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1.
Nat Commun ; 11(1): 4683, 2020 09 17.
Artigo em Inglês | MEDLINE | ID: mdl-32943621

RESUMO

Wearable dry electrodes are needed for long-term biopotential recordings but are limited by their imperfect compliance with the skin, especially during body movements and sweat secretions, resulting in high interfacial impedance and motion artifacts. Herein, we report an intrinsically conductive polymer dry electrode with excellent self-adhesiveness, stretchability, and conductivity. It shows much lower skin-contact impedance and noise in static and dynamic measurement than the current dry electrodes and standard gel electrodes, enabling to acquire high-quality electrocardiogram (ECG), electromyogram (EMG) and electroencephalogram (EEG) signals in various conditions such as dry and wet skin and during body movement. Hence, this dry electrode can be used for long-term healthcare monitoring in complex daily conditions. We further investigated the capabilities of this electrode in a clinical setting and realized its ability to detect the arrhythmia features of atrial fibrillation accurately, and quantify muscle activity during deep tendon reflex testing and contraction against resistance.


Assuntos
Condutividade Elétrica , Epiderme , Monitorização Fisiológica/instrumentação , Movimento (Física) , Pele , Artefatos , Impedância Elétrica , Eletrocardiografia/instrumentação , Eletrocardiografia/métodos , Eletrodos , Eletroencefalografia/instrumentação , Eletroencefalografia/métodos , Eletromiografia/instrumentação , Eletromiografia/métodos , Desenho de Equipamento , Humanos , Monitorização Fisiológica/métodos , Polímeros/química , Sorbitol
3.
PLoS One ; 15(8): e0238247, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32853239

RESUMO

Switching different gait according to different movements is an important direction in the study of exoskeleton robot. Identifying the movement intention of the wearer to control the gait planning of the exoskeleton robot can effectively improve the man-machine interaction experience after the exoskeleton. This paper uses a support vector machine (SVM) to realize wearer's motion posture recognition by collecting sEMG signals on the human surface. The moving gait of the exoskeleton is planned according to the recognition results, and the decoding intention signal controls gait switching. Meanwhile, the stability of the planned gait during the movement was analyzed. Experimental results show that the sEMG signal decoding human motion intentional, and control exoskeleton robot gait switching has good accuracy and real-time performance. It helps patients to complete rehabilitation training more safely and quickly.


Assuntos
Marcha/fisiologia , Extremidade Inferior/fisiologia , Eletromiografia/métodos , Exoesqueleto Energizado , Humanos , Movimento (Física) , Movimento/fisiologia , Robótica/métodos , Máquina de Vetores de Suporte
4.
Medicine (Baltimore) ; 99(28): e21130, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32664141

RESUMO

INTRODUCTION: It is well known that foot massage is a very prevalent stress relief method in China. Literatures have reported various massage-inducted peripheral nerve injuries. However, massage-inducted lateral plantar nerve (LPN) injury is very rare. Here, we represent an unusual case of massage-inducted LPN damage, and we also report the diagnostic method of this patient using musculoskeletal ultrasonography combined with electromyography (EMG). PATIENT CONCERNS: A 21-year-old woman presented symptoms of redness, swelling, pain and numbness in the medial right ankle joint for 2 days. DIAGNOSIS: The results of musculoskeletal ultrasonography and EMG provide great help for doctors to make accurate diagnosis. The patient was eventually diagnosed with LPN injury. INTERVENTIONS: No further foot massage was allowed. Vitamin B12 was taken orally for 2 months. Conservative therapy, including electrical stimulation therapy and infrared therapy, was conducted. Besides, active rehabilitation training was also performed. OUTCOMES: The discomfort symptoms were relieved significantly after 2 months conservative treatment. Clinical symptoms and EMG examination illustrated satisfactory result during follow up time. CONCLUSION: The report showed that the masseur should be very careful when doing foot massage to prevent nerve damage. Besides, musculoskeletal ultrasonography combined with EMG can provide important evidence for accurate and effective diagnosis of LPN injury.


Assuntos
Tornozelo/diagnóstico por imagem , Eletromiografia/métodos , Massagem/efeitos adversos , Traumatismos dos Nervos Periféricos/diagnóstico , Nervo Tibial/lesões , Ultrassonografia/métodos , Tornozelo/inervação , Diagnóstico Diferencial , Feminino , Humanos , Traumatismos dos Nervos Periféricos/etiologia , Adulto Jovem
5.
PLoS One ; 15(7): e0235330, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32667934

