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Heterogeneity of muscle recruitment pattern during pedaling in professional road cyclists: a magnetic resonance imaging and electromyography study.

Although a number of studies have been devoted to the analysis of the activity pattern of the muscles involved in pedaling in sedentary subjects and/or amateur cyclists, data on professional cyclists are scarce and the issue of inter-individual differences has never been addressed in detail. In the present series of experiments, we performed a non-invasive investigation using functional magnetic resonance imaging and surface electromyography to determine the pattern of activity of lower limb muscles during two different exhausting pedaling exercises in eight French professional cyclists. Each subject performed an incremental exercise during which electromyographic activity of eight lower limb muscles and respiratory variables were recorded. After a 3-h recovery period, transverse relaxation times (T2) were measured before and just after a standardized constant-load maximal exercise in order to quantify exercise-related T2 changes. The global EMG activity illustrated by the root mean square clearly showed a large inter-individual difference during the incremental exercise regardless of the investigated muscle (variation coefficient up to 81%). In addition, for most of the muscles investigated, the constant-load exercise induced T2 increases, which varied noticeably among the subjects. This high level of variation in the recruitment of lower limb muscles in professional cyclists during both incremental and constant-load exercises is surprising given the homogeneity related to maximal oxygen consumption and training volume. The high degree of expertise of these professional cyclists was not linked to the production of a common pattern of pedaling and our results provide an additional evidence that the nervous system has multiple ways of accomplishing a given motor task, as has been suggested previously by neural control theorists and experimentalists.

Adult↗

Kinematic and electromyography analysis of submaximal differences running on a firm surface compared with soft, dry sand.

Kinematic and electromyography (EMG) aspects of running on a firm surface and on soft, dry sand were studied to elucidate mechanisms contributing to the higher energy cost (EC) of sand running. Eight well-trained males (mean VO(2max) 64.3+/-8.6 ml.kg(-1).min(-1)) performed barefoot running trials on a firm surface (wooden floor) and on a soft, dry sand surface (track dimensions 8.8 mx60 cm; depth 13 cm) at 8 and 11 km.h(-1). Kinematic and EMG data were collected simultaneously using an integrated six-camera 50 Hz VICON motion analysis system, an AMTI force-plate and a 10-channel EMG system. Running at 8 km.h(-1) on sand resulted in a greater (P<0.05) stance time (t(s)) compared with the firm surface. At 11 km.h(-1), sand running resulted in a greater stance-to-stride ratio (P<0.005), a shorter stride length (SL) (P<0.05), and a greater cadence (P<0.001) compared with the firm surface values. Hip and knee flexion at initial foot contact (IFC), mid-support (MS) and flexion maximum were greater (P<0.001) running on sand compared with firm surface values at 8 and 11 km.h(-1). Over duration of stride, Hamstring (semimembranosus and biceps femoris) EMG was greater running on sand compared with the firm surface at 8 (P<0.001) and 11 (P<0.05) km.h(-1). During the stance phase in the 8-km.h(-1) trials, EMG in the Hamstrings (P<0.001), Vastii (Vastus lateralis and Vastus Medialis) (P<0.02), Rectus femoris (Rec Fem) (P<0.01) and Tensor Fascia Latae (Tfl) (P<0.0001) were greater than the firm surface measures. During stance in the 11-km.h(-1) trials, Tfl EMG was greater (P<0.02) running on sand compared with the firm surface. At IFC and MS, Hamstrings' EMG was greater on sand at both running speeds (P<0.001). For the Vastii (P<0.02), Rec Fem (P<0.0001) and Tfl (P<0.0001) muscles, the EMG at MS running on sand at both speeds was greater than the firm surface values. The increased EC of running on sand can be attributed in part to the increased EMG activation associated with greater hip and knee range of motion compared with firm surface running.

Adult↗

Effect of speed and precision demands on human shoulder muscle electromyography during a repetitive task.

Effects of speed and precision on electromyography (EMG) in human shoulder muscles were studied during a hand movement task where five points were marked repeatedly with a pencil. Six female subjects performed with three precision demands and at four speeds. Three of the speeds were predefined, while the last speed was performed as fast as possible. The EMG were recorded from 13 shoulder muscles or parts of muscles. Elbow velocity, acceleration and rectified EMG were calculated for each task. The mean elbow velocity and acceleration increased with speed and precision demands. There was an increase in EMG as the speed demand increased for all three precision demands (P < 0.001), and as the precision demand increased for the two highest predefined speed demands (P < 0.05). The combination of a high speed and a high precision demand resulted in the highest EMG. Different EMG levels were attained for the 13 muscles and the supraspinatus muscle always showed the highest normalized EMG. However, analysis of variance showed the same relative increase for all muscles with speed and precision demands. The EMG changes in response to precision demand can only be explained in part by the differences in movement velocity and acceleration, and other factors such as increased co-contraction must also be taken into account.

