine which type of repetitive muscle contractions induces a greater acute impairment of elbow position sense. Eleven male subjects participating in the study underwent (i) an exercise task (ET) consisting of 9 sets of 10 voluntary isometric, concentric, or eccentric contractions randomly performed on three separate sessions, and (ii) a pre- and post-exercise maximal voluntary isometric contraction (iMVC). Prior to and between sets of ET, a proprioception task (PT) consisting of matching the right arm to the left reference arm was performed at three different target angular positions (70°, 110° and 150°). Each ET was immediately followed by 3 PT and 1min rest. The statistical analysis revealed that post-exercise iMVCs were significantly decreased compared to pre-exercise iMVC in all conditions with a greater drop following the eccentric task. Despite this greater drop, position sense was significantly affected by the concentric exercise task. In addition, the spectral EMG signals significantly shifted towards lower frequencies from the initial values, regardless of exercise task. The results showed that concentric muscle contractions impaired position sense to a greater extent compared to isometric and eccentric contractions.

Long term reliability of EMG measurements in adults with cystic fibrosis

M. Gruet, J.M. Vallier, L. Mely, J. Brisswalter — 2009-06-18

Abstract: The aim of this study was to investigate the long term reliability of surface electromyography (sEMG) measurements in adults with cystic fibrosis (CF). Eighteen healthy subjects (CO) and sixteen adults with CF were tested on two occasions, six weeks apart. sEMG was recorded from the rectus femoris, vastus lateralis and vastus medialis obliquus muscles during maximal voluntary contraction (MVC) and 50% MVC until exhaustion. Quadriceps muscle activity during 50% MVC was described using four measures (initial, final, normalized and slope values) for both frequency and time domain. Relative (ICC) and absolute (SEM) reliabilities were applied to asses test-retest reliability. In CF group, median frequency (MDF) values for 100% MVC and initial, final and normalized final MDF for 50% MVC demonstrated moderate to very high relative reliability (ICC = 0.60–0.91) and low variability (SEM = 5.5–13%). MDF slope showed large variability in both groups. Root mean square (RMS) values were not reproducible in both groups whatever the intensity of exercise and can not be recommended as outcomes parameters. In conclusion, sEMG measurements during maximal and submaximal isometric contractions could be valid and reliable tools for clinical applications in cystic fibrosis patients but mainly in the frequency domain and from rectus femoris.

The effect of resisted inspiration during an active straight leg raise in pain-free subjects

Darren John Beales, Peter Bruce O’Sullivan, N. Kathryn Briffa — 2009-06-22

Abstract: Alterations of respiratory patterns have been observed in pelvic girdle pain subjects during the active straight leg raise (ASLR). This study investigated how pain-free subjects coordinate motor control during an ASLR when this task is complicated by the addition of a respiratory challenge. Trunk muscle activation, intra-abdominal pressure, intra-thoracic pressure, pelvic floor motion, downward pressure of the non-lifted leg and respiratory rate were compared between resting supine, ASLR, breathing with inspiratory resistance (IR) and ASLR+IR. Subjects responded to ASLR+IR with an increase in the motor activation in the abdominal wall and chest wall compared to when ASLR and IR were performed in isolation. Activation of obliquus internus abdominis was greater on the side of the leg lift during the ASLR+IR, in comparison to symmetrical activation observed in the other abdominal wall muscles. The incremental increase of motor activity was associated with greater intra-abdominal pressure baseline shift when lifting the leg during ASLR+IR compared to ASLR. Individual variation was apparent in the form of the motor control patterns, mostly reflected in variable respiratory activation of the abdominal wall. The findings highlight the flexibility of the neuromuscular system in adapting to simultaneous respiratory and stability demands.

Preschool-aged children’s jumps: Imitation performances

Lazhar Labiadh, Marie-Martine Ramanantsoa, Eveline Golomer — 2009-07-22

Abstract: Imitative behavior underlaid by perception and action links during children’s development in complex locomotor skills has been the object of relatively few studies. In order to explore children’s motor coordination modes, 130 children divided into five age groups from 3.5 to 7.5years were instructed to imitate jumping tasks in spontaneous motor situation and in various imitative contexts by an adult providing verbal orders and gestural demonstrations. Their conformity to the model, stability and variability scores were coded from a video analysis when they performed jumps with obstacles. To evaluate their postural-motor control level, the durations of the preparatory phase and jumping flights were also timed. Results showed that all age groups generated the demonstrator’s goal but not necessarily the same coordination modes of jumping. In imitation with temporal proximity, the model helped the youngest age groups to adopt his coordination modes and stabilized only the oldest age groups’ performances starting from 5.5years old, without effect on learning imitation. Differences between the youngest and oldest children in the jump duration suggested that the reproduction of a complex motor activity such as jumping with a one foot take-off would require resolution and adjustment of main postural stability.

