A Pilot Study for Assessing a Novel Method of Measuring Shoulder Activation in Healthy Volunteers Using Surface Electromyography (original) (raw)

Electromyographic analysis: shoulder muscle activity revisited

Archives of orthopaedic and trauma surgery, 2015

Restoring optimal strength and biomechanics of a pathologic shoulder knowledge of activity patterns of healthy glenohumeral muscles is mandatory. Yet, data on normal shoulder muscle activity are not always conclusive. The study was undertaken (a) to evaluate muscle activity patterns in the healthy shoulder using surface and fine-wire electromyography (EMG), and (b) to assess method's suitability in the clinical setting especially regarding painfulness and practicability. Surface and fine-wire EMG was performed on 11 healthy subjects (2f/9m, Ø age 28 years) to assess 14 muscles including rotator cuff muscles during 8 planar standardised shoulder movements (abduction, forward flexion, internal and external rotation in neutral, 45° and 90° abduction). Pain was assessed using the visual analogue scale before testing, after inserting the fine-wire electrodes, after maximal voluntary contraction, before and after exercises, and after electrode removal. The most important finding regar...

Electromyography - A Reliable Technique for Muscle Activity Assessment

Journal of Telecommunication, Electronic and Computer Engineering, 2018

In recent years, many questions have been raised on the credibility of Electromyography (EMG) as a technique to evaluate muscle activity, particularly by sports and fitness community. This questioning goes farther when it comes to surface electromyography (sEMG). This paper covers an overview of EMG, addresses some basic concepts and provide rudiment for research. Muscle activity assessment through EMG has been reviewed in terms of the type of movements. There are few limitations to EMG but these confines are addressable. The problem rather lies in the interpretation and generalization of that data. Limitations are there in every technology, precautionary measures must be taken to avoid those while using it. Reservations about EMG have been summarized along with their responses. A few techniques to analyze EMG data, and possibilities to extrapolate and interpret, are also provided. Current perspectives and practical applications of EMG and sEMG are also part of this article.

Validation of mDurance, A Wearable Surface Electromyography System for Muscle Activity Assessment

Frontiers in Physiology, 2020

The mDurance® system is an innovative digital tool that combines wearable surface electromyography (sEMG), mobile computing and cloud analysis to streamline and automatize the assessment of muscle activity. The tool is particularly devised to support clinicians and sport professionals in their daily routines, as an assessment tool in the prevention, monitoring rehabilitation and training field. This study aimed at determining the validity of the mDurance system for measuring muscle activity by comparing sEMG output with a reference sEMG system, the Delsys® system. Fifteen participants were tested during isokinetic knee extensions at three different speeds (60, 180, and 300 deg/s), for two muscles (rectus femoris [RF] and vastus lateralis [VL]) and two different electrodes locations (proximal and distal placement). The maximum voluntary isometric contraction was carried out for the normalization of the signal, followed by dynamic isokinetic knee extensions for each speed. The sEMG ou...

Prospective blinded comparison of surface versus wire electromyographic analysis of muscle recruitment in shoulder instability

Physiotherapy Research International, 2009

Background. This pilot study assesses level of agreement between surface and fi ne-wire electromyography (EMG), in order to establish if surface is as reliable as fi ne wire in the diagnosis and treatment of abnormal muscle patterning in the shoulder. Method. Eighteen participants (11 female) with unstable shoulders were recruited after written consent and ethical approval. Anthropometric information and mean skinfold size for triceps, subscapular, biceps and suprailiac sites were obtained. Triple-stud self-adhesive surface electrodes ('Triode'; Thermo Scientifi c, Physio Med Services, Glossop, Derbyshire, England) were placed over pectoralis major (PM), latissimus dorsi (LD), anterior deltoid (AD) and infraspinatus (IS) at standardized locations. Participants performed fi ve identical uniplanar standard movements (fl exion, abduction, external rotation, extension and cross-body adduction). After a 20-minute rest period, a dual-needle technique for fi ne-wire insertion was performed and the standard movements were repeated. An experienced examiner in each technique reported if muscle activation patterns differed from agreed normal during any movement and were blinded to the other test results. Sensitivity, specifi city and Kappa values for level of agreement between methods were calculated for each muscle according to the method of Altman (1991). Results. Fifteen participants were successfully tested. Sensitivity, specifi city and Kappa values between techniques for each muscle were PM (57%, 50%, 0.07), LD (38%, 85%, 0.22), AD (0%, 76%, −0.19) and IS (85%, 75%, 0.6). Only IS demonstrated high sensitivity and specifi city and a moderate level of agreement between the two techniques. There was no correlation between skinfold size and agreement levels. Conclusion. The use of surface EMG may help to classify types of shoulder instability and recognize abnormal muscle patterns. It may allow physiotherapists to direct specifi c rehabilitation strategies, avoiding strengthening of inappropriate muscles. It has a reasonable degree of confi dence to evaluate IS but may have poor sensitivity in detecting abnormal patterns in PM, LD and AD. Further work is required to see if investigator interpretation may have been a factor for the poor level of agreement.

An Electromyographic Analysis of the Shoulder Complex Musculature While Performing Exercises Using the Bodyblade® Classic and Bodyblade® Pro

International journal of sports physical therapy, 2016

In spite of the bodyblade (BB®) being used in clinical settings during shoulder and trunk rehabilitation and training for 24 years, there are only five known scientific papers that have described muscle recruitment patterns using the BB®. Moreover, there are no known studies that have examined muscle activity differences between males and females (who both use the bodyblade in the clinic) or between different BB® devices. The primary purposes of this investigation were to compare glenohumeral and scapular muscle activity between the Bodyblade® Pro (BB®P) and Bodyblade® Classic (BB®C) devices while performing a variety of exercises, as well as to compare muscle activity between males and females. It was hypothesized that glenohumeral and scapular muscle activity would be significantly greater in females compared to males, significantly greater while performing exercises with the BB®P compared to the BB®C, significantly different among various BB® exercises, and greater with two hand ...

