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PubMed2001

Mechanomyography and electromyography force relationships during concentric, isometric and eccentric contractions.

The purpose of this study was to investigate systematically if complementary knowledge could be obtained from the recordings of electromyography (EMG) and mechanomyography (MMG) signals. EMG and MMG activities were recorded from the first dorsal interosseous muscle during slow concentric, isometric, and eccentric contraction at 0, 25, 50, 75 and 100% of the maximal voluntary contraction (MVC). The combination of the EMG and MMG recordings during voluntary concentric-isometric-eccentric contraction showed significant different non-linear EMG/force and MMG/force relationships (P<0.001). The EMG root mean square (rms) values increased significantly from 0 to 50% MVC during concentric and isometric contraction and up to 75% MVC during eccentric contraction (P<0.05). The MMG rms values increased significantly from 0 to 50% MVC during concentric contraction (P<0.05). The non-linear relationships depended mainly on the type and the level of contraction together with the angular velocity. Furthermore, the type of contraction, the contraction level, and the angular velocity influenced the electromechanical efficiency evaluated as the MMG to EMG ratio (P<0.05). These results highlight that EMG and MMG provide complementary information about the electrical and mechanical activity of the muscle. Different activation strategies seem to be used during graded isometric and anisometric contraction.

Adult↗
PubMed2003

A pilot study on the effect of oral contraceptives on electromyography and mechanomyography during isometric muscle actions.

The purpose of this pilot study was to determine the influence of oral contraceptives (OC) on electromyography (EMG) and mechanomyography (MMG) during isometric (ISO) muscle actions of the rectus femoris. Two groups of women (Mean +/- SEM, 24 +/- 1 yrs, 1.68 +/- 0.02 m, 70.97 +/- 4.81 kg) were recruited and tested five times throughout one complete menstrual cycle. The first group (n=7) were not taking hormonal treatment (NOC) and the OC group (n=6) had been taking exogenous hormones for at least six months prior. Each participant performed maximal ISO muscle actions (MVC) of the leg extensors on a Cybex II isokinetic dynamometer followed by randomly assigned sub-maximal ISO muscle actions. Bipolar surface EMG electrodes were placed over the rectus femoris with a piezoelectric MMG recording device placed between the two electrodes. Three separate three way (group x day x %MVC) mixed factorial repeated measures ANOVAs were used to determine differences in torque, EMG and MMG between NOC and OC subjects. There were no significant three-way interactions involving group for normalized torque, EMG or MMG. These results indicated that OC does not have an effect on torque, EMG or MMG during ISO muscle actions of the rectus femoris.

Adult↗
PubMed1998

A study of the reproducibility of three different normalisation methods in intramuscular dual fine wire electromyography of the shoulder.

The purpose of this study was to determine the most appropriate method of normalisation for dual fine wire electromyography of shoulder muscles. Five healthy subjects were studied, with one muscle investigated in each subject (2 supraspinatus, 2 infraspinatus, 1 subscapularis). Three dual fine wire electrodes were inserted 1 cm apart around the recognised insertion points. Each subject performed five types of cyclic exercise on an isokinetic muscle dynamometer with an isometric maximal voluntary contraction (MVC) being performed before and after the exercise protocol. The EMG signal was normalised using each of the MVC voltage, the peak voltage and the whole-cycle mean voltage. There was a considerable difference (5-143%) between the MVC signals pre- and post-protocol, although no systematic trend was demonstrable. The overall mean between electrode variation in the normalised signal measured at the peak of the cycle ranged from 48-71% when normalised to pre-protocol MVC, but only 4-13% when normalised to the peak voltage and 9-17% using the whole-cycle mean voltage. However the pattern of activation within the movement cycle, which was preserved by normalisation using the peak or mean signal, was consistent between different electrode positions. It was concluded that the EMG signal depended on electrode position even when near the recognised insertion point, and that the MVC signal is highly variable in magnitude between electrodes and between pre- and post-protocol measurements.

