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Biomedical subjects

R Merletti

Publications and source records attributed to R Merletti.

At least 19 recordsLinked to original sources

Effect of electrode location on EMG signal envelope in leg muscles during gait.

The aim of the study was to assess the variability of EMG signal envelope with electrode location during gait. Surface EMG signals were recorded from 10 healthy subjects from the tibialis anterior (TA), peroneus longus (PL), gastrocnemius medialis (GM), gastrocnemius lateralis (GL), and soleus (SO) muscles. From TA, PL, GL and GM, signals were acquired using a two-dimensional grid of 4 x 3 electrodes (10 x 15 mm in size, as used in most gait laboratories) with 20-mm interelectrode distance in both directions. A similar grid of 3 x 3 electrodes was used for SO. EMG envelope was characterized by its peak value, area after normalization by the peak value, and time instant corresponding to the maximum. The maximum relative change in peak value with electrode location, expressed as a percentage of the peak value in the central location, was (mean+/-SD) 31+/-18% for TA, 29+/-13% for PL, 25+/-15% for GL, 14+/-8% for GM, and 26+/-14% for SO. The maximum relative change in area was 29+/-13% for TA, 73+/-40% for PL, 31+/-23% for GL, 35+/-20% for GM, 20+/-13% for SO, and in the position of maximum, computed as distance from the maximum position in the central channel, it was 5+/-10% of the gait cycle for TA, 26+/-16% for PL, 3+/-2% for GL, 3+/-1% for GM, 3+/-3% for SO. A crosstalk index, defined on the basis of the expected intervals of muscle activation for healthy subjects, indicated that estimated crosstalk was present between TA and PL, in an amount which depended on electrode location. It was concluded that the estimate of muscle activation intensity during gait from surface EMG is variable with location of the electrodes while timing of muscle activity is more robust to electrode displacement and can be reliably extracted in those cases in which crosstalk is limited. These results are valid for healthy subjects, where the level of muscular activity during gait is much lower than maximum.

Adult↗

Neuromuscular assessment in elderly workers with and without work related shoulder/neck trouble: the NEW-study design and physiological findings.

Musculoskeletal disorders in the neck and shoulder area are a major occupational concern in the European countries especially among elderly females. The aim was to assess these disorders based on quantitative EMG indicators and functional tests. 252 female computer users (45-68 years) were recruited from four European countries in two contrast groups: (1) 88 neck/shoulder (NS) cases reporting trouble in the neck and/or shoulder region for more than 30 days during the last year, and (2) 164 NS-controls reporting such trouble for no more than 7 days. Questionnaires, functional/clinical tests, and physiological recordings were performed in workplace related field studies. The results showed no differences in anthropometrics but NS-cases reported more strained head positions and more eye problems than controls. The psychosocial working factors were similar, although, NS-controls had slightly better scores on working conditions, general health, and vitality compared to cases. The NS-cases had lower maximal voluntary contraction (MVC) during shoulder elevation (mean (SD) 310 (122) N) compared to the controls (364 (122) N). During 30% MVC electromyography (EMGrms) in the trapezius muscle was lower in NS-cases (194 (105) muV) than in controls (256 (169) muV), while no differences were found regarding endurance time. Estimated conduction velocity was not different between NS-cases and -controls. Four functional computer tests were performed equally well by NS-cases and -controls, and the corresponding EMG variables also did not differ. A major finding in this large-scale epidemiological study is the significantly lower MVC in NS-cases compared with NS-controls together with lower EMGrms value at 30% MVC, while computer tasks were performed at similar relative muscle activation. The study was unable to reveal quantitative EMG indicators and functional tests that could objectively assess disorders in NS-cases.

Adult↗

Surface EMG of jaw elevator muscles: effect of electrode location and inter-electrode distance.

This study addresses methodological issues on surface electromyographic (EMG) signal recording from jaw elevator muscles. The aims were (i) to investigate the sensitivity to electrode displacements of amplitude and spectral surface EMG variables, (ii) to analyse if this sensitivity is affected by the inter-electrode distance of the bipolar recording, and (iii) to investigate the effect of inter-electrode distance on the estimated amplitude and spectral EMG variables. The superficial masseter and anterior temporalis muscles of 13 subjects were investigated by means of a linear electrode array. The percentage difference in EMG variable estimates from signals detected at different locations over the muscle was larger than 100% of the estimated value. Increasing the inter-electrode distance resulted in a significant reduction of the estimation variability because of electrode displacement. A criterion for electrode placement selection is suggested, with which the sensitivity of EMG variables to small electrode displacements was of the order of 2% for spectral and 6% for amplitude variables. Finally, spectral and, in particular, amplitude EMG variables were very sensitive to inter-electrode distance, which thus should be fixed when subjects or muscles are compared in the same or different experimental conditions.

