EMG muscle scanning: Comparison to attached surface electrodes

Electromyographic (EMG) muscle scanning measures brief samples of integrated muscle action potentials from individual muscles using a hand-held scanner with post-style electrodes. This scanning technique is widely used by biofeedback practitioners to quickly assess muscle activity in the diagnosis of musculoskeletal disorders. In an effort to compare muscle scanning with the established technique using attached surface electrodes, ten healthy subjects (25–35 years old) were scanned using 2-second sampling at five bilateral muscle sites while simultaneously monitoring the same sites with surface electrodes. This was repeated using 10-second scanning samplings. Pearson's product-moment correlations between scanning for 2 seconds and prolonged surface recording at all sites were 0.54–0.89. Scanning for 10 seconds improved the correlations to 0.68–0.91. EMG scanning for 2 seconds compares favorably with attached surface electrode recording. Comparisons are further improved by 10-second scans.     

EMG muscle scanning: stability of hand-held surface electrodes

Electromyographic (EMG) muscle scanning measures 2-second samples of integrated muscle action potentials from individual neck and back muscles using a hand-held scanner with post-style surface electrodes separated by a fixed distance. This "scanning" technique is widely used to expeditiously assess muscle activity in the diagnosis of musculoskeletal disorders. In order to determine if the 2-second sample is sufficiently representative of electrical activity at a specific muscle site, the stability of the signal received by the hand-held scanner was measured bilaterally at six neck and back muscle sites over 40 seconds (20 2-second integration periods) in five seated subjects. Taking the overall average EMG activity as the "true" value, the mean number of 2-second integration periods required to achieve less than 5% standard error was calculated to be 1.47 for the 60 muscles tested. Only three sites required more than five integration periods. The validity of EMG scanning as a diagnostic tool is enhanced by longer integration periods.     

EMG muscle scanning: Stability of hand-held surface electrodes

Electromyographic (EMG) muscle scanning measures 2-second samples of integrated muscle action potentials from individual neck and back muscles using a hand-held scanner with post-style surface electrodes separated by a fixed distance. This scanning technique is widely used to expeditiously assess muscle activity in the diagnosis of musculoskeletal disorders. In order to determine if the 2-second sample is sufficiently representative of electrical activity at a specific muscle site, the stability of the signal received by the hand-held scanner was measured bilaterally at six neck and back muscle sites over 40 seconds (20 2-second integration periods) in five seated subjects. Taking the overall average EMG activity as the true value, the mean number of 2-second integration periods required to achieve <5% standard error was calculated to be 1.47 for the 60 muscles tested. Only three sites required more than five integration periods. The validity of EMG scanning as a diagnostic tool is enhanced by longer integration periods     

Electromyographic recordings of paraspinal muscles: Variations related to subcutaneous tissue thickness

The aim of this study was to assess the effect on EMG amplitude measures of variations in the thickness of underlying tissue between surface electrodes and the active muscle. 20 normal subjects with different amounts of subcutaneous tissue performed comparable constant force contractions for a 45-second period, during which paraspinal EMG recordings were taken. Three measures of subcutaneous tissue thickness were obtained from each subject: Body Mass Index, total body fat as calculated by Durnin's formula, and skinfold thickness at the recording sites. The results show that (i) the greater the thickness of subcutaneous tissue between the surface recording site and the contracting muscles, the lower the recorded electromyographic activity, and that (ii) up to 81.2% of the variance in the EMG measures can be explained by variation in the amount of subcutaneous tissue. These findings support the view that the absolute level of surface-recorded EMG cannot simply be taken at face value. The amplitude of the signal will be affected by, for example, the amount of body fat.Supported by the Physician's Services Inc. Foundation.     

Phrenic nerve conduction times and twitch pressures of the human diaphragm

A multilumen catheter was modified to allow simultaneous recording of transdiaphragmatic pressure (Pdi) and the electromyographic (EMG) activity of the diaphragm. The catheter was used in 20 healthy males to measure the conduction time of the phrenic nerves and the twitch pressure of each hemidiaphragm during single supramaximal shocks delivered to the phrenic nerve in the neck. Diaphragmatic EMG was also recorded with surface electrodes at various sites on the chest wall. The mean conduction time to the crural fibers was 6.82 +/- 0.64 ms on the right and 7.93 +/- 0.85 ms on the left, whereas that to the costal fibers adjacent to the midclavicular line was 7.68 +/- 0.56 ms on the right and 7.92 +/- 0.92 ms on the left. Significant correlations were found between the conduction time of each phrenic nerve and the height and the age of the subjects. Conduction times measured at different EMG recording sites varied by as much as 2 ms. This variability, and that of previously reported values for phrenic conduction time, may be largely accounted for by differences in the conduction distances that were measured to each site in three cadavers. The evoked change in Pdi had a mean rise time of 92 ms and an amplitude of approximately 10 cmH2O.     

