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Roberto Merletti

Publications and source records attributed to Roberto Merletti.

At least 37 records · Page 2Linked to original sources

A surface EMG generation model with multilayer cylindrical description of the volume conductor.

We propose a model for surface electromyography (EMG) signal generation with cylindrical description of the volume conductor. The model is more general and complete with respect to previous approaches. The volume conductor is described as a multilayered cylinder in which the source can be located either along the longitudinal or the angular direction, in any of the layers. The source is represented as a spatio-temporal function which describes the generation, propagation, and extinction of the intracellular action potential at the end-plate, along the fiber, and at the tendons, respectively. The layers are anisotropic. The volume conductor effect is described as a two-dimensional spatial filtering. Electrodes of any shape or dimension are simulated, forming structures which are described as spatial filters. The analytical derivation which leads to the signal in the temporal domain is performed in the spatial and temporal frequency domains. Numerical issues related to the frequency-based approach are discussed. The descriptions of the volume conductor and of the source are applied to the cases of signal generation from a limb and a sphincter muscle. Representative simulations of both cases are provided. The resultant model is based on analytical derivations and constitutes a step forward in surface EMG signal modeling, including features not described in any other analytical approach.

Action Potentials↗

Assessment of average muscle fiber conduction velocity from surface EMG signals during fatiguing dynamic contractions.

In this paper, we propose techniques of surface electromyographic (EMG) signal detection and processing for the assessment of muscle fiber conduction velocity (CV) during dynamic contractions involving fast movements. The main objectives of the study are: 1) to present multielectrode EMG detection systems specifically designed for dynamic conditions (in particular, for CV estimation); 2) to propose a novel multichannel CV estimation method for application to short EMG signal bursts; and 3) to validate on experimental signals different choices of the processing parameters. Linear adhesive arrays of electrodes are presented for multichannel surface EMG detection during movement. A new multichannel CV estimation algorithm is proposed. The algorithm provides maximum likelihood estimation of CV from a set of surface EMG signals with a window limiting the time interval in which the mean square error (mse) between aligned signals is minimized. The minimization of the windowed mse function is performed in the frequency domain, without limitation in time resolution and with an iterative computationally efficient procedure. The method proposed is applied to signals detected from the vastus laterialis and vastus medialis muscles during cycling at 60 cycles/min. Ten subjects were investigated during a 4-min cycling task. The method provided reliable assessment of muscle fatigue for these subjects during dynamic contractions.

Adult↗

Blind separation of linear instantaneous mixtures of nonstationary surface myoelectric signals.

Electromyographic (EMG) recordings detected over the skin may be mixtures of signals generated by different active muscles due to the phenomena related to volume conduction. Separation of the sources is necessary when single muscle activity has to be detected. Signals generated by different muscles may be considered uncorrelated but in general overlap in time and frequency. Under certain assumptions, mixtures of surface EMG signals can be considered as linear instantaneous but no a priori information about the mixing matrix is available when different muscles are active. In this study, we applied blind source separation (BSS) methods to separate the signals generated by two active muscles during a force-varying task. As the signals are non stationary, an algorithm based on spatial time-frequency distributions was applied on simulated and experimental EMG signals. The experimental signals were collected from the flexor carpi radialis and the pronator teres muscles which could be activated selectively for wrist flexion and rotation, respectively. From the simulations, correlation coefficients between the reference and reconstructed sources were higher than 0.85 for signals largely overlapping both in time and frequency and for signal-to-noise ratios as low as 5 dB. The Choi-Williams and Bessel kernels, in this case, performed better than the Wigner-Ville one. Moreover, the selection of time-frequency points for the procedure of joint diagonalization used in the BSS algorithm significantly influenced the results. For the experimental signals, the interference of the other source in each reconstructed source was significantly attenuated by the application of the BSS method. The ratio between root-mean-square values of the signals from the two sources detected over one of the muscles increased from (mean +/- standard deviation) 2.33 +/- 1.04 to 4.51 +/- 1.37 and from 1.55 +/- 0.46 to 2.72 +/- 0.65 for wrist flexion and rotation, respectively. This increment was statistically significant. It was concluded that the BSS approach applied is promising for the separation of surface EMG signals, with applications ranging from muscle assessment to detection of muscle activation intervals, and to the control of myoelectric prostheses.