Adult↗

Non-invasive assessment of motor unit anatomy in jaw-elevator muscles.

The estimation of fibre length in jaw-elevator muscles is important for modelling studies and clinical applications. The objective of this study was to identify, from multi-channel surface EMG recordings, the main innervation zone(s) of the superficial masseter and anterior temporalis muscles, and to estimate the fibre length of these muscles. Surface EMG signals were collected from 13 subjects with a 16-electrode linear array. The innervation zones of the masseter and anterior temporalis were identified and their variability intra- and inter-subject outlined. More than one main innervation zone location was identified in the masseter of all subjects and in the temporalis anterior of 12 subjects. Average estimated fibre lengths, for the right (left) side, were (mean+/-SD) 27.3+/-2.4 mm (27.0+/-1.7 mm) and 25.9+/-2.3 mm (26.6+/-1.6 mm), for the superficial masseter and temporalis anterior muscle, respectively. The range of innervation zone locations was up to approximately 50% of the fibre length, both within and between subjects. Fibre length estimates well matched with published data on cadavers. It was concluded that multi-channel surface EMG provides important and reliable information on the anatomy of single motor units in jaw-elevator muscles.

Adult↗

The external anal sphincter and the role of surface electromyography.

Assessment of the neuronal control of the external anal sphincter (EAS) has long been restricted to investigating patients with defecation disorders by invasive tools such as needle electromyography (EMG), while less invasive techniques have been regarded as non-suitable for diagnostic purposes. Multichannel surface EMG by means of electrode arrays applied to anal sphincter muscle records and identifies individual motor unit action potentials, their place of origin along the circumference, their repetitive firing frequency, and their progression along the muscle fibres at different levels within the anal canal. These data shed doubts on conventional knowledge about the anatomy of the EAS muscle, and confirms new concepts of anatomical differences between gender. This may eventually be transferred to a new understanding of the role of symmetry and asymmetry of pelvic floor innervation and its role in the pathogenesis of fecal incontinence.

Adult↗

The puborectalis muscle.

The role of the levator ani and puborectalis muscle in preserving continence has been underestimated in the past, due predominantly to technical difficulties to investigate its proper function in healthy subjects, and its dysfunction as in patients with incontinence problems. This has recently been overcome by applying new investigational procedures such as a perineal dynamometer which measures the traction exerted by the levator ani on an intrarectal balloon catheter, or by multi-electrode arrays recording the generation of motor unit action potentials from various parts of the puborectalis muscle sling via intrarectal surface electrodes. Both techniques have the potential to provide new insights into the physiology of defecation and the pathophysiology of incontinence and constipation.

Anal Canal↗

Multichannel surface EMG for the non-invasive assessment of the anal sphincter muscle.

BACKGROUND/AIMS: This work focuses on recording, processing and interpretation of multichannel surface EMG detected from the external anal sphincter muscle. The aim is to describe the information that can be extracted from signals recorded with such a technique. METHODS: The recording of many signals from different locations on a muscle allows the extraction of additional information on muscle physiology and anatomy with respect to that obtained by classic bipolar recordings. Multichannel EMG methods have been recently developed for the assessment of the external anal sphincter. An anal probe was used in this study to record signals at different depths within the anal canal during contractions at different effort levels. The plug is 150 mm in length and 14 mm in diameter, holding a circumferential array of 16 equally spaced silver bar electrodes, located at a distance of 20 mm from the probe tip and aligned with the probe axis. RESULTS: Information about localization of the innervation zone, fiber length, EMG amplitude, muscle fiber conduction velocity and single motor unit analysis can be obtained from the signals recorded with the circumferential array by means of innovative signal processing techniques. CONCLUSIONS: The type of information extracted from multichannel surface EMG signals cannot be obtained with other currently available techniques. The technological innovation described in this work is promising for a further insight into the investigation of pelvic floor pathologies and rehabilitation treatments.

Anal Canal↗

Innervation zones of the external anal sphincter in healthy male and female subjects. Preliminary results.