Branched EMG electrodes for stable and selective recording of single motor unit potentials in humans.

Branched surface EMG electrodes are bipolar electrodes with the hot signal pole referenced to two or more short-circuited leading-off surfaces. This technique provides stable recording of single motor unit potentials during real movements, up to maximal muscle contractions. The selective characteristic of branched electrodes is based on the same principles as the double differential detection system and spatial filtering technique proposed later. Equi-weight calculations to assess the selectivity of different electrode types and their position are used. The main advantage of branched electrodes, especially high stability, is achieved by the wire electrode version. The design, manufacture, implementation, and application of wire electrodes are discussed in detail. During recording of motor unit potentials, electrodes are positioned subcutaneously over the muscle fascia. This positioning maximizes electrode stability. Appropriate orientation of the electrode relative to the muscle architecture ensures adequate selectivity for single motor unit recordings. Branched electrodes require ordinary EMG equipment (two or even one amplifier).     

Effect of muscle length on electromyogram in a canine diaphragm strip preparation

The relationship between diaphragm electromyogram (EMG), isometric force, and length was studied in the canine diaphragm strip with intact blood supply and innervation under three conditions: supramaximal tetanic (100 Hz) phrenic nerve stimulation (STPS; n = 12), supramaximal phrenic stimulation at 25 Hz (n = 15), and submaximal phrenic stimulation at 25 Hz (n = 5). In the same preparation, the EMG-length relationship was also examined with direct muscle stimulation when the neuromuscular junction was blocked. EMG from three different sites and via two types of electrodes (direct or sewn-in and surface) were recorded during isometric contraction at different lengths. Direct EMGs were recorded from two bipolar electrodes sutured into the strip, one near its central end and the other near its costal end. A third EMG electrode configuration summed potentials from the whole strip by recording potentials between central and costal sites. Surface EMGs were recorded by a bipolar spring clip electrode that made contact with upper and lower surfaces of the muscle strip with light pressure. In all conditions of stimulation with different types of electrodes, all EMGs decreased significantly (P less than 0.05) when muscle length was changed from 50 to 120% of resting length (L0). Minimal and maximal force outputs were observed at 50 and 120% of L0, respectively, in all experiments. The results of this study indicated that the muscle length is a significant variable that affects the EMG recording and that the diaphragmatic EMG may not be an accurate reflection of phrenic nerve activity.(ABSTRACT TRUNCATED AT 250 WORDS)     

Recording of electromyogram in chronic experiments in dogs

A connector for chronic recording of EMG activity located on the dog's neck was developed as a row of male pins fixed on a dense band with attached wires of intramuscular electrodes. The wires were subcutaneously led to the connector. The band of the connector was sutured at the corners to the skin of the dorsal surface of the neck. Then the connector was anchored to the neck by a double adhesive tape wrapping like a collar. Compared to scull connectors, our model provided minimum surgical trauma to the animal, the connector or wires of intramuscular electrodes can be replaced if necessary. Localization of the connector did not impede scull and brain surgical operations. The model has been described and tested in the experiments in seven dogs with 8-20 pairs of implanted EMG-recording electrodes within 2-10 weeks.     

Electromyogram recordings from freely moving animals

Electromyography can be used to record activity from sets of muscles in awake, freely moving animals using implanted intramuscular electrodes. As a tool, EMG has a wide range of applications ranging from inferring neural processes to analyzing movement. The amplitude of the rectified and filtered electromyogram (EMG) can be used as an indirect measure of muscle activity. Although it is often tempting to correlate the EMG with muscle force, the fact that force varies more with different activation strategies than with EMG estimates must be taken into account. The purpose of this article is to provide the researcher wishing to introduce the technique of recording EMGs from conscious animals using intramuscular electrodes with a step-by-step guide. It includes details on the manufacture of electromyograph electrodes, recording, and analysis considerations along with a section on solving common problems. For the sake of clarity, this article focuses on using the cat as a model and on the implantation of hindlimb muscles with intramuscular wire electrodes. However, the procedures can be adapted for use on other striated muscles and species.     

