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Biomedical subjects

Dick F Stegeman

Publications and source records attributed to Dick F Stegeman.

At least 19 recordsLinked to original sources
PubMed2007

Effects of EMG processing on biomechanical models of muscle joint systems: sensitivity of trunk muscle moments, spinal forces, and stability.

Biomechanical models are in use to estimate parameters such as contact forces and stability at various joints. In one class of these models, surface electromyography (EMG) is used to address the problem of mechanical indeterminacy such that individual muscle activation patterns are accounted for. Unfortunately, because of the stochastical properties of EMG signals, EMG based estimates of muscle force suffer from substantial estimation errors. Recent studies have shown that improvements in muscle force estimation can be achieved through adequate EMG processing, specifically whitening and high-pass (HP) filtering of the signals. The aim of this paper is to determine the effect of such processing on outcomes of a biomechanical model of the lumbosacral joint and surrounding musculature. Goodness of fit of estimated muscle moments to net moments and also estimated joint stability significantly increased with increasing cut-off frequencies in HP filtering, whereas no effect on joint contact forces was found. Whitening resulted in moment estimations comparable to those obtained from optimal HP filtering with cut-off frequencies over 250 Hz. Moreover, compared to HP filtering, whitening led to a further increase in estimated joint-stability. Based on theoretical models and on our experimental results, we hypothesize that the processing leads to an increase in pick-up area. This then would explain the improvements from a better balance between deep and superficial motor unit contributions to the signal.

Adult↗
PubMed2007

Expectancy induces dynamic modulation of corticospinal excitability.

Behavioral studies using motor preparation paradigms have revealed that increased expectancy of a response signal shortens reaction times (RTs). Neurophysiological data suggest that in such paradigms, not only RT but also neuronal activity in the motor structures involved is modulated by expectancy of behaviorally relevant events. Here, we directly tested whether expectancy of a response signal modulates excitability of the corticospinal system used in the subsequent movement. We combined single- and paired-pulse transcranial magnetic stimulation (TMS) over the primary motor cortex with a simple RT task with variable preparatory delays. We found that, in line with typical behavioral observations, the subjects' RTs decreased with increasing response signal expectancy. TMS results revealed a modulation of corticospinal excitability in correspondence with response signal expectancy. Besides an increased excitability over the time-course of the preparatory delay, corticospinal excitability transiently increased whenever a response signal was expected. Paired-pulse TMS showed that this modulation is unlikely to be mediated by excitability changes in interneuronal inhibitory or facilitatory networks in the primary motor cortex. Changes in corticospinal synchronization or other mechanisms involving spinal circuits are candidates mediating the modulation of corticospinal excitability by expectancy.

Adult↗
PubMed2006

Using two-dimensional spatial information in decomposition of surface EMG signals.

Recently, high-density surface EMG electrode grids and multi-channel amplifiers became available for non-invasive recording of human motor units (MUs). We present a way to decompose surface EMG signals into MU firing patterns, whereby we concentrate on the importance of two-dimensional spatial differences between the MU action potentials (MUAPs). Our method is exemplified with high-density EMG data from the vastus lateralis muscle of a single subject. Bipolar and Laplacian spatial filtering was applied to the monopolar raw signals. From the single recording in this subject six different simultaneously active MUs could be distinguished using the spatial differences between MUAPs in the direction perpendicular to the muscle fiber direction. After spike-triggered averaging, 125-channel two-dimensional MUAP templates were obtained. Template-matching allowed tracking of all MU firings. The impact of spatial information was measured by using subsets of the MUAP templates, either in parallel or perpendicular to the muscle fiber direction. The use of one-dimensional spatial information perpendicular to the muscle fiber direction was superior to the use of a linear array electrode in the longitudinal direction. However, to detect the firing events of the MUs with a high accuracy, as needed for instance for estimation of firing synchrony, two-dimensional information from the complete grid electrode appears essential.

Action Potentials↗
PubMed2006

Involuntary painful muscle contractions in Satoyoshi syndrome: a surface electromyographic study.

We report a child with Satoyoshi syndrome manifested by involuntary painful muscle contractions and alopecia. Although an autoimmune origin of Satoyoshi syndrome seems likely, its exact etiology remains as yet unknown, as is the origin of the involuntary contractions. To gain a better understanding of the electrophysiological characteristics of the involuntary contractions, we performed a surface electromyographic (EMG) study. We investigated muscle contractions in the legs using two noninvasive techniques: high-density surface EMG (HD-sEMG) recordings on one muscle, and polymyographic surface EMG (sEMG) recordings on various muscles. During the involuntary contractions, HD-sEMG showed a fourfold increase in amplitude compared to maximal voluntary contractions. These high potentials were widely distributed across the whole muscle and showed a pronounced oscillatory behavior with a frequency around 45 Hz. Polymyographic sEMG revealed that the involuntary contractions often occur simultaneously in various muscles or showed a switch of activity from one muscle to another. These findings point to hyperactivity or a disinhibition at the alpha motor neuron level, originating probably at that level, although a central origin cannot be excluded. (c) 2006 Movement Disorder Society.