Adult↗
PubMed1999

The size index as a motor unit identifier in electromyography examined by numerical calculation.

A computer simulation was performed to investigate the size index as a motor unit identifier in electromyography. The size index calculated from the amplitude and area of the simulated motor unit action potential (MUP) was plotted against the distance between the needle electrode and current source to show how the index changes as a function of the distance. The index of the MUP also was plotted against the number of muscle fibers belonging to a single motor unit, the size of the motor unit territory, and the diameter of the muscle fibers in order to establish the major determinants of the index. The index was relatively constant for the distance less than 2 mm between the needle electrode and closest edge of the current source. It changed logarithmically with the number of muscle fibers and with the diameter of the fibers.

Computer Simulation↗
PubMed2000

Sensitivity of trapezius electromyography to differences between work tasks - influence of gap definition and normalisation methods.

Surface electromyography (EMG) has been used extensively to estimate muscular load in studies of work related musculoskeletal disorders, especially for the trapezius muscle. The occurrences of periods of EMG silence (gaps), the time below a predetermined threshold level (muscular rest) and various percentiles of the amplitude distribution (APDF) are commonly used summary measures. However, the effects of the criteria used to calculate these measures (e.g., gap duration, threshold level, normalisation method) on the sensitivity of these measures to accurately differentiate work loads is not well known. Bilateral trapezius EMG was recorded, for a full workday, for 58 subjects following both maximal (MVE) and submaximal (RVE) reference contractions. Gap frequency, muscular rest, and percentiles were derived for eight fundamental work tasks. The calculations were performed using different gap duration criteria, threshold levels and normalisation methods.A gap duration of less than 1/2 s, and threshold level approximately 0.3% MVE for gap frequency, and approximately 0.5% MVE for muscular rest, were the criteria that optimised sensitivity to task differences. Minimal sensitivity to tasks and a high sensitivity to individuals was obtained using gap frequency with a threshold level of approximately 1% MVE. Normalisation to RVE, rather than MVE, improved sensitivity to differences between tasks, and reduced undesirable variability. Muscular rest was more sensitive to task differences than APDF percentiles.

Adult↗
PubMedDate not supplied

Electromyography of shoulder muscles in relation to force direction.

In a static force task the electromyographic level of 14 shoulder muscles including 3 rotator cuff muscles was related to force direction. Surface and wire electrodes were used. The force direction of maximal electromyography (principal action) was identified for every muscle. The principal action expresses the function of a muscle in a special situation. The deltoid was active in a force direction that could be understood from its anatomy. The trapezius and serratus were mainly involved in stabilizing the scapula in upward and outward force directions. Large multiarticular muscles such as the pectoralis and the latissimus were active in downward and forward forces. The rotator cuff seems to have a specific role in stabilizing the glenohumeral joint. These data can be compared with data of patients with shoulder disorders and with kinematic data of a shoulder model.

Adult↗
PubMedDate not supplied

Uterine electromyography and light-induced fluorescence in the management of term and preterm labor.

OBJECTIVE: Understanding the physiology of the uterus and cervix during term and preterm parturition is crucial for developing methods to control their function and is essential to solving clinical problems related to labor. To date, only crude, inaccurate, and subjective methods are used to assess changes in uterine and cervical function in pregnancy. METHODS: In the past several years, we have developed noninvasive methods to quantitatively evaluate the uterus and cervix based on recording of uterine electrical signals from the abdominal surface (uterine electromyography) and measurement of light-induced fluorescence (LIF) of cervical collagen (Collascope), respectively. Both methods are rapid and allow immediate assessment of uterine contractility and cervical ripening. RESULTS: Studies in animals and humans indicated that uterine and cervical performance can be monitored successfully during pregnancy using those approaches and that these techniques can be used during labor to better define management in a variety of conditions associated with labor. CONCLUSION: The potential benefits of the proposed instrumentation and methods include reducing the rate of preterm delivery, improving maternal and perinatal outcome, monitoring treatment, decreasing cesarean rate and providing research methods to understand uterine and cervical function.