Normalization of surface EMG amplitude from the upper trapezius muscle in ergonomic studies — A review

Journal of Electromyography and Kinesiology, 1995

Surface electromyographic (EMG) amplitude from the upper trapezius muscle is widely used as a measure of shoulder-neck load in ergonomic studies. A variety of methods for normalizing EMG ampiitude from the upper trapezius (EMGamp,,) have been presented in the literature. This impedes meta-analyses of, for instance, upper trapezius load in relation to development of shoulder-neck disorders. The review offers a thorough discussion of different normalization procedures for EMGamp,,. The following main issues are focused: output variable, location of electrodes, posture and attempted movement during normalization, load and duration of reference contractions, signal processing and test-retest repeatability. It is concluded that translations of EMGamp,, into biomechanical variables, for example relative force development in the shoulder or in the upper trapezius itself, suffer from low validity, especially if used in work tasks involving large and/ or fast arm movements. The review proposes a standard terminology relating to normalization of EMGamp,, and concludes in a concrete suggestion for a normalization procedure generating bioelectrical variables which reflect upper trapezius activation. Pavia, pp 73-75, 1976. Jonsson B: Kinesiology. With special reference to eiectromyographic kinesiology. Cont Clin Neurophysiol EEG SUPPI 34: [417][418][419][420][421][422][423][424][425][426][427][428] 1978. Jonsson B: Measurement and evaluation of local muscular strain in the shoulder during constrained work.

Electromyographical comparison of four common shoulder exercises in unstable and stable shoulders

Rehabilitation research and practice, 2012

This study examines if electromyographic (EMG) amplitude differences exist between patients with shoulder instability and healthy controls performing scaption, prone horizontal abduction, prone external rotation, and push-up plus shoulder rehabilitation exercises. Thirty nine subjects were categorized by a single orthopedic surgeon as having multidirectional instability (n = 10), anterior instability (n = 9), generalized laxity (n = 10), or a healthy shoulder (n = 10). Indwelling and surface electrodes were utilized to measure EMG activity (reported as a % of maximum voluntary isometric contraction (MVIC)) in various shoulder muscles during 4 common shoulder exercises. The exercises studied effectively activated the primary musculature targeted in each exercise equally among all groups. The serratus anterior generated high activity (50-80% MVIC) during a push-up plus, while the infraspinatus and teres major generated moderate-to-high activity (30-80% MVIC) during both the prone hori...

Electromyographic analysis of shoulder muscles during press-up variations and progressions

2014

Due to the versatility of the press-up it is a popular upper extremity strengthening and rehabilitation exercise. Press-up programmes are often progressed by increasing weightbearing load and using unstable bases of support. Despite the popularity of the press-up research examining press-up variations is limited. The aim of the study was to examine the influence of common press-up exercises on serratus anterior, infraspinatus, anterior deltoid, pectoralis major and latissimus dorsi muscles overall EMG activity. Twenty one healthy individuals participated in this study. Surface electrodes were placed on pectoralis major, anterior deltoid, infraspinatus, serratus anterior and latissimus dorsi muscles. Participants were tested under 7 static press-up conditions that theoretically progressively increase weight-bearing load and proprioceptive challenge while surface electromyographic activity was recorded. There was a high correlation between increased weight-bearing load and increased EMG activity for all muscles in stable base conditions. The introduction of the unstable base conditions resulted in an activation decline in all muscles. Within the twoarmed press-up the Swiss ball resulted in decreased activation in all muscles except pectoralis major. Serratus anterior demonstrated the greatest activation as a percentage of maximum isometric contraction across all exercises. The findings of this study indicate that by varying the weight-bearing load and base of support whilst in the press-up position results in significantly different demands on shoulder and scapula muscles.

A validation of techniques using surface EMG signals from dynamic contractions to quantify muscle fatigue during repetitive tasks

Journal of Electromyography and Kinesiology, 1997

The purpose of the current study was to determine the validity of quantifying biceps brachii fatigue with dynamic measures of surface electromyographic (EMG) mean power frequency (MPF) through comparisons with the well-established isometric methodology. Subjects performed repetitive elbow flexion<xtension movements with a hand held load of 7 kg until volitional exhaustion. Elbow joint angle and biceps brachii EMG signals were recorded continuously during the fatiguing movement (in 250-ms segments) and during isometric, isotonic contractions (in IOOO-ms segments) performed at a 90" flexion angle before and after the trial. The MPF and average EMG amplitude (AEMG) were also calculated with each sample, and a polynomial regression analysis was used to characterize the time history of changes and to determine the rested and fatigued values for the dynamic EMG with: (a) all dynamic samples above 5% MVC and (b) only samples where the elbow joint was between 80' and 100" of flexion. There was a significant increase in AEMG and a decrease in MPF for the isometric contractions and both dynamic methods. When compared to dynamic values at rest and fatigue, the isometric AEMG and MPF were substantially lower and slightly higher, respectively. No significant differences were observed between the AEMG or MPF results from the two methods of processing the dynamic EMG. The decreases in MPF ranged from 25% to 29% and did not differ between methods. The absolute and relative increases in isometric AEMG were substantially lower than with both dynamic methods. The current results support the use of MPF values from surface EMG signals recorded during dynamic contractions to quantify fatigue of the biceps brachii muscle. The proposed methodology can be used to monitor fatigue continuously throughout a dynamic movement with minimal disturbance to the task being performed and without the need to monitor joint angles. 0 1997 Elsevier Science Ltd.