Extraction of the EPP Component from the Surface EMG

A surface electromyogram (EMG), especially when recorded near the neuromuscular junction, is expected to contain the endplate potential (EPP) component which can be extracted with an appropriate signal filter. Two factors are important: the EMG must be recorded in monopolar fashion, and the recording must be done so the low frequency signal corresponding the EPP is not eliminated. This report explains how to extract the EPP component from the EMG of the masseter muscle in a human subject. The surface EMG is recorded from eight sites using traditional disc electrodes aligned along over the muscle, with equal inter-electrode distance from the zygomatic arch to the angle of mandible in response to quick gum clenching. A reference electrode is placed on the tip of the nose. The EPP component is extracted from the raw EMGs by applying a high-cut digital filter (2nd dimension Butterworth filter) with a range of 10-35 Hz. When the filter is set to 10 Hz, the extracted EPP wave deflects either negative or positive depending on the recording site. The difference in the polarity reflects the sink-source relation of the end plate current, with the site showing the most negative deflection corresponding to the neuromuscular junction. In the case of the masseter muscle, the neuromuscular junction is estimated to be located in the inferior portion close to the angle of mandible. The EPP component exhibits an interesting oscillation when the cut-off frequency of the high-cut digital filter is set to 30 Hz. The EPP oscillation indicates that muscle contraction is adjusted in an intermittent manner. Abnormal tremors accompanying various sorts of diseases may be substantially due to this EPP oscillation, which becomes slower and is difficult to cease.Download video file.^{(79M, mp4)}     

Electromyographic instantaneous amplitude and instantaneous mean power frequency patterns across a range of motion during a concentric isokinetic muscle action of the biceps brachii.

The purpose of this study was to examine the electromyographic (EMG) instantaneous amplitude (IA) and instantaneous mean power frequency (IMPF) patterns for the biceps brachii muscle across a range of motion during maximal and submaximal concentric isokinetic muscle actions of the forearm flexors. Ten adults (mean +/- SD age = 22.0 +/- 3.4 years) performed a maximal and a submaximal [20% peak torque (PT)] concentric isokinetic forearm flexion muscle action at a velocity of 30 degrees s(-1). The surface EMG signal was detected from the biceps brachii muscle with a bipolar electrode arrangement, and the EMG IA and IMPF versus time relationships were examined for each subject using first- and second-order polynomial regression models. The results indicated that there were no consistent patterns between subjects for EMG IA or IMPF with increases in torque across the range of motion. Some of the potential nonphysiological factors that could influence the amplitude and/or frequency contents of the surface EMG signal during a dynamic muscle action include movement of the muscle fibers and innervation zone beneath the skin surface, as well as changes in muscle fiber length and the thickness of the tissue layer between the muscle and the recording electrodes. These factors may affect the EMG IA and IMPF patterns differently for each subject, thereby increasing the difficulty of drawing any general conclusions regarding the motor control strategies that increase torque across a range of motion.     

EMG monitoring in functional electrostimulation]

When using functional electrical stimulation (FES), correct adjustment of stimulation parameters, and monitoring of the stimulated muscle is mandatory if tissue damage is to be avoided. Although several FES systems are already in regular use, a method for direct muscle monitoring is still lacking. This paper investigates the suitability of the electromyogram (EMG) for such a purpose. In six sheep, the right latissimus dorsi muscle (LDM) and the associated thoracodorsal nerve were exposed. Stimulation was effected via electrodes placed on the nerve. Three electrodes were placed in the LDM for EMG recording, and the tendon was connected to a force transducer for isometric force measurement. Stimulation was applied for one second (burst), followed by a three-second pause. The stimulation current was increased in 0.2 mA steps, starting at 0 mA and ending at 4 mA. Throughout the investigation, the EMG signal was monitored with an oscilloscope. In addition, the EMG signal and the force transducer signal were recorded for subsequent analysis. An analysis of the data of all six sheep revealed an almost linear relationship between muscle force and m-wave amplitude (magnitude of r = 0.95, p < 0.001). M-wave monitoring during EMG recording with three intramuscular electrodes is a reliable method of monitoring FES-induced muscle activity, but the absolute force cannot be measured.     

Multichannel thin-film electrode for intramuscular electromyographic recordings.

It is currently not possible to record electromyographic (EMG) signals from many locations concurrently inside the muscle in a single wire electrode system. We developed a thin-film wire electrode system for multichannel intramuscular EMG recordings. The system was fabricated using a micromachining process, with a silicon wafer as production platform for polyimide-based electrodes. In the current prototype, the flexible polymer structure is 220 microm wide, 10 microm thick, and 1.5 cm long, and it has eight circular platinum-platinum chloride recording sites of 40-microm diameter distributed along the front and back surfaces with 1,500-microm intersite spacing. The system prototype was tested in six experiments where the electrode was implanted into the medial head of the gastrocnemius muscle of rabbits, perpendicular to the pennation angle of the muscle fibers. Asynchronous motor unit activity was induced by eliciting the withdrawal reflex or sequential crushes of the sciatic nerve using a pair of forceps. Sixty-seven motor units were identified from these recordings. In the bandwidth 200 Hz to 5 kHz, the peak-to-peak amplitude of the action potentials of the detected motor units was 75 +/- 12 muV and the root mean square of the noise was 1.6 +/- 0.4 muV. The noise level and amplitude of the action potentials were similar for measures separated by up to 40 min. The experimental tests demonstrated that thin film is a promising technology for a new type of flexible-wire intramuscular EMG recording system with multiple detection sites.     