Animals↗
PubMed2000

Standardization of anal sphincter electromyography: normative data.

OBJECTIVES: Electromyography (EMG) of the external anal sphincter (EAS) is important in the evaluation of conus/cauda lesions, the differential diagnosis of parkinsonism and anal incontinence. The aim of our study was to establish normative data in a sufficiently large group of healthy subjects, using a rigorously standardized examination technique. METHODS: Sixty-four subjects (aged 19-83 years) without pelvic or neurological disorders were included. Motor unit potentials (MUPs)/interference pattern (IP) samples were obtained from the EAS using multi-MUP and turn/amplitude analyses, respectively. The effect of age, gender, parity, and constipation on MUP/IP parameters was studied. For MUP parameters the lower/upper limits for mean values, and 'outlier' limits, and for IP parameters normal 'clouds' were calculated. RESULTS: From 112 muscles 15-30 MUPs were sampled. As no effect of evaluated factors on mean values could be demonstrated, common reference values were calculated. Lower/higher limits for mean values were: amplitude 148/661 microV, duration 3.2/7.8 ms, area 87/625 microVms, and number of phases 2. 3/3.7. 'Outlier' limits for individual MUPs were: amplitude 84/1315 microV, duration 1.6/13.8 ms, area 46/1222 microVms, number of phases 2/6. From 95 muscles 2706 IP samples were obtained. CONCLUSIONS: The presented normative data should allow valid quantitative EMG of the EAS muscle in patients.

Adult↗
PubMed2001

Determinants of pain in needle electromyography.

OBJECTIVES: Although previous literature has attempted to characterize patients' pain during electromyography (EMG) based on the size and type of needle used, none have assessed the relationship between the needle insertion technique and pain. METHODS: The effects of needle type and needle movement within muscle on the immediate and residual pain during needle EMG were measured in a double-blind study of 48 patients with diverse clinical problems but no sensory loss. RESULTS: The results demonstrate that when using a standard insertion technique characterized by large needle movement, the monopolar needles were less painful than concentric needle electrodes. However, when using small needle movements (1 mm or less), pain associated with concentric needles was significantly reduced with no difference between the needle types. Examiner experience, gender, previous EMG, reported pain tolerance, pain on nerve conduction studies and other factors did not predict the amount of pain. The type of needle and type of needle movement did not effect the sensitivity of identifying abnormalities. CONCLUSIONS: These findings would support the hypothesis that although a monopolar needle electrode is less painful when using a standard technique, the needle-handling technique, specifically small needle movements, plays a large role in determining pain when using concentric needle electrodes.

Adult↗
PubMed2002

Location of innervation zones of sternocleidomastoid and scalene muscles--a basis for clinical and research electromyography applications.

OBJECTIVES: Advances in surface electromyography (sEMG) techniques provide a clear indication that refinement of electrode location relative to innervation zones (IZ) is required in order to optimise the accuracy, relevance and repeatability of the sEMG signals. The aim of this study was to identify the IZ for the sternocleidomastoid and anterior scalene muscles to provide guidelines for electrode positioning for future clinical and research applications. METHODS: Eleven volunteer subjects participated in this study. Myoelectric signals were detected from the sternal and clavicular heads of the sternocleidomastoid and the anterior scalene muscles bilaterally using a linear array of 8 electrodes during isometric cervical flexion contractions. The signals were reviewed and the IZ(s) were identified, marked on the subjects' skin and measurements were obtained relative to selected anatomical landmarks. RESULTS: The position of the IZ lay consistently around the mid-point or in the superior portion of the muscles studied. CONCLUSIONS: Results suggest that electrodes should be positioned over the lower portion of the muscle and not the mid-point, which has been commonly used in previous studies. Recommendations for sensor placement on these muscles should assist investigators and clinicians to ensure improved validity in future sEMG applications.

