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Armin Allahverdy1935
ElectromyographyElectromyography• Defined as the preparation, Defined as the preparation,
study of, and interpretation of study of, and interpretation of electromyogramselectromyograms
Electromyogram:Electromyogram:• Defined as the electrical Defined as the electrical
activity associated with the activity associated with the contraction of a musclecontraction of a muscle
Greek derivative:Greek derivative:• elektronelektron, amber, + , amber, + mysmys, ,
muscle, + muscle, + grammagramma, something , something writtenwritten
Dendrite
Soma (body)
Axon
A motor A motor unit is unit is composecomposed of a d of a motor motor neuron neuron and all of and all of the the muscle muscle fibers it fibers it innervateinnervatess
each muscle has many motor units (m.u.)
# of fibers in a m.u. is dependent on the precision of movement required of that muscle (average: 100-200 fibers per m.u.)more precision is obtained with more
neurons100 to 2000 motor neurons per muscle
# of m.u.’s in a muscle decreases in the elderly
Motor neurons release acetylcholine.
This has an excitatory effect on muscle fibres.
A single action potential in the motor nerve is enough to trigger an action potential in the muscle fibre.
Depolarisation triggers the release of calcium ions, which trigger contraction.
The potential (voltage) generated by one fibre is small (<100mV).
Clinical applicationsInvasive recording used in assessment.
BiofeedbackCan aid rehabilitation after injury or
strokeMay have other applications e.g.
forehead EMG biofeedback may reduce tension headache.
EMG and covert behaviour e.g.subvocalisation while readingFacial EMG and emotion
Uses:Uses:• Provides an indication of how Provides an indication of how
much a muscle is being used much a muscle is being used during particular types of during particular types of activityactivity
• Is a muscle on or off?Is a muscle on or off?• Is a muscle fatigued?Is a muscle fatigued?
By placing electrodes over the muscle we can record the signal generated by muscle contraction.
Voltage is displayed continuously and recorded for analysis.
The signal includes positive and negative waves and varies rapidly: we also analyse integrated EMG (averages over 20 samples, ignoring the sign)
Length of electrodesLength of electrodes# of included fibers vs. increased noise***# of included fibers vs. increased noise***Delsys – 1 cmDelsys – 1 cmNoraxon - ?Noraxon - ?
Distance between electrodesDistance between electrodesIncreased amplitude vs. misaligning Increased amplitude vs. misaligning
electrodes, Multiple motor unit action electrodes, Multiple motor unit action potentials (MUAP) potentials (MUAP)
Muscle fibers of motor units are Muscle fibers of motor units are distributed evenly, thus large muscle distributed evenly, thus large muscle coverage is not necessary coverage is not necessary (De Luca).(De Luca).
Delsys – 1 cmDelsys – 1 cmNoraxon – 2 cm?Noraxon – 2 cm?
Away from motor pointMUAP traveling in opposite directions
Simultaneous (+) & (-) AP’s Resultant increased frequency components
More jagged signalMiddle of muscle belly is generally accepted
Away from tendonFewer, thinner muscle fibersCloser to other muscle origins, insertionsMore susceptible to cross-talk
Away from outer edge of muscleCloser to other musculature
Orientation parallel to muscle fibersMore accurate conduction velocity
Increased probability of detecting same signal
As far away as possible from recording electrodes
Electrically neutral tissueBony prominence
Good electrical contactLarger sizeGood adhesive properties
Muscle contraction is graded by varying
The number of active motor units within the muscle.
The frequency of firing of each motor unit.
Skeletal muscles are normally slightly contracted, known as tonus. At any given time a small proportion of the motor units will be active.
Exertion can increase the size of individual fibres and increase energy stores: Hypertrophy.
Muscle contractionMuscle contractionExcitation-contraction couplingExcitation-contraction coupling• Process of nerve-muscle Process of nerve-muscle
excitation leading to Caexcitation leading to Ca++++ release and force generationrelease and force generation
Muscle contractionMuscle contraction1) Nerve stimulation1) Nerve stimulation• motor nervemotor nerve2) Electrochemical transmission2) Electrochemical transmission• saltatory conductionsaltatory conduction3) Terminal nerve (axon) 3) Terminal nerve (axon)
activityactivity• CaCa++++ influx influx• Vesicle dockingVesicle docking• Ach release into synaptic cleftAch release into synaptic cleft
Muscle contractionMuscle contraction4) End-plate potential4) End-plate potential• Activation of motor end plateActivation of motor end plate• Ach-receptor binding leading Ach-receptor binding leading
to Nato Na++ influx (depolarization) influx (depolarization)5) Membrane propagation5) Membrane propagation• muscle fiber membrane muscle fiber membrane
excitation spreads over the excitation spreads over the fiberfiber
• THIS IS THE EMG SIGNAL!THIS IS THE EMG SIGNAL!