Alopecia↗
PubMed2006

Na+-K+-ATPase is not involved in the warming-up phenomenon in generalized myotonia.

The initial temporary weakness that occurs in autosomal-recessive generalized myotonia diminishes with repetitive contractions. Physiological understanding of this phenomenon is incomplete. The underlying hypothesis of our study was that the "warming-up" phenomenon relates to the exercise-related activation of Na(+)-K(+)-ATPase. Three patients performed isometric exercise of the brachioradialis muscle on two separate days. Randomly, on one of these days the contraction was preceded by a 30-min infusion of the Na(+)-K(+)-ATPase inhibitor ouabain into the brachial artery of the exercising arm (0.4 mug.min(-1).dl(-1)). Force was measured simultaneously with electrical muscle activity using high-density surface electromyography (HD-sEMG). A transient rapid decline in force occurred after initiation of exercise, accompanied by electrophysiological changes indicating sarcolemmal conduction block. Ouabain infusion did not affect the recovery from transient paresis or the accompanying electromyographic changes, indicating that the warming-up phenomenon in generalized myotonia is not mediated by Na(+)-K(+)-ATPase.

Adult↗
PubMed2006

Clinical applications of high-density surface EMG: a systematic review.

High density-surface EMG (HD-sEMG) is a non-invasive technique to measure electrical muscle activity with multiple (more than two) closely spaced electrodes overlying a restricted area of the skin. Besides temporal activity HD-sEMG also allows spatial EMG activity to be recorded, thus expanding the possibilities to detect new muscle characteristics. Especially muscle fiber conduction velocity (MFCV) measurements and the evaluation of single motor unit (MU) characteristics come into view. This systematic review of the literature evaluates the clinical applications of HD-sEMG. Although beyond the scope of the present review, the search yielded a large number of "non-clinical" papers demonstrating that a considerable amount of work has been done and that significant technical progress has been made concerning the feasibility and optimization of HD-sEMG techniques. Twenty-nine clinical studies and four reviews of clinical applications of HD-sEMG were considered. The clinical studies concerned muscle fatigue, motor neuron diseases (MND), neuropathies, myopathies (mainly in patients with channelopathies), spontaneous muscle activity and MU firing rates. In principle, HD-sEMG allows pathological changes at the MU level to be detected, especially changes in neurogenic disorders and channelopathies. We additionally discuss several bioengineering aspects and future clinical applications of the technique and provide recommendations for further development and implementation of HD-sEMG as a clinical diagnostic tool.

Electromyography↗
PubMed2006

Improving EMG-based muscle force estimation by using a high-density EMG grid and principal component analysis.

The accuracy of predictions of muscle force based on electromyography (EMG) is an important issue in biomechanics and kinesiology. Since human skeletal muscles show a high diversity and heterogeneity in their fiber architecture, it is difficult to properly align electrodes to the muscle fiber direction. Against this background, we analyzed the effect of different bipolar configuration directions on EMG-based force estimation. In addition, we investigated whether principal component analysis (PCA) can improve this estimation. High-density surface-EMG from the triceps brachii muscle and the extension force of the elbow were measured in 11 subjects. The root mean square difference (RMSD) between predicted and measured force was determined. We found the best bipolar configuration direction to cause a 13% lower RMSD relative to the worst direction. Optimal results were obtained with electrodes aligned with the expected main muscle fiber direction. We found that PCA reduced RMSD by about 40% compared to conventional bipolar electrodes and by about 12% compared to optimally aligned multiple bipolar electrodes. Thus, PCA contributes to the accuracy of EMG-based estimation of muscle force when using a high-density EMG grid.

Algorithms↗
PubMed2005

Topographical characteristics of motor units of the lower facial musculature revealed by means of high-density surface EMG.

The objective of this study was to systematically characterize motor units (MUs) of the musculature of the lower face. MU endplate positions and principal muscle fiber orientations relative to facial landmarks were identified. This was done by the analysis of motor unit action potentials (MUAPs) in the surface electromyogram. Thirteen specially trained, healthy subjects performed selective contractions of the depressor anguli oris, depressor labii inferioris, mentalis, and orbicularis oris inferior muscles. Signals were recorded using recently developed, 0.3-mm thin and flexible high-density surface electromyography (sEMG) grids (120 channels). For each subject and each muscle and for different low contraction levels, representative MUAPs ("MU fingerprints") were extracted from the raw sEMG data according to their spatiotemporal amplitude characteristics. We then topographically characterized the lower facial MUs' endplate zones and main muscle fiber orientations on the individual faces of the subjects. These topographical MU parameters were spatially warped to correct for the different sizes and shapes of the faces of individual subjects. This electrophysiological study revealed a distribution of the lower facial MU endplates in more or less restricted, distinct clusters on the muscle often with eccentric locations. The results add substantially to the basic neurophysiologic and anatomical knowledge of the complex facial muscle system. They can also be used to establish objective guidelines for placement of conventional (surface or needle) EMG electrodes as well as for clinical investigations on neuromuscular diseases affecting the facial musculature. The localized endplate positions may also indicate optimal locations for botulinum toxin injection in the face.