Adult↗
PubMed1981

Clinical electromyography in ear, nose and throat practice.

A new method of surface 'integrated' electromyography is described for use in ENT practice. It is particularly suitable for the relatively delicate muscles of the mouth and throat. A special bipolar surface electrode has been designed to sample the interarytenoid, posterior crico-arytenoid and crico-pharyngeal sphincter. Very important EMG abnormalities have been found in a variety of neurolaryngological disorders, and it is expected that surface EMG will very soon become the method of choice in otolaryngology.

Electromyography↗
PubMed1997

Assessment of accelerography with the TOF-GUARD: a comparison with electromyography.

The TOF-GUARD is a new device for monitoring the neuromuscular function using acceleration measurement. It is quick and easy to apply and does not require a rigid support for the arm. Forty-one patients were studied to assess the monitoring of vecuronium neuromuscular block (NMB) using accelerography by the TOF-GUARD compared with electromyography by the Relaxograph. Although the mean first twitch (T1%) and mean train-of-four (TOF) ratios measured by the TOF-GUARD corresponded to a certain extent with the Relaxograph, the wide variations of the values for individual patients measured by the TOF-GUARD compared with the Relaxograph and the differences in clinical duration and recovery index between the two monitors do not allow the values of the two monitors to be used interchangeably. The levels at intubation as well as at full recovery of the patients can be assessed equally by the two monitors. Thus, the TOF-GUARD is a reliable clinical monitor in daily anaesthesia practice.

Adolescent↗
PubMed2000

Minimum standards for electromyography in Canada: a statement of the Canadian Society of Clinical Neurophysiologists.

BACKGROUND: Electromyography (EMG) is a widely used diagnostic technique for disorders of the nervous system. The Canadian Society of Clinical Neurophysiologists (CSCN) promotes the education, evaluation and standards of EMG in Canada. A statement of practice standards was needed to clarify the position of the CSCN on several issues relevant to the practice of EMG. METHODS AND RESULTS: A subcommittee of the CSCN reviewed current patterns of practice and established guidelines for review by the CSCN. The guidelines developed by the subcommittee were reviewed by the CSCN and adopted as recommendations for EMG practice. The subcommittee was charged with formulation of a document for publication. CONCLUSIONS: This document deals with minimum standards for electromyographer education, laboratory operation, equipment and a variety of special circumstances relevant to the practice of EMG. The standards can be adopted by EMG laboratories to guide quality assurance.

Canada↗
PubMed1976

Nerve conduction studies and electromyography in Friedreich's ataxia.

Twenty-six of 50 patients were investigated with nerve conduction studies and electromyography using a standard protocol and were compared to the findings in 50 normal control subjects. Almost all cases of typical Friedreich's ataxia had absent sensory action potentials (SAP) in the digital (92%) or sural (96%) nerves. The others had markedly decreased S.A.P's. In these same patients motor conduction velocities were either normal or only slightly decreased. In the second, atypical group of 9 patients, the motor conduction velocities were considerably decreased. Because of the absence of sensory action potentials in Friedreich's ataxia, and that the absence was noted in our very mild cases, it is proposed that this measure be used to facilitate early diagnosis.

Action Potentials↗
PubMed1987

Electromyography in disorders of muscle tone.