Aged↗

Reliability of leg muscle electromyography in vertical jumping.

In this study we aimed to determine the reliability of the surface electromyography (EMG) of leg muscles during vertical jumping between two test sessions, held 2 weeks apart. Fifteen females performed three maximal vertical jumps with countermovement. The displacement of the body centre of mass (BCM), duration of propulsion phase (time), range of motion (ROM) and angular velocity of the knee and surface EMG of four leg muscles (rectus femoris, vastus medialis. biceps femoris and gastrocnemius) were recorded during the jumps. All variables were analysed throughout the propulsion and mid-propulsion phases. Intraclass correlation coefficients (ICC) for the rectus femoris, vastus medialis, biceps femoris and gastrocnemius were calculated to be 0.88, 0.70, 0.24 and 0.01, respectively. BCM, ROM and time values all indicated ICC values greater than 0.90, and the mean knee angular velocity was slightly lower, at 0.75. ICCs between displacement of the BCM and integrated EMG (IEMG) of the muscles studied were less than 0.50. The angular velocity of the knee did not correlate well with muscle activity. Factors that may have affected reliability were variations in the position of electrode replacement, skin resistance, cross-talk between muscles and jump mechanics. The results of this study suggest that while kinematic variables are reproducible over successive vertical jumps, the degree of repeatability of an IEMG signal is dependent upon the muscle studied.

Adult↗

Assessment of lower-back muscle fatigue using electromyography, mechanomyography, and near-infrared spectroscopy.

We have investigated the etiology of lower-back muscle fatigue using simultaneous recordings of electromyography (EMG), mechanomyography (MMG), and near-infrared spectroscopy (NIRS) in an attempt to shed some light on the electrophysiological, mechanical, and metabolic characteristics, respectively. Eight male subjects performed isometric back extensions at an angle of 15 degrees with reference to the horizontal plane, for a period of 60 s. Surface EMG, MMG and NIRS signals were recorded simultaneously from the center of the erector spinae at the level of L3. NIRS was measured to determine the level of muscle blood volume (BV) and oxygenation (Oxy-Hb). The root mean square amplitude value (RMS) of the EMG signal was significantly increased at the initial phase of contraction and then fell significantly, while mean power frequency (MPF) of the EMG signal decreased significantly and progressively as a function of time. There were also significant initial increases in RMS-MMG that were followed by progressive decreases at the end of fatiguing contractions. MPF-MMG remained unchanged. Muscle BV and Oxy-Hb decreased dramatically at the onset of the contraction and then remained almost constant throughout the rest of the contraction. These results, obtained by simultaneous recordings of EMG, MMG, and NIRS, demonstrate that the restriction of blood flow due to high intramuscular mechanical pressure is one of the most important factors in muscle fatigue in the lower-back muscles. In addition, the simultaneous recording system described here can be used to obtain more reliable information regarding the mechanism(s) of lower-back muscle fatigue.

Adult↗

Surface electromyography in preoperative evaluation and postoperative monitoring of Zenker's diverticulum.

Patients with Zenker's diverticulum (ZD) underwent surface electromyography (sEMG) evaluation to determine sEMG patterns specific for ZD. Group 1 comprised patients with proven long-standing ZD that refused surgical treatment (n = 11, age mean = 55.7 years). Group 2 comprised surgically operated on patients with ZD (n = 6, age mean = 61 years). The timing, amplitude, and graphic patterns of activity of the masseter, submental, and laryngeal strap muscles were examined during voluntary single water swallows ("normal"), single swallows of excessive amounts of water (20 ml, "stress test"), and continuous drinking of 100 cc of water. The muscle activity in pharyngeal and initial esophageal stages of swallowing was measured, and graphic records were evaluated in relation to timing and voltage. The data were compared with the previously established normative database. The main sEMG patterns of ZD are (1) duration of swallowing and drinking is longer than normal (p < 0.05), (2) electric amplitude of laryngeal strap muscles during swallowing activity is higher than normal (p < 0.05), and (3) regurgitation peaks immediately after swallow followed by secondary swallow of the regurgitated portion of a bolus as seen at the sEMG records are specific graphic patterns for the ZD. Zenker's diverticulum has its own specific sEMG patterns. Surface EMG, being an important screening method for patients with dysphagia, is a valuable additional diagnostic tool for ZD. Because it is noninvasive and nonradiographic, it can be used for monitoring of long-standing cases of the disease as well as monitoring of postsurgical recovery.