RESUMO

Electrocardiogram (ECG) denoising is a biomedical research area of great importance. In this paper, an integrated empirical mode decomposition adaptive threshold denoising method (IEMD-ATD) is proposed for processing ECGs. Three methods are included in the IEMD-ATD. First, an integrated EMD method based on a framework of complete ensemble empirical mode decomposition with adaptive noise (CEEMDAN) is proposed to improve the decomposition quality and stability of raw ECGs. Second, a new grouping method for intrinsic mode functions (IMFs) is developed based on the energy and eigenperiod of IMFs. The grouping method is able to determine the boundaries among high-frequency noise predominant IMFs, useful information predominant IMFs and IMFs with low-frequency noises. Finally, an adaptive threshold denoising method is derived and used for denoising high-frequency noise predominant IMFs. There are two main contributions: 1) an adaptive threshold determination method based on the 3σ criterion and 2) a peak filtering denoising method for retaining useful information contained in the values smaller than the threshold. Synthetic and real ECG data in the MIT-BIH database are utilised in experiments to illustrate the effectiveness of IEMD-ATD for ECG denoising. The results indicate that IEMD-ATD offers better performance in improving the signal-to-noise ratio (SNR) and correlation coefficient compared with the existing EMD denoising methods. Our method offers obvious advantages, especially in retaining detailed information on the QRS complex of the ECG, which is significant for the feature extraction of ECG signals and for pathological diagnosis.


Assuntos
Eletrocardiografia/métodos , Eletromiografia/métodos , Razão Sinal-Ruído , Algoritmos , Pesquisa Biomédica/estatística & dados numéricos , Bases de Dados Factuais , Eletrocardiografia/estatística & dados numéricos , Eletromiografia/estatística & dados numéricos , Humanos , Distribuição Normal , Processamento de Sinais Assistido por Computador
7.
PLoS One ; 15(7): e0235545, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32645045

RESUMO

The automatic detection of facial expressions of pain is needed to ensure accurate pain assessment of patients who are unable to self-report pain. To overcome the challenges of automatic systems for determining pain levels based on facial expressions in clinical patient monitoring, a surface electromyography method was tested for feasibility in healthy volunteers. In the current study, two types of experimental gradually increasing pain stimuli were induced in thirty-one healthy volunteers who attended the study. We used a surface electromyography method to measure the activity of five facial muscles to detect facial expressions during pain induction. Statistical tests were used to analyze the continuous electromyography data, and a supervised machine learning was applied for pain intensity prediction model. Muscle activation of corrugator supercilii was most strongly associated with self-reported pain, and the levator labii superioris and orbicularis oculi showed a statistically significant increase in muscle activation when the pain stimulus reached subjects' self -reported pain thresholds. The two strongest features associated with pain, the waveform length of the corrugator supercilii and levator labii superioris, were selected for a prediction model. The performance of the pain prediction model resulted in a c-index of 0.64. In the study results, the most detectable difference in muscle activity during the pain experience was connected to eyebrow lowering, nose wrinkling and upper lip raising. As the performance of the prediction model remains modest, yet with a statistically significant ordinal classification, we suggest testing with a larger sample size to further explore the variables that affect variation in expressiveness and subjective pain experience.


Assuntos
Eletromiografia/métodos , Expressão Facial , Medição da Dor/métodos , Adulto , Músculos Faciais/fisiologia , Feminino , Humanos , Masculino , Limiar da Dor
8.
Medicine (Baltimore) ; 99(26): e20893, 2020 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-32590797

RESUMO

RATIONALE: Tarsal tunnel syndrome (TTS) is a compressive neuropathy of the posterior tibial nerve and its branches. Tarsal coalition is defined as a fibrous, cartilaginous, or osseous bridging of 2 or more tarsal bones. TTS with tarsal coalition is uncommon. Here, we present a rare example of successful surgical management of TTS with posterior facet talocalcaneal coalition. PATIENT CONCERNS: A 74-year-old woman presented with hypoesthesia, numbness, and an intermittent tingling sensation on the plantar area over the right forefoot to the middle foot area. The hypoesthesia and paresthesia of the right foot began 6 years previously and were severe along the lateral plantar aspect. The symptoms were mild at rest and increased during daily activities. Tinel sign was positive along the posteroinferior aspect of the medial malleolus. DIAGNOSIS: Lateral ankle radiography showed joint-space narrowing and sclerotic bony changes with a deformed C-sign and humpback sign. Oblique coronal and sagittal computed tomography revealed an irregular medial posterior facet, partial coalition, narrowing, and subcortical cyst formation of the posterior subtalar joint. Magnetic resonance imaging showed an abnormal posterior talocalcaneal coalition compressing the posterior tibia nerve. Electromyography and nerve conduction velocity studies were performed, and the findings indicated that there was an incomplete lesion of the right plantar nerve, especially of the lateral plantar nerve, around the ankle level. INTERVENTIONS: Surgical decompression was performed. Intraoperatively, the lateral plantar nerve exhibited fibrotic changes and tightening below the posterior facet talocalcaneal coalition. The coalition was excised, and the lateral plantar nerve was released with soft-tissue dissection. OUTCOMES: The patient's symptoms of tingling sensation and hypoesthesia were almost relieved at 4 months postoperatively, but she complained of paresthesia with an itching sensation when the skin of the plantar area was touched. The paresthesia had disappeared almost completely at 8 months after surgery. She had no recurrence of symptoms at the 1-year follow-up. LESSONS: The TTS with tarsal coalition is rare. Supportive history and physical examination are essential for diagnosis. Plain radiographs and computed tomography or magnetic resonance imaging are helpful to determine the cause of TTS and verify the tarsal coalition. After diagnosis, surgical excision of the coalition may be appropriate for management with a good outcome.