Electromyogram Electromyogram (EMG)(EMG)
• Algebraic summation of all Algebraic summation of all motor unit action potentials motor unit action potentials propagated along a muscle at propagated along a muscle at a point in timea point in time
• MUAPsMUAPs - Motor unit action - Motor unit action potentialspotentials
• Recording all the MFAPs of all Recording all the MFAPs of all the motor units activated by the motor units activated by the CNS in a given period of the CNS in a given period of timetime
Electromyography Electromyography (EMG)(EMG)
Generation of the EMG signalGeneration of the EMG signal• ““Wave” of depolarization and Wave” of depolarization and
the subsequent “wave” of the subsequent “wave” of repolarization are detected by repolarization are detected by recording electrodesrecording electrodes
Electromyography Electromyography (EMG)(EMG)
Generation of the EMG signalGeneration of the EMG signal
Recording electrodeRecording electrode
Muscle surfaceMuscle surface
DepolarizationDepolarizationRepolarizationRepolarization
ElectromyographyElectromyography (EMG)(EMG)2 types of recording electrodes:2 types of recording electrodes:1) Surface1) Surface• most commonly usedmost commonly used• small recording surfacesmall recording surface• placed over the muscle bellyplaced over the muscle belly• requires adequate skin requires adequate skin
preparation: removal of hair, preparation: removal of hair, oil, dirt, skin, etc.oil, dirt, skin, etc.
Electromyography Electromyography (EMG)(EMG)
2) Indwelling2) Indwelling• inserted directly into the inserted directly into the
muscle via a hypodermic muscle via a hypodermic needleneedle
• used for deep musclesused for deep muscles• used to identify different used to identify different
motor units recruited or how motor units recruited or how many motor units recruited many motor units recruited during an activityduring an activity
Electromyography Electromyography (EMG)(EMG)
Characteristics:Characteristics:1) Muscle primarily involved 1) Muscle primarily involved
during a particular movementduring a particular movement• no direct indication of muscle no direct indication of muscle
forceforce• concentric or eccentric concentric or eccentric
contractionscontractions• related to muscle forcerelated to muscle force
Electromyography Electromyography (EMG)(EMG)
Characteristics:Characteristics:2) Measures antagonist muscle 2) Measures antagonist muscle
activityactivityExample:Example:• hamstring activity at terminal hamstring activity at terminal
phase of knee extensionphase of knee extension
Electromyography Electromyography (EMG)(EMG)
Characteristics:Characteristics:3) Assessment of muscle 3) Assessment of muscle
fatigue and recruitment of fatigue and recruitment of different motor units and fiber different motor units and fiber typestypes
• Analyzing the frequency of the Analyzing the frequency of the EMG signalsEMG signals
• related to type of motor unit related to type of motor unit activated and conduction activated and conduction velocityvelocity
Electromyography Electromyography (EMG)(EMG)
Factors affecting the EMGFactors affecting the EMG1) Depth of the muscle fiber1) Depth of the muscle fiber• affecting distance to recording affecting distance to recording
electrodeelectrode• if distance increases, signal if distance increases, signal
amplitude decreasesamplitude decreases• muscle contraction: low to muscle contraction: low to
high intensities move from high intensities move from deep to surface of muscledeep to surface of muscle
Electromyography Electromyography (EMG)(EMG)
Factors affecting the EMGFactors affecting the EMG2) Muscle fiber type2) Muscle fiber typeFast twitch fibers:Fast twitch fibers:• high conduction velocityhigh conduction velocity• high frequency and higher high frequency and higher
amplitudeamplitude
Electromyography Electromyography (EMG)(EMG)
Factors affecting the EMGFactors affecting the EMG3) Motor unit size3) Motor unit size• ““all or none” responseall or none” response• a larger motor unit will result a larger motor unit will result
in a larger EMG recordingin a larger EMG recording
Electromyography Electromyography (EMG)(EMG)
Factors affecting the EMGFactors affecting the EMG4) Muscle temperature4) Muscle temperature• increasing temperature increasing temperature
increases conduction velocityincreases conduction velocity• negligible increases in body negligible increases in body
temperature during exercisetemperature during exercise
Electromyography Electromyography (EMG)(EMG)
Factors affecting the EMGFactors affecting the EMG5) Amount of tissue between 5) Amount of tissue between
muscles and electrodesmuscles and electrodes• skin and subcutaneous fatskin and subcutaneous fat• acts as a “low pass” filteracts as a “low pass” filter• decreases detection of EMG decreases detection of EMG
signals with higher signals with higher frequenciesfrequencies
Raw EMG signalRaw EMG signal• Can be assessed qualitativelyCan be assessed qualitatively• visually observing the size and visually observing the size and
density of the EMG signaldensity of the EMG signal
