Phonomyogram and electromyogram relationships with isometric force reinvestigated in man

Contracting muscle generates sounds which can be recorded easily by means of a microphone. To determine if a phomomyogram (PMG) can be used to monitor muscle force, a comparison was made between simultaneous recordings of PMG and monopolar electromyogram (EMG) from the isometrically contracting biceps brachii muscle and the external flexion force. Locations of the monopolar electrode and microphone were identified in relation to the motor point. Whatever the recording site, PMG amplitude was proportional to EMG amplitude and both showed a quadratic relationship to muscle force. Changes in the PMG spectrum with force were similar to those in EMG, i.e. the mean power frequency increased up to about 30% maximal voluntary contraction and then reached a plateau. Despite a slightly higher variability, PMG was shown to be a valid index of muscular isometric force. At the same force, the amplitude of both PMG and EMG was lower in the prone than in the supine position of the hand. This result indicated a selective recording of biceps brachii muscle activity.