OBJECTIVES: The objective of this work was to investigate the distribution of the innervation zones of the motor units that make up the external anal sphincter (EAS) in healthy males and females. METHODS: A cylindrical probe carrying a circumferential array of 16 electrodes was used to detect the generation, propagation and extinction of individual motor unit action potentials (MUAPs) at 1, 2, and 3 cm depth from the orifice of the anal canal during maximal voluntary contractions of the EAS. Fifteen healthy males and 37 healthy nulliparous females were investigated. RESULTS: IZs could be detected in all males and in 34 out of 37 females. In the males, the IZs are scattered in the right and left hemisphincter at each of the three levels and their distribution is not affected by depth. In the females, the distribution is also concentrated in the right and left hemisphincter at depth 1 cm but is more uniform at depth 2 cm and more concentrated in the dorsal and ventral regions at depth 3 cm. ANOVA shows a statistically significant dependence of the IZ distribution on depth only in females and not in males. CONCLUSIONS: It is concluded that (a) IZs of the EAS can indeed be detected with a circumferential array placed at different depths along the anal canal; (b) large individual variability is observed, and (c) IZs show similar distribution at the three depth levels in males and different distributions in females.

Adult↗

Muscle-fiber conduction velocity estimated from surface EMG signals during explosive dynamic contractions.

Muscle-fiber conduction velocity (CV) was estimated from surface electromyographic (EMG) signals during isometric contractions and during short (150-200 ms), explosive, dynamic exercises. Surface EMG signals were recorded with four linear adhesive arrays from the vastus lateralis and medialis muscles of 12 healthy subjects. Isometric contractions were at linearly increasing force from 0% to 100% of the maximum. The dynamic contractions consisted of explosive efforts of the lower limb on a sledge ergometer. For the explosive contractions, muscle-fiber CV was estimated in seven time-windows located along the ascending time interval of the force. There was a significant correlation between CV values during the isometric ramp and explosive contractions (R = 0.75). Moreover, CV estimates increased significantly from (mean +/- SD) 4.32 +/- 0.46 m/s to 4.97 +/- 0.45 m/s during the increasing-force explosive task. It was concluded that CV can be estimated reliably during dynamic tasks involving fast limb movements and that, in these contractions, it may provide important information on motor-unit control properties.

Adult↗

Methods for estimating muscle fibre conduction velocity from surface electromyographic signals.

The review focuses on the methods currently available for estimating muscle fibre conduction velocity (CV) from surface electromyographic (EMG) signals. The basic concepts behind the issue of estimating CV from EMG signals are discussed. As the action potentials detected at the skin surface along the muscle fibres are, in practice, not equal in shape, the estimation of the delay of propagation (and thus of CV) is not a trivial task. Indeed, a strictly unique definition of delay does not apply in these cases. Methods for estimating CV can thus be seen as corresponding to specific definitions of the delay of propagation between signals of unequal shape. The most commonly used methods for CV estimation are then reviewed. Together with classic methods, recent approaches are presented. The techniques are described with common notations to underline their relationships and to highlight when an approach is a generalisation of a previous one or when it is based on new concepts. The review identifies the difficulties of CV estimation and underlines the issues that should be considered by the investigator when selecting a particular method and detection system for assessing muscle fibre CV. The many open issues in CV estimation are also presented.

Electromyography↗

Sixty-four channel wearable acquisition system for long-term surface electromyogram recording with electrode arrays.

The use of mono- and bi-dimensional electromyogram (EMG) electrode arrays for the assessment of the neuromuscular system can provide an insight into muscle physiology not achieved with classical bipolar surface EMG. Among the advantages of multichannel EMG detection, there is a) the possibility of estimating muscle fibre conduction velocity, even during motor tasks, and b) the possibility to increase the number of detection points on a muscle, improving the performance of pattern-based EMG decomposition methods. For these reasons, the development and use of multichannel surface EMG devices and techniques were chosen as the primary goals within the European RTD Project 'Neuromuscular assessment in the elderly worker' (NEW). The specific requirements of Project NEW called for the availability of a user-friendly, small-sized EMG acquisition system for field use, suitable for multichannel EMG recording using electrode arrays from one or more muscles. A market survey established that none of the commercially available EMG acquisition systems featured all the desired specifications, nor could they be easily adapted for specific use. The paper describes the design of an innovative acquisition system for long-term multichannel EMG recording fulfilling these requirements and comprising adhesive electrode arrays for artifact-free EMG acquisition during work activity and a portable, user-friendly, battery-powered acquisition system for multichannel EMG recording and storage on a removable PCMCIA card. The system has been used extensively within Project NEW for laboratory and field tests and can find applications in other fields of basic and applied research, including ergonomics, occupational and sports medicine.

Ambulatory Care↗

Influence of muscle fibre shortening on estimates of conduction velocity and spectral frequencies from surface electromyographic signals.