Action Potentials↗

The extraction of neural strategies from the surface EMG.

This brief review examines some of the methods used to infer central control strategies from surface electromyogram (EMG) recordings. Among the many uses of the surface EMG in studying the neural control of movement, the review critically evaluates only some of the applications. The focus is on the relations between global features of the surface EMG and the underlying physiological processes. Because direct measurements of motor unit activation are not available and many factors can influence the signal, these relations are frequently misinterpreted. These errors are compounded by the counterintuitive effects that some system parameters can have on the EMG signal. The phenomenon of crosstalk is used as an example of these problems. The review describes the limitations of techniques used to infer the level of muscle activation, the type of motor unit recruited, the upper limit of motor unit recruitment, the average discharge rate, and the degree of synchronization between motor units. Although the global surface EMG is a useful measure of muscle activation and assessment, there are limits to the information that can be extracted from this signal.

Animals↗

Effect of experimental muscle pain on motor unit firing rate and conduction velocity.

The aim of this human study was to investigate the relationship between experimentally induced muscle pain intensity (i.e., amount of nociceptive activity) and motor unit (MU) firing decrease and MU conduction velocity (CV). In 12 healthy subjects, nociceptive afferents were stimulated in the right tibialis anterior muscle by three intramuscular injections of hypertonic saline (0.2, 0.5, and 0.9 ml) separated by 140 s. The subjects performed six isometric contractions (20 s long) at 10% of the maximal voluntary contraction during the experimental muscle pain. The same set of six contractions was performed without any infusion before the painful condition on the right leg. The procedure was repeated for the left leg with infusion of isotonic (nonpainful) saline. Intramuscular and surface electromyographic (EMG) signals were collected to assess MU firing rate and CV. The firing rate of the active MUs [range: 7.4-14.8 pulses/s (pps)] did not change significantly in the three control conditions (without infusion for the right and left leg and with infusion of isotonic saline in the left leg). There was, on the contrary, a significant decrease (on average, mean +/- SE, 1.03 +/- 0.21 pps) of the firing rates during the painful condition. Moreover, MU firing rates were inversely significantly correlated with the subjective scores of pain intensity. Single MU CV was 3.88 +/- 0.03 m/s (mean +/- SE, over all the MUs) with no statistical difference among any condition, i.e., the injection of hypertonic saline did not alter the muscle fiber membrane properties of the observed MUs. Progressively increased muscle pain intensity causes a gradual decrease of MU firing rates. This decrease is not associated with a change in MU membrane properties, indirectly assessed by CV. This study demonstrates a central inhibitory motor control mechanism with an efficacy correlated to the nociceptive activity.

Action Potentials↗

Effect of side dominance on myoelectric manifestations of muscle fatigue in the human upper trapezius muscle.

The purpose of this study was to investigate whether differences in the peripheral and control properties of the neuromuscular system due to long-term preferential use, related to side dominance, affect postural muscles, such as the upper trapezius. Therefore, fatigability properties of the upper trapezius muscles of the dominant and non-dominant side were assessed. Surface EMG signals were detected from the upper trapezius muscles of both sides of nine right- and five left-handed subjects with adhesive linear electrode arrays consisting of eight contact points. Static constant force contractions with the arms 90 degrees abducted were performed by the subjects while holding hand loads of 0 kg, 0.5 kg, and 1 kg. Surface EMG spectral and amplitude variables were computed from the recorded signals. EMG spectral variable rate of change (indicating fatigue) showed a statistically significant difference between the two sides, with the dominant side less fatigable than the non-dominant one. The observed differences held for both the right- and left-handed subject group. A possible explanation for the results is that long preferential use of one side with respect to the other leads to changes in muscle fiber membrane and control properties, in agreement with previous results on limb muscles.

Adult↗

The linear electrode array: a useful tool with many applications.