Endurance and strength training effects on physiological and muscular parameters during prolonged cycling

C. Hausswirth, S. Argentin, F. Bieuzen, Y. Le Meur, A. Couturier, J. Brisswalter — 2009-05-27

Abstract: Purpose: This study investigated the effects of a combined endurance and strength training on the physiological and neuromuscular parameters during a 2-h cycling test.Methods: Fourteen triathletes were assigned to an endurance-strength training group and an endurance-only training group. They performed three experimental trials before and after training: an incremental cycling test to exhaustion, a maximal concentric lower-limbs strength measurement and a 2-h cycling exercise. Physiological parameters, free cycling chosen cadence and the EMG of Vastus Lateralis (VL) and Rectus Femoris (RF) were analysed during the 2-h cycling task before and after a strength training programme of 5weeks (three times per week).Results: The results showed that the maximum strength and the isometric maximal voluntary contraction (isoMVC) after training were significantly higher (P<0.01) and lower (P<0.01) than those before training, respectively, in endurance-strength training group and endurance-only group. The physiological variables measured during the cycling tests and the progressive increase (P<0.01) in EMGi(VL) and EMGi(RF) throughout the 2-h cycling test did not differ between the two groups before and after training, except for the variation of EMGi(VL) over the cycle time which was stabilized during the second hour of the 2-h cycling test due to training in endurance-strength training group. The decrease in free cycling chosen cadence observed in pre-training (P<0.01) was also replaced by a steady free cycling chosen cadence for the endurance-strength training group during the second hour of exercise.Conclusion: This study confirmed the decrease in the free cycling chosen cadence with exercise duration and demonstrated that a specific combined endurance and strength training can prevent this decrease during a 2-h constant cycling exercise.

Interaction between elastic energy utilization and active state development within the work enhancing mechanism during countermovement

Hiroshi Arakawa, Akinori Nagano, Shinsuke Yoshioka, Senshi Fukashiro — 2009-05-14

Abstract: The purpose of this study was to investigate the interaction between elastic energy utilization and the time available for active state development during countermovement, and to determine the contributions of these factors in enhancing work output from a quantitative standpoint. Especially, we focused on the effect of length variation of the series elastic element (SEE) and the speed of active state development. A Hill-type model of the muscle tendon complex (MTC) was constructed. A range of SEE lengths (between 0.625 and 10 times the optimal length of the contractile element) and a range of active state development rates were investigated. Forward dynamics simulations were performed to evaluate the causal factors for the gain in height during concentric (CO) and countermovement (CM) conditions. Simulated outputs suggested that the contribution of the time available for active state development was larger than the contribution of elastic energy utilization for a shorter SEE muscle. On the other hand, the contribution of the elastic energy utilization was larger for a longer SEE muscle. Additionally, the work output of the SEE in CM was considerably augmented due to increasing the speed of active state development. As results, two main findings were obtained. First, a quantitative discussion was developed regarding how the elastic energy utilization and the time available for active state development are contributing within the work enhancing mechanism. Second, it was found that elastic energy utilization and the time available for active state development have a synergistic effect during countermovement.

Cryotherapy and ankle bracing effects on peroneus longus response during sudden inversion

2009-05-12

Abstract: Cryotherapy and ankle bracing are often used in conjunction as a treatment for ankle injury. No studies have evaluated the combined effect of these treatments on reflex responses during inversion perturbation. This study examined the combined influence of ankle bracing and joint cooling on peroneus longus (PL) muscle response during ankle inversion. A 2×2 RM factorial design guided this study; the independent variables were: ankle brace condition (lace-up brace, control), and treatment (ice, control), and the dependent variables studied were PL stretch reflex latency (ms), and PL stretch reflex amplitude (% of max). Twenty-four healthy participants completed 5 trials of a sudden inversion perturbation to the ankle/foot complex under each ankle brace and cryotherapy treatment condition. No two-way interaction was observed between ankle brace and treatment conditions on PL latency (P=0.283) and amplitude (P=0.884). The ankle brace condition did not differ from control on PL latency and amplitude. Cooling the ankle joint did not alter PL latency or amplitude compared to the no-ice treatment. Ankle bracing combined with joint cooling does not have a deleterious effect on dynamic ankle joint stabilization during an inversion perturbation in normal subjects.