Aged↗

Back extensor muscle fatigue in patients with lumbar disc herniation. Pre-operative and post-operative analysis of electromyography, endurance time and subjective factors.

We investigated back muscle fatigue and endurance in patients with lumbar disc herniation before and after surgery, and established the degree of association between perceived fatigue and objectively measured fatigue. Additionally, the relationships between muscle fatigue and endurance time on the one hand, and activity, participation, self-efficacy and health on the other, were investigated to clarify the grades of association between these factors. Forty-three consecutive patients with lumbar disc herniation were tested before surgery and 4 weeks after surgery. The protocol comprised an isometric endurance test (modified Sørensen's test) with concomitant measures of electromyography, and Borg ratings of pain and fatigue. To measure activity, participation, self-efficacy and health, the patients also filled in questionnaires. Results showed a post-operatively significant improvement in lumbar muscle fatigue expressed as a flatter L5 slope for the men. No significant improvement was found for endurance times or for Borg ratings. Endurance time correlated with questionnaire answers on physical activity, the Roland-Morris, the Oswestry, self-efficacy and some items of the SF-36 with correlation coefficients ranging from 0.52 to 0.91. The L5 slope correlated with the Roland-Morris, the Oswestry and some items of the SF-36 only in women with correlation coefficients between 0.53 and 0.77. We conclude that the effects of surgery reduced muscle fatigue for the men. There is an association between muscle fatigue and endurance with activity limitations, participation restrictions, self-efficacy and health in patients undergoing surgery for lumbar disc herniation.

Activities of Daily Living↗

Surface electromyography-verified muscular damage associated with the open dorsal approach to the lumbar spine.

The dorsal approach is increasingly preferred in the surgical treatment of vertebral fractures. However, the access and the implant's position cause muscle loss, which can lead to instability and a reduced capacity for rehabilitation. Morphological factors (bones, intervertebral discs) are typically blamed for chronic pain syndromes in the literature, while less importance is attached to functional factors (muscles). The objective of this study was therefore to investigate the isolated influence of dorsal spinal instrumentation on the back muscles by means of electromyography (EMG). A total of 32 patients with conditions after dorsal spondylodesis following the fracture of a vertebral body and 32 subjects with healthy backs were enrolled in this study. The EMG signal was recorded in three different muscle groups during isometric extension exercise. The evaluation was performed by comparing the mean rectified amplitudes of the three muscle groups in the patients and controls. The patients had significantly lower amplitudes in the multifidus muscle (MF) and significantly higher amplitudes in the iliocostal muscle (IL). Patients with severe pain were found to have lower electric muscle potentials in all investigated muscle groups than patients with mild pain. The muscle damage which was established in the multifidus muscle is compensated by increased activity in the iliocostal muscle. On the basis of anatomical considerations, the damage pattern can be identified as having been caused by surgery. It is extremely unlikely that trauma is the cause.

Adolescent↗

Electrophysiological evidence by single fibre electromyography of neuromuscular transmission impairment in a case of Miller Fisher syndrome.

Miller Fisher syndrome is an autoimmune neuropathy characterised by ataxia, areflexia and ophthalmoplegia, with minimal if any limb weakness, and in the majority of cases by high titres of IgG anti-GQ1b ganglioside antibodies. In vitro electrophysiological experiments have demonstrated that these antibodies induce a transmission blockade at neuromuscular junction either pre- or post-synaptically. We report the case of a 63-year-old man with MFS that shows blood serum negative for anti-GQ1b but presents an impairment of neuromuscular transmission detected by single fibre electromyography. To the best of our knowledge, this represents the first case in the literature using jitter technique and suggests that other antibodies may be involved in the function of motor end plates by bindings to the synaptic membranes.

Electric Stimulation↗

Identification of human term and preterm labor using artificial neural networks on uterine electromyography data.