In this review we describe the basic principles of operation of linear electrode arrays for the detection of surface EMG signals, together with their most relevant current applications. A linear array of electrodes is a system which detects surface EMG signals in a number of points located along a line. A spatial filter is usually placed in each point for signal detection, so that the recording of EMG signals with linear arrays corresponds to the sampling in one spatial direction of a spatially filtered version of the potential distribution over the skin. Linear arrays provide indications on motor unit (MU) anatomical properties, such as the locations of the innervation zones and tendons, and the fiber length. Such systems allow the investigation of the properties of the volume conductor and its effect on surface detected signals. Moreover, linear arrays allow to estimate muscle fiber conduction velocity with a very low standard deviation of estimation (of the order of 0.1-0.2 m/s), thus providing reliable indications on muscle fiber membrane properties and their changes in time (for example with fatigue or during treatment). Conduction velocity can be estimated from a signal epoch (global estimate) or at the single MU level. In the latter case, MU action potentials are identified from the interference EMG signals and conduction velocity is estimated for each detected potential. In this way it is possible, in certain conditions, to investigate single MU control and conduction properties with a completely non-invasive approach. Linear arrays provide valuable information on the neuromuscular system properties and appear to be promising tools for applied studies and clinical research.

Electromyography↗

Assessment of low back muscle fatigue by surface EMG signal analysis: methodological aspects.

This paper focuses on methodological issues related to surface electromyographic (EMG) signal detection from the low back muscles. In particular, we analysed (1) the characteristics (in terms of propagating components) of the signals detected from these muscles; (2) the effect of electrode location on the variables extracted from surface EMG; (3) the effect of the inter-electrode distance (IED) on the same variables; (4) the possibility of assessing fatigue during high and very low force level contractions. To address these issues, we detected single differential surface EMG signals by arrays of eight electrodes from six locations on the two sides of the spine, at the levels of the first (L1), the second (L2), and the fifth (L5) lumbar vertebra. In total, 42 surface EMG channels were acquired at the same time during both high and low force, short and long duration contractions. The main results were: (1) signal quality is poor with predominance of non-travelling components; (2) as a consequence of point (1), in the majority of the cases it is not possible to reliably estimate muscle fiber conduction velocity; (3) despite the poor signal quality, it was possible to distinguish the fatigue properties of the investigated muscles and the fatigability at different contraction levels; (4) IED affects the sensitivity of surface EMG variables to electrode location and large IEDs are suggested when spectral and amplitude analysis is performed; (5) the sensitivity of surface EMG variables to changes in electrode location is on average larger than for other muscles with less complex architecture; (6) IED influences amplitude initial values and slopes, and spectral variable initial values; (7) normalized slopes for both amplitude and spectral variables are not affected by IED and, thus, are suggested for fatigue analysis at different postures or during movement, when IED may change in different conditions (in case of separated electrodes); (8) the surface EMG technique at the global level of amplitude and spectral analysis cannot be used to characterize fatigue properties of low back muscles during very low level, long duration contractions since in these cases the non-stable MU pool has a major influence on the EMG variables. These considerations clarify issues only partially investigated in past studies. The limitations indicated above are important and should be carefully discussed when presenting surface EMG results as a means for low back muscle assessment in clinical practice.

Adult↗

A fast and reliable technique for muscle activity detection from surface EMG signals.

The estimation of on-off timing of human skeletal muscles during movement is an important issue in surface electromyography (EMG) signal processing with relevant clinical applications. In this paper, a novel approach to address this issue is proposed. The method is based on the identification of single motor unit action potentials from the surface EMG signal with the use of the continuous wavelet transform. A manifestation variable is computed as the maximum of the outputs of a bank of matched filters at different scales. A threshold is applied to the manifestation variable to detect EMG activity. A model, based on the physical structure of the muscle, is used to test the proposed technique on synthetic signals with known features. The resultant bias of the onset estimate is lower than 40 ms and the standard deviation lower than 30 ms in case of additive colored Gaussian noise with signal-to-noise ratio as low as 2 dB. Comparison with previously developed methods was performed, and representative applications to experimental signals are presented. The method is designed for a complete real-time implementation and, thus, may be applied in clinical routine activity.

Action Potentials↗

Selectivity of spatial filters for surface EMG detection from the tibialis anterior muscle.