Action Potentials↗
PubMed2005

Determining central activation failure and peripheral fatigue in the course of sustained maximal voluntary contractions: a model-based approach.

In the study of fatigue, several methods have been used to calculate the development of central activation failure (CAF) and peripheral fatigue (PF) in the course of a sustained maximal voluntary contraction (MVC). This paper presents a model that enables simultaneous determination of CAF and PF during sustained MVC by using only force registration and superimposed electrical stimulation. In the model, we explicitly use the assumption, which is virtually always made implicitly in earlier studies, that a constant relative fraction of maximal possible force is activated by the electrical stimulation. That fraction can be determined at the start and at the end of a sustained MVC. The model shows that in the course of a sustained MVC, CAF can be calculated by merely using 1) this fraction, 2) the amplitudes of the superimposed force responses to stimulation, and 3) the course of voluntary force. After CAF quantification, the development of PF during MVC becomes available as well. The present study first examines the model assumption with data of sustained MVCs of variable durations on six healthy subjects. Subsequently, it shows CAF values in a group of 27 healthy subjects determined with both the model and a method of linear interpolation for PF estimation. Model-based CAF values were significantly higher during, but not at the start and at the end of, a 2-min sustained MVC. Next to a well-justified CAF determination, the model has the advantage of simultaneously quantifying PF, which was not possible with the previous methods.

Adult↗
PubMed2005

Statistical motor number estimation assuming a binomial distribution.

The statistical method of motor unit number estimation (MUNE) uses the natural stochastic variation in a muscle's compound response to electrical stimulation to obtain an estimate of the number of recruitable motor units. The current method assumes that this variation follows a Poisson distribution. We present an alternative that instead assumes a binomial distribution. Results of computer simulations and of a pilot study on 19 healthy subjects showed that the binomial MUNE values are considerably higher than those of the Poisson method, and in better agreement with the results of other MUNE techniques. In addition, simulation results predict that the performance in patients with severe motor unit loss will be better for the binomial than Poisson method. The adapted method remains closer to physiology, because it can accommodate the increase in activation probability that results from rising stimulus intensity. It does not need recording windows as used with the Poisson method, and is therefore less user-dependent and more objective and quicker in its operation. For these reasons, we believe that the proposed modifications may lead to significant improvements in the statistical MUNE technique.

Adult↗
PubMed2005

Motor unit action potential topography and its use in motor unit number estimation.

High-density multichannel electromyography (EMG) recordings add spatial information to the temporal information content of the surface EMG (sEMG) signal. This study explores the potential value of such multichannel information at a single motor unit level, in particular for the improvement of motor unit number estimation (MUNE) techniques. It is shown that multichannel recordings make it easier to distinguish motor unit action potentials (MUAPs) and that MUAP combinations can be better resolved. Furthermore, the spatiotemporal information allows a quantitative assessment of the representativity of the mean of the recorded MUAPs in relation to the maximum CMAP, i.e., for the muscle as a whole. In general, this is practically impossible on the basis of temporal information alone. For these reasons, we expect that high-density sEMG has the potential to address several methodological limitations of single channel surface EMG recordings. This is specifically illustrated in this study for one of the MUNE techniques in use, the F-response method.

Action Potentials↗
PubMed2005

Tracking motor unit action potentials in the tibialis anterior during fatigue.

New surface electromyogram (SEMG) techniques offer the potential to advance knowledge of healthy and diseased motor units. Conduction velocity (CV) estimates, obtained from indwelling electrodes, may provide diagnostic information, but the standard method of CV estimation from SEMG may be of only limited value. We developed a motor unit (MU) tracking algorithm to extract motor unit conduction velocity (MUCV) and motor unit action potential (MUAP) amplitude estimates from SEMG. The technique is designed to provide a noninvasive means of accessing fatigue and recruitment behavior of individual MUs. We have applied this MU tracking algorithm to SEMG data recorded during isometric fatiguing contractions of the tibialis anterior (TA) muscle in nine healthy subjects, at 30%-40% maximum voluntary contraction (MVC). The results reveal that MUCVs and MUAP amplitudes of individual MUs can be estimated and tracked across time. Time-related changes in the MU population may also be monitored. Thus, the SEMG technique employed provides insight into the behavior of the underlying muscle at the MU level by noninvasive means.