The study of surface electromyographic (EMG) signals under dynamic contractions is becoming increasingly important. However, knowledge of the methodological issues that may affect such analysis is still limited. The aim of the study was to analyse the effect of fibre shortening on estimates of conduction velocity (CV) and mean power spectral frequency (MNF) from surface EMG signals. Single fibre action potentials were simulated, as detected by commonly used spatial filters, for different fibre lengths. No physiological modifications were included with changes in fibre length, and thus only geometrical artifacts related to fibre shortening were investigated. The simulation results showed that the dependence of CV and MNF on fibre shortening is affected by the fibre location, electrode position and the spatial filter applied. With shortening of up to 50% for a fibre of 50 mm semi-length, the variations in CV and MNF estimates with shortening in bipolar recordings were 0.5% (CV) and 0.7% (MNF) for superficial fibres, and 3.6% and 5.1% for deeper fibres. Using the longitudinal double differential filter, under the same conditions, the percent variation was 0% and 0.2%, and 24.7% and 15.8%, respectively. The main conclusions were, first, muscle fibre shortening can significantly affect estimates of CV and MNF, especially for short fibre lengths. However, for long (semi-length >50 mm) and superficial fibres, this effect is limited for shortenings of up to 50% of the initial fibre length. Secondly, CV and MNF are almost equally affected by changes in muscle length; and, thirdly, sensitivity to fibre shortening depends on the spatial filter applied for signal detection.

Electrodes↗

Comparison of spatial filter selectivity in surface myoelectric signal detection: influence of the volume conductor model.

Spatial filters are used for increasing selectivity in surface EMG signal detection. The study investigated the importance of the description of the volume conductor to the inference of conclusions on comparing filter selectivity from simulation analyses. A cylindrical multi-layer description of the volume conductor was used for the simulation analysis. Different anatomies were analysed with this model, and results on filter selectivity were compared. The longitudinal single (LSD), double (LDD) and normal double differential (Laplacian, NDD) filters were investigated. Largely different conclusions could be drawn when comparing filter selectivity resulting from simulations with different volume conductor models. A filter that performed best with a particular anatomy could be the poorest with another anatomy. With a bone-muscle model and superficial fibres, the ratio between peak-to-peak values of the propagating and non-propagating signal components was approximately 220% for LDD and LSD and lower than for NDD (approximately 290%). With a bone-muscle-fat-skin model, LSD performed significantly worse (150%) than both LDD and NDD, which showed similar performances (approximately 300%). Similarly, if the lateral distance of the recording was increased by 10 degrees, the signal amplitude was reduced to 2% with LSD and LDD and to 4% with NDD. With another anatomy, LSD and LDD reduced signal amplitude to 20-25%, and NDD reduced it to 4%. Similar considerations could be drawn for other selectivity indexes. Thus, modelling should be used carefully to infer conclusions on spatial selectivity and to indicate particular choices of spatial filters.

Action Potentials↗

Effect of accelerometer location on mechanomyogram variables during voluntary, constant-force contractions in three human muscles.

To understand better the features of the mechanomyogram (MMG) with different force levels and muscle architectures, the MMG signals detected at many points along three muscles were analysed by the application of a linear array of MMG sensors (up to eight) over the skin. MMG signals were recorded from the biceps brachii, tibialis anterior and upper trapezius muscles of the dominant side of ten healthy male subjects. The accelerometers were aligned along the direction of the muscle fibres. One accelerometer was located over the distal muscle innervation zone, and the other six or seven accelerometers were placed over the muscle, forming an array of sensors with fixed distances between them. The array covered almost the entire muscle length in all cases. MMG signals detected from adjacent accelerometers had similar shapes, with correlation coefficients ranging from about 0.5 to about 0.9. MMG amplitude and characteristic spectral frequencies significantly depended on accelerometer location. The MMG amplitude was maximum at the muscle belly for the biceps brachii and the tibialis anterior. Higher MMG characteristic spectral frequencies were associated with higher amplitudes in the case of the biceps brachii, whereas the opposite was observed for the tibialis anterior muscle. In the upper trapezius, the relationship between characteristic spectral frequencies, MMG amplitude and contraction force depended on the accelerometer location. This suggested that MMG spectral features do not only reflect the mechanical properties of the recruited muscle fibres but depend on muscle architecture and motor unit territorial distribution. It was concluded that the location of the accelerometer can have an influence on both amplitude and spectral MMG features, and this dependence should be considered when MMG signals are used for muscle assessment.

Acceleration↗

Spatio-temporal evaluation of neck muscle activation during postural perturbations in healthy subjects.