Many spatial filters have been proposed for surface electromyographic (EMG) signal detection. Although theoretical and modeling predictions on spatial selectivity are available, there are no extensive experimental validations of these techniques based on single motor unit (MU) activity detection. The aim of this study was to compare spatial selectivity of one- and two-dimensional (1-D and 2-D) spatial filters for EMG signal detection. Intramuscular and surface EMG signals were recorded from the tibialis anterior muscle of ten subjects. The simultaneous use of intramuscular wire and surface recordings (with the spike triggered averaging technique) allowed investigation of the activity of single MUs at the skin surface. The surface EMG signals were recorded with a grid of point electrodes (3 x 3 electrodes) and a ring electrode system at 15 locations over the muscle, with the wires detecting signals from the same intramuscular location. For most subjects, it was possible to classify, from the intramuscular recordings, the activity of the same MUs for all the contractions. The surface EMG signals were averaged with the intramuscularly detected MU action potentials as triggers. In this way, eight spatial filters--longitudinal and transversal, single and double differential (LSD, TSD, LDD, TDD), Laplacian (NDD), inverse binomial filter of the second order (IB2), inverse rectangle filter (IR), and differential ring system (C1)--could be compared on the basis of their spatial selectivity. The distance from the source (transversal with respect to the muscle fiber orientation) after which the surface detected potential did not exceed +/- 5% of the maximal peak-to-peak amplitude (detection distance) was statistically smaller for the 2-D systems and TDD than for the other filters. The MU action potential duration was significantly shorter with LDD and with the 2-D systems than with the other filters. The 2-D filters investigated (including C1) showed very similar performance and were, thus, considered equivalent from the point of view of spatial selectivity.

Action Potentials↗

A novel approach for estimating muscle fiber conduction velocity by spatial and temporal filtering of surface EMG signals.

We describe a new method for the estimation of muscle fiber conduction velocity (CV) from surface electromyography (EMG) signals. The method is based on the detection of two surface EMG signals with different spatial filters and on the compensation of the spatial filtering operations by two temporal filters (with CV as unknown parameter) applied to the signals. The transfer functions of the two spatial filters may have different magnitudes and phases, thus the detected signals have not necessarily the same shape. The two signals are first spatially and then temporally filtered and are ideally equal when the CV value selected as a parameter in the temporal filters corresponds to the velocity of propagation of the detected action potentials. This approach is the generalization of the classic spectral matching technique. A theoretical derivation of the method is provided together with its fast implementation by an iterative method based on the Newton's method. Moreover, the lowest CV estimate among those obtained by a number of filter pairs is selected to reduce the CV bias due to nonpropagating signal components. Simulation results indicate that the method described is less sensitive than the classic spectral matching approach to the presence of nonpropagating signals and that the two methods have similar standard deviation of estimation in the presence of additive, white, Gaussian noise. Finally, experimental signals have been collected from the biceps brachii muscle of ten healthy male subjects with an adhesive linear array of eight electrodes. The CV estimates depended on the electrode location with positive bias for the estimates from electrodes close to the innervation or tendon regions, as expected. The proposed method led to significantly lower bias than the spectral matching method in the experimental conditions, confirming the simulation results.

Action Potentials↗

Stimulation artifact in surface EMG signal: effect of the stimulation waveform, detection system, and current amplitude using hybrid stimulation technique.

The purpose of this study was to investigate the amplitude properties of the artifact generated on the recorded surface electromyography (EMG) signals during transcutaneous electrical muscle stimulation. The factors which were investigated are the shape of the stimulation waveform, the distance of the stimulating electrode from the recording system, the interelectrode distance of the detection system, the spatial filter used for signal detection, and the stimulation current amplitude. Surface EMG signals were recorded during electrical stimulation of the biceps brachii motor point with a linear adhesive array of eight electrodes. Electrical stimulation was applied with seven stimulation waveforms (mono- and biphasic triangular, sinusoidal, and rectangular), generated by a specifically designed neuromuscular stimulator with hybrid output stage. The stimulation peak current was linearly increased from 0 mA to the maximum tolerated by the subject. The detection systems investigated were single and double differential with interelectrode distances multiple of 5 mm. Two trials for each contraction were performed on three different days. The average rectified artifact values (both absolute and normalized with respect to the corresponding M-wave values) were computed to investigate the artifact amplitude properties. Results indicated that, while the artifact average rectified value, normalized with respect to the M-wave amplitude, depended on the distance of the detecting electrodes from the stimulation point, it did not depend on the stimulation waveform, on the current intensity, on the interelectrode distance, and on the spatial filter. It was concluded that, using hybrid stimulation techniques, the selection of particular stimulation waveforms, interelectrode distances, or spatial filters has a minor effect on the reduction of the artifact when recording M-waves.

Adult↗

An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion.