No single clinical electrophysiological test can evaluate disorders of muscle tone. These disorders, symptomatic of a variety of diseases have a multifactorial physiological basis. The several tests used are complimentary each aiming to study different aspects of spinal and supraspinal reflexes which become deranged. The H reflex and F wave (H max/M max and F max/M max ratios) measure motoneuron pool excitability in general. The tendon reflex includes spindle mechanisms bypassed by the H reflex and, with limitations, comparison of H max/M max and T max/M max yields information about the gamma system. Tonic vibration of a tendon inhibits the H reflex from the same muscle. The TVR measures autogenous presynaptic inhibition exerted by the Ia afferents of the muscle. Recurrent inhibition via Renshaw cells is evaluated by studying the effect of collision on the H reflex. Reciprocal inhibition of the Ia afferents can be assessed by measuring H reflex change induced by stimulating Ia afferents from antagonists. Changes in the H reflex recovery cycle measure polysynaptic influences on spinal motoneuron excitability. Cutaneo-muscular (flexor) reflexes measure poly- and oligosynaptic excitatory drive to spinal motoneurons and the blink reflex evaluates the excitatory drive to brainstem motoneurons. Long loop (segmental) responses can be evaluated by limb pertubation using a torque motor or electrical stimulation applied during voluntary muscle contraction. Finally needle electromyography is a more relevant test in several disorders of muscle tone such as the stiff-man syndrome and Isaacs' syndrome.

Action Potentials↗
PubMed1979

Electromyography and nerve conduction studies in Friedreich's ataxia and autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS).

Twenty four ataxic patients were investigated with electromyography and nerve conduction studies. They were divided in two groups according to the area they came from, the evolution of the disease, and the clinical signs. Group I patients from the Rimouski area displayed all the clinical and electrophysiological signs of Friedreich's ataxia. Group II comprised patients who presented with a new syndrome known as the autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS). Although the clinical evolution was better in the latter, there were more electromyographic signs of denervation and the motor conduction velocities were slower. Both groups showed identical and important abnormalities in sensory nerve conduction. The results of electrophysiological studies in spastic ataxia have not been reported to our knowledge. They underline the place of spastic ataxia as distinct from Friedreich's ataxia, spastic paraplegia, and the known familial neuropathies.

Action Potentials↗
PubMedDate not supplied

Comparison of prehospital cervical immobilization devices using video and electromyography.

INTRODUCTION: Previous evaluations of prehospital devices intended for spinal immobilization have focused on the device's ability to restrict motion only. This study defines six relevant criteria for evaluation of cervical immobilization device (CID) performance. OBJECTIVES: To suggest relevant criteria for evaluation and use available technology to improve measurements for performance testing of prehospital-care devices. METHODS: Six parameters (motion restriction, access, ease of application, environmental performance, radiolucency, and storage size) were used to evaluate three types of CIDs: Device A--a single-use corrugated board; Device B--a reusable foam-block CID; and Device C--hospital towels and adhesive tape. To test motion restriction, the most frequently compared parameters for immobilization devices, 20 volunteers were asked to move their heads and necks through a series of motions (flexion, extension, lateral bending, and rotation). Their movements were videotaped, still images of each movement were generated, and the degrees of deflection recorded from these still images. To ensure a consistent level of force, electromyography (EMG) of the sternoclydomastoid and extensor muscles was employed. RESULTS: Data were produced for each parameter and presented for comparison. The use of video to determine deflection proved to be a useful and highly accurate (+/- 1o) method for measurement. The use of EMG technology enabled force to be controlled indirectly when the subjects used moderate levels of exertion. Overall, Devices A and C restricted motion better than Device B. Although Device C required the shortest time for application, it took the longest to prepare for application. The total time required for preparation and application of A and B essentially were equivalent, with A requiring no preparation time but taking the longest for application, and B having an intermediate interval for application. Device A allowed for the best examination of the head and neck. No differences were detected in performance in extreme environmental conditions or in radiolucency for cervical spine X-ray examinations. Device A consumed the smallest storage volume, B the greatest storage volume, and C an intermediate volume substantially greater than that required for A. CONCLUSION: Device evaluation should include examination of all relevant performance parameters using the most accurate and meaningful methods possible.

Cervical Vertebrae↗
PubMed2003

The history of surface electromyography.

The history of muscle pain and dysfunction is viewed through the lens of a four factor theory of histologic (tissue related) issues, psychologic (emotional) issues, sensory motor (movement) issues, and biomechanical (postural) issues. The historical antecedents of surface electromyography are reviewed.

Animals↗