OBJECTIVE: To use artificial neural networks (ANNs) on uterine electromyography (EMG) data to classify term/preterm labor/non-labor pregnant patients. MATERIALS AND METHODS: A total of 134 term and 51 preterm women (all ultimately delivered spontaneously) were included. Uterine EMG was measured trans-abdominally using surface electrodes. "Bursts" of elevated uterine EMG, corresponding to uterine contractions, were quantified by finding the means and/or standard deviations of the power spectrum (PS) peak frequency, burst duration, number of bursts per unit time, and total burst activity. Measurement-to-delivery (MTD) time was noted for each patient. Term and preterm patient groups were sub-divided, resulting in the following categories: [term-laboring (TL): n = 75; preterm-laboring (PTL): n = 13] and [term-non-laboring (TN): n = 59; preterm-non-laboring (PTN): n = 38], with labor assessed using clinical determinations. ANN was then used on the calculated uterine EMG data to algorithmically and objectively classify patients into labor and non-labor. The percent of correctly categorized patients was found. Comparison between ANN-sorted groups was then performed using Student's t test (with p < 0.05 significant). RESULTS: In total, 59/75 (79%) of TL patients, 12/13 (92%) of PTL patients, 51/59 (86%) of TN patients, and 27/38 (71%) of PTN patients were correctly classified. CONCLUSION: ANNs, used with uterine EMG data, can effectively classify term/preterm labor/non-labor patients.

Adolescent↗

Intraoperative monitoring of segmental spinal nerve root function with free-run and electrically-triggered electromyography and spinal cord function with reflexes and F-responses. A position statement by the American Society of Neurophysiological Monitoring.

BACKGROUND CONTEXT: Orthodromic ascending somatosensory evoked potentials and antidromic descending neurogenic somatosensory evoked potentials monitor spinal cord sensory function. Transcranial motor stimulation monitors spinal cord motor function but only activates 4-5% of the motor units innervating a muscle. Therefore, 95-96% of the motor spinal cord systems activating the motor units are not monitored. To provide more comprehensive monitoring, 11 techniques have been developed to monitor motor nerve root and spinal cord motor function. These techniques include: 1. neuromuscular junction monitoring, 2. recording free-run electromyography (EMG) for monitoring segmental spinal nerve root function, 3. electrical stimulation to help determine the correct placement of pedicle screws, 4. electrical impedance testing to help determine the correct placement of pedicle screws, 5. electrical stimulation of motor spinal nerve roots, 6. electrical stimulation to help determine the correct placement of iliosacral screws, 7. recording H-reflexes, 8. recording F-responses, 9. recording the sacral reflex, 10. recording intralimb and interlimb reflexes and 11. recording monosynaptic and polysynaptic reflexes during dorsal root rhizotomy. OBJECTIVE: This paper is the position statement of the American Society of Neurophysiological Monitoring. It is the practice guideline for the intraoperative use of these 11 techniques. METHODS: This statement is based on information presented at scientific meetings, published in the current scientific and clinical literature, and presented in previously-published guidelines and position statements of various clinical societies. RESULTS: These 11 techniques when used in conjunction with somatosensory and transcranial motor evoked potentials provide a multiple-systems approach to spinal cord and nerve root monitoring. CONCLUSIONS: The techniques reviewed in this paper may be helpful to those wishing to incorporate these techniques into their monitoring program.

Electromyography↗

Medial paraspinal muscle electromyography: techniques of examination.

We describe two techniques, developed through cadaveric dissections, for the electromyographic examination of the lumbar interspinal muscles and medial lumbar multifidi. Previous anatomic studies have indicated that these medial paraspinal muscles share unisegmental innervation by a single nerve root. Electromyography of these muscles may therefore improve the localization of lumbosacral radiculopathy. The ability of the two techniques to achieve appropriate needle placement was confirmed using percutaneous injection of colored latex into cadavers. The safety and feasibility of the techniques were confirmed in healthy volunteers. Further studies are underway in subjects with lumbosacral radiculopathy to determine the clinical utility of these techniques.

Adult↗

Jittermeter--a microcomputer-based system for single fibre electromyography.

In single fibre electromyography (SFEMG) an exact measurement and computation of a number of time parameters is required. This paper describes a low-cost microprocessor-based measurement system for SFEMG data acquisition, computation of the parameters and display, as an alternative to a general purpose-computer based system. Time measurement is performed at dual resolution: 0.1 microsecond and 0.1 msec. Erroneous data due to disturbing voltages are automatically eliminated. A variety of SFEMG applications is covered by 3 basic modes of data handling. The microprocessor unit is based on the 6800 family and contains 3K of program memory, input-output modules and 4K data memory. The instructions are entered through a keyboard and output is provided by an LED display, line-printer and X-Y storage display.