BACKGROUND AND PURPOSE: This study evaluated an electromyographic technique for the measurement of muscle activity of the deep cervical flexor (DCF) muscles. Electromyographic signals were detected from the DCF, sternocleidomastoid (SCM), and anterior scalene (AS) muscles during performance of the craniocervical flexion (CCF) test, which involves performing 5 stages of increasing craniocervical flexion range of motion--the anatomical action of the DCF muscles. SUBJECTS: Ten volunteers without known pathology or impairment participated in this study. METHODS: Root-mean-square (RMS) values were calculated for the DCF, SCM, and AS muscles during performance of the CCF test. Myoelectric signals were recorded from the DCF muscles using bipolar electrodes placed over the posterior oropharyngeal wall. Reliability estimates of normalized RMS values were obtained by evaluating intraclass correlation coefficients and the normalized standard error of the mean (SEM). RESULTS: A linear relationship was evident between the amplitude of DCF muscle activity and the incremental stages of the CCF test (F=239.04, df=36, P<.0001). Normalized SEMs in the range 6.7% to 10.3% were obtained for the normalized RMS values for the DCF muscles, providing evidence of reliability for these variables. DISCUSSION AND CONCLUSION: This approach for obtaining a direct measure of the DCF muscles, which differs from those previously used, may be useful for the examination of these muscles in future electromyographic applications.

Adult↗

Repeatability of surface EMG variables in the sternocleidomastoid and anterior scalene muscles.

In this study we examined the repeatability and reliability of the surface electromyographic (sEMG) signal mean frequency (MNF), average rectified value (ARV) and conduction velocity (CV) measured for the sternocleidomastoid (SCM) and the anterior scalene (AS) muscles in nine healthy volunteers during 15-s isometric cervical flexion contractions at 50% of the maximal voluntary contraction level over 3 non-consecutive days. Repeatability and reliability estimates were obtained for the initial values and rates of change of each sEMG variable by using both the Intraclass Correlation Coefficient (ICC) and the normalised standard error of the mean (nSEM). Results from SCM indicated good levels of repeatability for the initial value and slope of ARV (ICC>65%). For the AS, high levels of repeatability were identified for the initial value of MNF (ICC>70%) and the slope of ARV (ICC>75%). Values of nSEM in the range 2.8-7.2% were obtained for the initial values of MNF and CV for both SCM and AS, indicating clinically acceptable measurement precision. The low value obtained for the nSEM of the initial value of MNF for the AS, in combination with the high ICC, indicates that of all of the variables examined, this variable could offer the best normative index to distinguish between subjects with and without neck pain, and represents the sEMG variable of choice for future evaluation purposes.

Adult↗

Upper trapezius muscle mechanomyographic and electromyographic activity in humans during low force fatiguing and non-fatiguing contractions.

The purposes of this study were firstly to compare and investigate localised fatigue in the upper trapezius muscle in various arm positions as assessed by mechanomyographic (MMG) and surface electromyographic (EMG) signals and secondly to study the effects of different normalisation methods on MMG and EMG signals during non-fatiguing and fatiguing low level isometric contractions. The MMG, EMG and rate of perceived exertion were recorded from 11 subjects in five arm positions (0 degrees abduction and 0 degrees flexion, 45 degrees and 90 degrees flexion, 45 degrees and 90 degrees abduction) with different bilateral arm loads during 3 s for non-fatiguing (0-0.5-1 kg hand-load) and 3 min for fatiguing contractions (1 kg hand-load). The root mean square (RMS), average rectified value (ARV), mean power frequency (MNF), and median power frequency (MDF) of the MMG and EMG signals were computed and normalised with respect to the initial values obtained in the current arm position or in the reference position (0 degrees abduction and 0 degrees flexion) corresponding to the normal postural activity of the trapezius muscle. For fatiguing contractions, differences in magnitude of the increase in the RMS or ARV and decrease in the MNF or MDF were observed for EMG and MMG. The MMG amplitude and spectral changes followed the subjective sensation of fatigue and were not correlated to their EMG counterparts, suggesting that they may reflect different phenomena. For non-fatiguing contractions, normalisation to the current arm position entailed the loss of dynamic amplitude changes suggesting that a single reference contraction in the middle part of the range of movement is enough for proper normalisation of EMG and MMG signals. For fatiguing contractions, normalisation of the EMG and MMG to some extent can lead to a misleading interpretation. Assessment of the upper trapezius muscle by means of MMG may be valuable in ergonomics.