The purpose of this study was to examine the spatio-temporal activation of the sternocleidomastoid (SCM) and cervical extensor (CE) muscles with respect to the deltoid muscle onset during rapid voluntary upper limb movement in healthy volunteers. The repeatability and reliability of the spatio-temporal aspects of the myoelectric signals were also examined. Ten subjects performed bilateral and unilateral rapid upper limb flexion, abduction and extension in response to a visual stimulus. EMG onsets and normalised root mean square (nRMS) values were calculated for the SCM and CE muscles. Subjects attended three testing sessions over non-consecutive days allowing the repeatability and reliability of these measures to be assessed. The SCM and CE muscles demonstrated feed-forward activation (activation within 50 ms of deltoid onset) during rapid arm movements in all directions. The sequence and magnitude of neck muscle activation displayed directional specificity, however, the neck flexor and extensor muscles displayed co-activation during all perturbations. EMG onsets demonstrated high repeatability in terms of repeated measure precision (nSEM in the range 1.9-5.7%). This was less evident for the repeatability of nRMS values. The results of this study provide a greater understanding of cervical neuromotor control strategies. During bilateral and unilateral upper limb perturbations, the SCM and CE muscles demonstrate feed-forward co-activation. It seems apparent that feed-forward activation of neck muscles is a mechanism necessary to achieve stability for the visual and vestibular systems, whilst ensuring stabilisation and protection of the cervical spine.

Adult↗

Surface EMG crosstalk evaluated from experimental recordings and simulated signals. Reflections on crosstalk interpretation, quantification and reduction.

OBJECTIVES: Surface EMG crosstalk is the EMG signal detected over a non-active muscle and generated by a nearby muscle. The aim of this study was to analyze the sources of crosstalk signals in surface EMG recordings and to discuss methods proposed in the literature for crosstalk quantification and reduction. METHODS: The study is based on both simulated and experimental signals. The simulated signals are generated by a structure based surface EMG signal model. Signals were recorded with both intramuscular and surface electrodes and single motor unit surface potentials were extracted with the spike triggered averaging approach. Moreover, surface EMG signals were recorded from electrically stimulated muscles. RESULTS: From the simulation and experimental analysis it was clear that the main determinants of crosstalk are non-propagating signal components, generated by the extinction of the intracellular action potentials at the tendons. Thus, crosstalk signals have a different shape with respect to the signals detected over the active muscle and contain high frequency components. CONCLUSIONS: Since crosstalk has signal components different from those dominant in case of detection from near sources, commonly used methods to quantify and reduce crosstalk, such as the cross-correlation coefficient and high-pass temporal filtering, are not reliable. Selectivity of detection systems must be discussed separately as selectivity with respect to propagating and non-propagating signal components. The knowledge about the origin of crosstalk signal constitutes the basis for crosstalk interpretation, quantification, and reduction.

Action Potentials↗

Single motor unit analysis from spatially filtered surface electromyogram signals. Part I: spatial selectivity.

The aim of the study was to compare experimentally, on the basis of single motor unit (MU) activities, the selectivity of different spatial filters commonly used to detect surface electromyogram (EMG) signals. Surface EMG signals were recorded from the biceps brachii and the upper trapezius muscle of five subjects using a two-dimensional (2D) electrode array consisting of 16 pin electrodes. The subjects performed isometric contractions at different elbow angles and shoulder abduction and flexion. The same monopolar surface EMG signals were filtered using longitudinal single and double differential, transverse single and double differential and normal double differential filters. From the single MU action potentials, extracted by automatic EMG decomposition, indexes of transverse (perpendicular with respect to the fibre direction) and longitudinal (along the fibre direction) selectivity were computed. The number of detected MUs was 46 for the upper trapezius, with the arms held in the sagittal plane, and 52 when the arms were held in the frontal plane; 85 MUs were identified from the biceps brachii contractions. The results showed that transverse selectivity was significantly higher for the 2D and transverse one-dimensional (1D) filters with respect to the 1D longitudinal filters, whereas longitudinal selectivity was higher (i.e. MU action potentials were shorter) for the 2D filter and the longitudinal double differential filter. In particular, the relative attenuation of potential amplitude moving 5 mm from the source was, on average (for the two muscles), 16.5% for the least selective filter in the transverse direction (longitudinal single differential) and 35.7% for the most selective one in the same direction (transverse double differential). The MU action potential duration was, on average, 13.8 ms for the most selective filter in the longitudinal direction (longitudinal double differential) and 18.7 ms for the least selective one (transverse double differential). The normal double differential filter resulted in spatial selectivity indexes that ware not statistically different in the two directions from those of the best filters in each direction.

Action Potentials↗