Action Potentials↗

A neural network representation of electromyography and joint dynamics in human gait.

Optimization theory and other mathematical algorithms have traditionally been used to model the relationship between muscle activity and lower-limb dynamics during human gait. We introduce here an alternative approach, based on artificial neural networks with the back-propagation algorithm, to map two different transformations: (1) EMG-->joint angles; and (2) EMG-->joint moments. Normal data for 16 muscles and three joint moments and angles (hip, knee, and ankle) were adapted from the literature [Winter (1987), The Biomechanics and Motor Control of Human Gait]. Both networks were successfully trained to map the input vector onto the output vector. The models were tested by feeding in an input vector where all 16 muscles were slightly different (20%) from the training data, and the predicted output vectors suggested that the models were valid. The trained networks were then used to perform two separate simulations: 30% reduction in soleus activity; and removal of rectus femoris. Net 2, in which electromyography was mapped onto joint moments, provided the most reasonable results, suggesting that neural networks can provide a successful platform for both biomechanical modeling and simulation. We believe that this paper has demonstrated the potential of artificial neural networks, and that further efforts should be directed towards the development of larger training sets based on normal and pathological data.

Algorithms↗

Evaluation of methods to minimize cross talk in surface electromyography.

The purposes of this study were to quantify the effectiveness of various methods to minimize cross talk in surface electromyography (EMG) using common recording equipment, and to compare the intra- and interday variabilities of signals recorded with these methods. Comparisons were made for signals recorded with the single differential (SD), double differential (DD) and branched electrode (BE) techniques with large and small electrodes and corresponding interelectrode distances. The amount of cross talk in tibialis anterior EMG signals during maximum voluntary effort (MVE) triceps surae excitation was estimated using a protocol involving electrical stimulation of the triceps surae via the tibial nerve. In SD signals, cross talk averaged 12.2 and 10.2 percent MVE, for the large and small interelectrode distances, respectively. DD and BE signals contained significantly less cross talk (approximately 5 percent MVE for both techniques and interelectrode distances) than SD signals. The intra- and interday variabilities associated with these methods were estimated by recording tibialis anterior EMG signals during maximum voluntary isometric dorsiflexion (3 trials on each of 2 days) and calculating coefficients of variation for average-rectified values and median frequencies. EMG signals recorded with the small interelectrode distance showed greater interday amplitude variability than those recorded with the large interelectrode distance. Intra- and interday amplitude variabilities were similar across SD, DD and BE recording techniques. Intra- and interday frequency variabilities were similar across all experimental conditions. Thus, the DD and BE techniques, in conjunction with the large interelectrode distance (and large electrodes), provide a signal which contains significantly less cross talk than the SD technique without sacrificing intra- and interday amplitude and frequency stability.

Adult↗

Anger imagery and corrugator electromyography.

Electromyography (EMG) of corrugator muscle activity has been positively related to negative affective states and psychopathology. Research exploring the relationship between corrugator EMG and personality traits is lacking. The relationship between corrugator EMG and state-trait anger was examined using affective imagery in 52 undergraduate females divided into high and low trait anger groups. Results indicated that the high group reported greater difficulty with imagery, but reported more anger during the angry imagery as compared to the low anger group. Covarying imagery ability, no group differences in corrugator EMG were apparent. The greater experience of subjective anger by the high anger group was not associated with greater corrugator EMG or better imagery ability.

Adolescent↗

Quantitative electromyography in babies and young children with primary muscle disease and neurogenic lesions.

The technique of quantitative electromyography suitable for babies and young children is reviewed. The findings in 22 children with myopathic disease and 21 with neurogenic disease have been compared with the results from 25 children with no evidence of neuromuscular disease (the Apparent control group). Children with primary muscle disease had low Mean Ratios of mean amplitude/turns per second whereas those with neurogenic lesions had high Mean Ratios. The most abnormal results were found in children with muscular dystrophies and anterior horn cell disease.

Anterior Horn Cells↗

Cystometric and perineal electromyography in spinal cord-injured patients.

The results of combined cystometry and perineal electromyography were reviewed retrospectively in 50 consecutive, traumatic spinal cord-injured patients. Early and frequent urodynamic evaluation was found necessary in order to tailor treatment to the changing cystometric and electromyographic states in these patients.

Electromyography↗