Psychophysiological responsivity on a laboratory stress task: Methodological implications for a stress-muscle hyperactivity pain model

A stress-muscle hyperactivity-pain (SMP) model has been proposed to explain the etiology of certain musculoskeletal pain disorders. According to this model, subjects should show physiological arousal during periods of stress relative to periods of rest. In a test of this prediction, 31 subjects performed a reaction time task that has been used in previous laboratory studies. Multiple psychophysiological variables were monitored during initial and final 10-minute baselines, during performance on nine 2-minute reaction time tasks, and during 36-second rest intervals following each of the 2-minute tasks. Results showed small but statistically significant differences generally supporting the SMP model when masseter EMG was averaged over time periods of 12 seconds to 2 minutes, but not when masseter EMG was averaged over 10- to 18-minute blocks. These results demonstrated the importance of carefully selecting time intervals for analysis. Additional analyses that compared TMD with symptom-free subjects revealed small differences in EMG that supported the SMP model. Analyses of EMG over shorter time intervals also showed, however, that masseter EMG increased during the 36-second rest interval following performance on a 2-minute stress task; this result suggested that a modification of the SMP model may be necessary.This research was supported in part by Grant 2 S06RR08038-17 funded by the National Institutes of Health.     

Functional subdivision of the upper trapezius muscle during maximal isometric contractions

The electromyographic (EMG) activity pattern across the upper trapezius of 22 healthy subjects was investigated during maximal isometric contractions. Eight bipolar surface electrodes with 10 mm distance between adjacent electrode pairs were placed on a line from the clavicle to the scapula. At the region near the clavicle the highest EMG amplitudes were recorded during 90 ° arm abduction. At the more posterior parts the highest amplitudes were found both during arm abduction and shoulder elevation. A double differential recording technique which reduced the EMG cross-talk contribution supported the finding that the upper trapezius was differently activated when the arm posture was changed. The normalized EMG amplitude-force relationship during the shoulder elevation showed a curvilinear relationship on the anterior part of the upper trapezius with a slower increase in EMG amplitude than force at low force. The slope of the curve, at low force, increased gradually in the posterior direction on the upper trapezius. The EMG activity patterns across the upper trapezius indicate a flexibility in motor activation which maybe reflects a functional optimization of the contractions performed by this muscle.     

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.     

Changes in dynamic exercise performance following a sequence of preconditioning isometric muscle actions

Complex training is the method of coupling heavy and light loads into an organized sequence with the aim of facilitating postactivation potentiation. Anecdotal evidence has supported the use of complex training sequences, but scientific studies investigating the effects of sequencing isometric loads with dynamic muscle actions have been limited. The purpose of this study was to examine the effects of a preconditioning sequence of maximal isometric knee extensions on performance standards in selected dynamic whole-body exercise. Fourteen track and field athletes (23 +/- 5.7 years; 71.53 +/- 6.93 kg; 172.6 +/- 5.8 cm) were randomly assessed in selected whole-body exercises (drop and countermovement jumps, 5-second cycle sprint, knee extension) following a sequence of maximal voluntary isometric contractions (MVC; 3 repetitions of 3 seconds or 3 repetitions of 5 seconds) or in the absence of prior loading (control). Electromyographic (EMG) assessments of muscle activity were also made during the knee extension assessment. Significant (p < or = 0.05) increases in jump height (5.03%), maximal force (4.94%), and acceleration impulse (9.49%) were observed in the drop jump following 3 repetitions of 3-second MVC only. Knee extension maximal torque was also significantly increased (6.12%) following the 3-second MVC. No significant changes in countermovement jump or cycle sprint measures were observed for any of the experimental conditions. Though adaptations were found, changes in EMG activity were not significantly different for any of the experimental conditions. These data indicate that performing a sequence of repeated maximal isometric knee extensions (3 repetitions of 3 seconds) prior to selected dynamic exercise (< or =0.25 seconds) may have favorable effects on performance beyond standards achieved without prior heavy loading.     

A technique for the long-term application of surface electrodes

A technique is reported for the long-term application of surface electrodes for ambulatory electromyographic (EMG) recording. Prior to electrode application the surrounding skin is lightly painted with tincture of benzoin. This treatment improves adherence to the skin of disposable electrodes and electrode attachment collars, reduces skin trauma associated with electrode removal, and minimizes sensitivity to electrode adhesives.     

A technique for the long-term application of surface electrodes

A technique is reported for the long-term application of surface electrodes for ambulatory electromyographic (EMG) recording. Prior to electrode application the surrounding skin is lightly painted with tincture of benzoin. This treatment improves adherence to the skin of disposable electrodes and electrode attachment collars, reduces skin trauma associated with electrode removal, and minimizes sensitivity to electrode adhesives.This research was supported in part by NIH grant No. NS25114.