Role of vision and task complexity on soleus H-reflex gain

Salih Pinar, Koichi Kitano, David M. Koceja — 2009-04-08

Abstract: There exists extensive evidence supporting the presence of reflex modulation in humans during a variety of motor tasks. The soleus H-reflex has been shown to be modulated during static and dynamic balance conditions as well as during various motor tasks. The purpose of this study was to examine the effects of two different stance positions and visual conditions on soleus H-reflex gain in 15 apparently healthy adults (mean age=30.27±6.92 yrs). The soleus H-reflexes were examined in two experimental stance conditions: two-legged (stable) and one-leg (unstable), and two visual conditions: eyes open and eyes closed. To assess the reflex gain, subjects performed ten trials under each of the four conditions and a soleus H-reflex was elicited during the performance of each trial. For each condition the peak-to-peak amplitude of the H-reflex and the EMG activity 50ms prior to the stimulus was recorded. Differences in the peak-to-peak amplitudes of the soleus H-reflex for the experimental conditions were compared with a 2×2 (Stance×Vision) repeated measures ANOVA. The level of significance was p<0.05. Results demonstrated significant differences in reflex gain for both the vision (Fl,15=4.87, p<0.05) and the stance condition (Fl,15=14.86, p<0.05). Although both the stance condition and vision significantly affected the H-reflex gain, there was no interaction between these two variables (Fl,15=0.17). From these results, we conclude that H-reflex gain was decreased both as stance complexity increased and as visual inputs were removed. Consistent with previous reports, it may be speculated that changes in presynaptic inhibition to the soleus Ia fibers regulate these gain changes. We propose that vision and stability of stance affect soleus H-reflex gain, but do so without any interactive effects.

The use of EMG biofeedback for learning of selective activation of intra-muscular parts within the serratus anterior muscle: A novel approach for rehabilitation of scapular muscle imbalance

A. Holtermann, P.J. Mork, L.L. Andersen, H.B. Olsen, K. Søgaard — 2009-04-02

Abstract: Motor control and learning possibilities of scapular muscles are of clinical interest for restoring scapular muscle balance in patients with neck and shoulder disorders. The aim of the study was to investigate whether selective voluntary activation of intra-muscular parts within the serratus anterior can be learned with electromyographical (EMG) biofeedback, and whether the lower serratus anterior and the lower trapezius muscle comprise the lower scapula rotation force couple by synergistic activation. Nine healthy males practiced selective activation of intra-muscular parts within the serratus anterior with visual EMG biofeedback, while the activity of four parts of the serratus anterior and four parts of the trapezius muscle was recorded. One subject was able to selectively activate both the upper and the lower serratus anterior respectively. Moreover, three subjects managed to selectively activate the lower serratus anterior, and two subjects learned to selectively activate the upper serratus anterior. During selective activation of the lower serratus anterior, the activity of this muscle part was 14.4±10.3 times higher than the upper serratus anterior activity (P<0.05). The corresponding ratio for selective upper serratus vs. lower serratus anterior activity was 6.4±1.7 (P<0.05). Moreover, selective activation of the lower parts of the serratus anterior evoked 7.7±8.5 times higher synergistic activity of the lower trapezius compared with the upper trapezius (P<0.05). The learning of complete selective activation of both the lower and the upper serratus anterior of one subject, and selective activation of either the upper or lower serratus anterior by five subjects designates the promising clinical application of EMG biofeedback for restoring scapular muscle balance. The synergistic activation between the lower serratus anterior and the lower trapezius muscle was observed in only a few subjects, and future studies including more subjects are required before conclusions of a lower scapula rotation couple can be drawn.

Denoising of surface EMG with a modified Wiener filtering approach

Giovanni Aschero, Paolo Gizdulich — 2009-03-12

Abstract: The correlation dimension D2 yields good results in several biomedical fields. Nonetheless, no clinical application to electromyography has been developed yet. One reason is the high electromagnetic noise typical of clinical environments. This noise is characterized by sharp spectral lines of variable intensity and frequency. The filtering techniques commonly implemented in electromyographs can efficiently deal with this kind of noise. They allow a safe estimate of linear quantities like the root mean square (r.m.s.) or the median frequency (MF). Their performance is not as good for nonlinear purposes. The filters may modify the nonlinear properties of the signal, leading to unacceptable estimates of D2. We consider a simple procedure based on a modified Wiener filter. Its performance is compared with that from a bandpass followed by multiple notch filters. Our procedure leads to a gain in precision and accuracy when estimating D2. The two filtering approaches are also compared with respect to a biomedical application proposed by others. Using data from 12 healthy subjects, the modified Wiener procedure raises the percentage of successes in that application from 17% to 83%. New experimental data suggest D2 carries information not carried by r.m.s. or MF.