Assessing Assessing amplitudeamplitude
• Method of evaluating the Method of evaluating the “amount” of EMG activity “amount” of EMG activity collectedcollected
Different methods:Different methods:• rectificationrectification• integrationintegration• linear envelopelinear envelope• root mean square (RMS)root mean square (RMS)
Assessing Assessing amplitudeamplitude
• Raw EMG signal is a bi-polar Raw EMG signal is a bi-polar signalsignal
• positive and negative phasespositive and negative phasesRectificationRectification• Method of translating the raw Method of translating the raw
EMG signal to a single polarityEMG signal to a single polarityHalf-wave rectificationHalf-wave rectification• eliminating one polarity of the eliminating one polarity of the
signal (Ex. Deleting the signal (Ex. Deleting the negative phase)negative phase)
RectificationRectificationFull-wave rectificationFull-wave rectification• Inverting the negative polarity Inverting the negative polarity
onto the positive polarityonto the positive polarity• Preferred and most often used Preferred and most often used
methodmethod• Preserves all the energy in the Preserves all the energy in the
raw EMG signalraw EMG signal
RectificRectificationationRaw signalRaw signal Full-wave rectified signalFull-wave rectified signal
RectificationRectification• Once rectified, now can Once rectified, now can
perform calculations on the perform calculations on the signalsignal
Why not perform calculations on Why not perform calculations on the raw signal itself?the raw signal itself?
• Bi-polar signal (positive and Bi-polar signal (positive and negative phases)negative phases)
• positive + negative = ZEROpositive + negative = ZEROWhat do you do now with the What do you do now with the
rectified signal?rectified signal?
IntegrationIntegration• Mathematical operation of Mathematical operation of
calculating the area calculating the area underneath the rectified curveunderneath the rectified curve
• This measure is a function of This measure is a function of timetime
• The longer the EMG is The longer the EMG is collected, the more integrated collected, the more integrated EMG will appearEMG will appear
IntegrIntegrationation• Area = length × widthArea = length × width
• Units for integrated EMG = Units for integrated EMG = mVmVsecsec
• depends upon the amplitude, depends upon the amplitude, duration and frequency of duration and frequency of action potentialsaction potentials
secondsseconds
mVmV
Linear envelopeLinear envelope• Method of “smoothing” the Method of “smoothing” the
rectified EMG signalrectified EMG signal• Used most often in gait Used most often in gait
studies (cyclical muscle studies (cyclical muscle contractions)contractions)
• Use of a moving average to Use of a moving average to smooth the signalsmooth the signal
Linear Linear envelopeenvelope• Calculating the average EMG Calculating the average EMG amplitude (mV) over a fixed amplitude (mV) over a fixed window lengthwindow length
• moving the window across the moving the window across the whole EMG signal at fixed whole EMG signal at fixed intervalsintervals
secondsseconds
mVmV
Rectified signalRectified signal
Linear envelopeLinear envelope
Root mean squareRoot mean square• Different method of processing Different method of processing
the raw EMG (AC) signalthe raw EMG (AC) signal• also gives a moving average also gives a moving average
over time (smoothing effect)over time (smoothing effect)• is a measure of signal poweris a measure of signal power• converts the raw signal to a converts the raw signal to a
single polaritysingle polarity
Root mean squareRoot mean square• The value of the raw EMG The value of the raw EMG
signal (amplitude) is squared signal (amplitude) is squared (V(V22))
• the raw signal is the square the raw signal is the square root of the resultant, or root of the resultant, or processed, signalprocessed, signal
• units = mV.units = mV.
EMG frequency EMG frequency analysisanalysis
• Method of assessing the Method of assessing the frequency domain of the EMG frequency domain of the EMG signalsignal
• Amplitude measures Amplitude measures (integration, RMS, etc.) are in (integration, RMS, etc.) are in the time domainthe time domain
• Frequency analysis: assessing Frequency analysis: assessing the “quality” of the EMG the “quality” of the EMG signalsignal
• Reflection of the conduction Reflection of the conduction velocity of the recorded MFAPs velocity of the recorded MFAPs (muscle fiber type specific)(muscle fiber type specific)
EMG frequency EMG frequency analysisanalysis
• The EMG signal is a composite The EMG signal is a composite measure of many simple measure of many simple sinusoid wavessinusoid waves
• Alternating wavesAlternating waves• the EMG signal is non-periodic the EMG signal is non-periodic
(i.e. - they do not repeat any (i.e. - they do not repeat any any regular interval)any regular interval)
• Transformation of the EMG Transformation of the EMG signal from the time domain to signal from the time domain to the frequency domainthe frequency domain
Frequency Frequency spectrumspectrum