Action Potentials↗
PubMed2005

A technique to track individual motor unit action potentials in surface EMG by monitoring their conduction velocities and amplitudes.

The speed of propagation of an action potential along a muscle fiber, its conduction velocity (CV), can be used as an indication of the physiological or pathological state of the muscle fiber membrane. The motor unit action potential (MUAP), the waveform resulting from the spatial and temporal summation of the individual muscle fiber action potentials of that motor unit (MU), propagates with a speed referred to as the motor unit conduction velocity (MUCV). This paper introduces a new algorithm, the MU tracking algorithm, which estimates MUCVs and MUAP amplitudes for individual MUs in a localized MU population using SEMG signals. By tracking these values across time, the electrical activity of the localized MU pool can be monitored. An assessment of the performance of the algorithm has been achieved using simulated SEMG signals. It is concluded that this analysis technique enhances the suitability of SEMG for clinical applications and points toward a future of noninvasive diagnosis and assessment of neuromuscular disorders.

Action Potentials↗
PubMed2004

Towards optimal multi-channel EMG electrode configurations in muscle force estimation: a high density EMG study.

Surface EMG is an important tool in biomechanics, kinesiology and neurophysiology. In neurophysiology the concept of high-density EMG (HD-EMG), using two dimensional electrode grids, was developed for the measurement of spatiotemporal activation patterns of the underlying muscle and its motor units (MU). The aim of this paper was to determine, with the aid of a HD-EMG grid, the relative importance of a number of electrode sensor configurations for optimizing muscle force estimation. Sensor configurations are distinguished in two categories. The first category concerns dimensions: the size of a single electrode and the inter electrode distance (IED). The second category concerns the sensor's spatial distribution: the total area from which signals are obtained (collection surface) and the number of electrodes per cm(2) (collection density). Eleven subjects performed isometric arm extensions at three elbow angles and three contraction levels. Surface-EMG from the triceps brachii muscle and the external force at the wrist were measured. Compared to a single conventional bipolar electrode pair, the force estimation quality improved by about 30% when using HD-EMG. Among the sensor configurations, the collection surface alone appeared to be responsible for the major part of the EMG based force estimation quality by improving it with 25%.

Adult↗
PubMed2004

Motor unit characteristics in healthy subjects and those with postpoliomyelitis syndrome: a high-density surface EMG study.

The purpose of this study was to identify optimal ways to detect neurogenic changes with high-density surface electromyography (HD-sEMG). For this purpose, we searched for the variables that most clearly discriminated between postpoliomyelitis and healthy subjects. We obtained HD-sEMG from the quadriceps muscle at different force levels in nine subjects with postpoliomyelitis syndrome and in matched healthy controls. Single motor unit action potentials (MUAPs), extracted from the HD-sEMG signal and the raw signal itself, were analyzed. Areas under the curve of the extracted MUAP waveform, indicating motor unit size, perfectly separated both groups. Raw signal analysis showed significant differences between groups for the monopolarly recorded amplitude up to 60% of maximal force and for the level of interference at higher force levels (40-100% force). We conclude that with HD-sEMG it is possible to detect neurogenic motor unit changes noninvasively, both by analysis of the raw signal itself and by analysis of extracted single MUAPs. The diagnostic yield of the single MUAP analysis is clearly higher. These findings point toward applications for clinical practice and invite further studies exploring the diagnostic value of HD-sEMG.

Action Potentials↗
PubMed2003

Relative contributions of central and peripheral factors to fatigue during a maximal sustained effort.

Local muscle fatigue can originate from both peripheral and central factors. The relative contribution of these factors in the course of a fatiguing contraction in 20 healthy subjects was determined. While subjects made a 2-min sustained maximal voluntary contraction (MVC) of the biceps brachii, muscle fibre conduction velocity (MFCV) was determined with surface electromyography (SEMG) as a representation of developing peripheral fatigue. To quantify the amount of peripheral fatigue, the force development following a train of electrical stimuli on the endplate before and after the contraction were compared. To measure force loss caused by central factors, superimposed electrical stimulation was used during the contraction. By two different methods the influence of peripheral fatigue on the superimposed force responses was taken into account. The first method compared the force response with the actual voluntary force, the second -which seemed more valid - used an estimation of peripheral fatigue based on linear interpolation between the force responses during rest before and after sustained contraction. During the contraction, voluntary force decreased to 38%. Peripheral fatigue was responsible for the larger part of this decline (89%). The other part, which was calculated as 12%, was caused by an increase of central activation failure. The decline of MFCV indicated that peripheral fatigue increased predominantly during the first half of the contraction and stayed at a constant level during the latter part. In contrast, central fatigue mainly induced a force decrease in the second part of the contraction. The different mechanisms which could be responsible for this change of emphasis from peripheral to central factors are discussed.

Adult↗