Adult↗

Assessment of single motor unit conduction velocity during sustained contractions of the tibialis anterior muscle with advanced spike triggered averaging.

This paper describes an improved spike triggered averaging technique for the assessment of control properties and conduction velocity (CV) of single motor units (MUs) of the tibialis anterior muscle during voluntary muscle contractions. The method is based on the detection of multi-channel surface EMG signals (with linear electrode arrays) and intramuscularly recorded single MU action potentials (MUAPs). Intramuscular electrodes were inserted in the muscle taking into account the MU structural properties (innervation zone, tendon locations, length of the fibers), assessed by the linear array surface EMG detection technique. An algorithm for intramuscular EMG signal decomposition is used to identify single MUAP trains. The MUAPs detected by the intramuscular EMG decomposition algorithm were used to trigger and average the multi-channel EMG signals. CV of single averaged surface MUAPs was estimated by the use of advanced signal processing methods based on multi-channel recordings which allow to consistently reduce the variance of CV estimates compared with traditional two channel delay estimators. The number of averaged potentials can thus be limited, resulting in high temporal resolution CV estimates. The developed technique was tested on recordings from the tibialis anterior muscle in 11 volunteers during fatigue. It was shown that the method allows the assessment of single MU CV changes (fatigue) as small as 0.1 m/s with less than 2 s data epochs. The method allows reliable assessment of firing rate and conduction properties of single MUs with applications for the investigation of central and peripheral fatigue mechanisms.

Action Potentials↗

Standardising surface electromyogram recordings for assessment of activity and fatigue in the human upper trapezius muscle.

The objectives of this work were to determine optimal surface electromyogram (EMG) electrode locations, and inter-electrode distance (IED), when assessing activity and fatigue in the human upper trapezius muscle. Surface EMG signals were recorded from the upper trapezius muscle of 11 healthy male subjects using a linear array of 16 surface electrodes. Five arm positions were investigated (arms at the side of the body, 45 degrees and 90 degrees flexion, 45 degrees and 90 degrees abduction). Fatiguing (1 kg hand load held for 3 min) and non-fatiguing (no load, 0.5 kg and 1 kg hand load held for 3 s) contractions were made. The variabilities of the average rectified value, root mean square, mean and median power spectral frequency and slope over time of these parameters as functions of electrode location and IED (from 5 mm over a range of 35 mm in steps of 5 mm) were quantitatively evaluated. A criterion for selecting the optimal electrode position was applied. This criterion indicated an optimal location measured from the acromion (38% of the distance from the lateral edge of acromion to the spine of the seventh cervical vertebra) which was statistically the same for all the EMG descriptors, arm positions and IED investigated. Finally, it was found that both EMG variables and indexes of muscle fatigue depended on IED which should thus be properly standardised. On the basis of the sensitivity of the EMG descriptors to electrode location and cross-talk reduction, an IED of 20 mm is suggested when a global analysis of activity in the upper trapezius muscle is made using a single pair of electrodes. This study emphasises that a surface EMG analysis of the upper trapezius muscle, following a proper placement of the electrodes and selection of IED, can give reliable indications of muscle activity and fatigue. Data on the myoelectric manifestations of muscle fatigue of the upper trapezius muscle are provided for the optimal electrode location.

Adult↗

Effect of age on muscle functions investigated with surface electromyography.

The purpose of this study was to investigate changes in the surface electromyographic (EMG) signal as a means of defining age-related central and peripheral mechanisms affecting muscle fatigue. Spectral and temporal variables of the surface EMG signal were studied during voluntary isometric contractions of the dominant biceps brachii muscle in a group of 8 healthy elderly men (age range 67-86 years) and a group of 10 healthy young men (age range 23-34 years). The maximal torque developed and the rate of decrease (slope) of spectral variables and conduction velocity (CV) were statistically higher in the young subjects than in the elderly subjects. Motor unit (MU) CV distribution was also estimated from the surface EMG signal and no statistical difference was observed in its variance between the two groups. These results confirm previous findings from the tibialis anterior muscle. Thus, changes in fiber type distribution and decrease in MU firing rate with aging may be factors determining the decrease in maximal voluntary contraction torque and in myoelectric manifestations of muscle fatigue.

Action Potentials↗