Assuntos
Coalizão Tarsal/cirurgia , Síndrome do Túnel do Tarso/complicações , Síndrome do Túnel do Tarso/cirurgia , Articulação Zigapofisária/cirurgia , Idoso , Descompressão Cirúrgica/métodos , Eletromiografia/métodos , Feminino , Humanos , Imagem por Ressonância Magnética/métodos , Parestesia/etiologia , Coalizão Tarsal/fisiopatologia , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento , Articulação Zigapofisária/inervação
9.
PLoS One ; 15(6): e0233843, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32497147

RESUMO

The vestibular system is essential to produce adequate postural responses enabling voluntary movement. However, how the vestibular system influences corticospinal output during postural tasks is still unknown. Here, we examined the modulation exerted by the vestibular system on corticospinal output during standing. Healthy subjects (n = 25) maintained quiet standing, head facing forward with eyes closed. Galvanic vestibular stimulation (GVS) was applied bipolarly and binaurally at different delays prior to transcranial magnetic stimulation (TMS) which triggered motor evoked potentials (MEPs). With the cathode right/anode left configuration, MEPs in right Soleus (SOL) muscle were significantly suppressed when GVS was applied at ISI = 40 and 130ms before TMS. With the anode right/cathode left configuration, no significant changes were observed. Changes in the MEP amplitude were then compared to changes in the ongoing EMG when GVS was applied alone. Only the decrease in MEP amplitude at ISI = 40ms occurred without change in the ongoing EMG, suggesting that modulation occurred at a premotoneuronal level. We further investigated whether vestibular modulation could occur at the motor cortex level by assessing changes in the direct corticospinal pathways using the short-latency facilitation of the SOL Hoffmann reflex (H-reflex) by TMS. None of the observed modulation occurred at the level of motor cortex. Finally, using the long-latency facilitation of the SOL H-reflex, we were able to confirm that the suppression of MEP at ISI = 40ms occurred at a premotoneuronal level. The data indicate that vestibular signals modulate corticospinal output to SOL at both premotoneuronal and motoneuronal levels during standing.


Assuntos
Eletromiografia/métodos , Tratos Piramidais/fisiologia , Posição Ortostática , Vestíbulo do Labirinto/fisiologia , Adulto , Potencial Evocado Motor/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Reflexo H/fisiologia , Voluntários Saudáveis , Humanos , Masculino , Córtex Motor/fisiologia , Neurônios Motores/fisiologia , Músculo Esquelético/fisiologia , Estimulação Transcraniana por Corrente Contínua , Estimulação Magnética Transcraniana , Adulto Jovem
10.
Nat Commun ; 11(1): 2183, 2020 05 04.
Artigo em Inglês | MEDLINE | ID: mdl-32366821

RESUMO

Coupling myoelectric and mechanical signals during voluntary muscle contraction is paramount in human-machine interactions. Spatiotemporal differences in the two signals intrinsically arise from the muscular excitation-contraction process; however, current methods fail to deliver local electromechanical coupling of the process. Here we present the locally coupled electromechanical interface based on a quadra-layered ionotronic hybrid (named as CoupOn) that mimics the transmembrane cytoadhesion architecture. CoupOn simultaneously monitors mechanical strains with a gauge factor of ~34 and surface electromyogram with a signal-to-noise ratio of 32.2 dB. The resolved excitation-contraction signatures of forearm flexor muscles can recognize flexions of different fingers, hand grips of varying strength, and nervous and metabolic muscle fatigue. The orthogonal correlation of hand grip strength with speed is further exploited to manipulate robotic hands for recapitulating corresponding gesture dynamics. It can be envisioned that such locally coupled electromechanical interfaces would endow cyber-human interactions with unprecedented robustness and dexterity.


Assuntos
Eletromiografia/métodos , Força da Mão/fisiologia , Contração Muscular/fisiologia , Músculo Esquelético/fisiologia , Amplitude de Movimento Articular/fisiologia , Membros Artificiais , Bioengenharia/instrumentação , Bioengenharia/métodos , Fenômenos Biomecânicos , Eletrônica Médica/instrumentação , Eletrônica Médica/métodos , Dedos/fisiologia , Antebraço/fisiologia , Mãos/fisiologia , Humanos , Desenho de Prótese/instrumentação , Desenho de Prótese/métodos
11.
Muscle Nerve ; 62(2): 233-238, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32415859

RESUMO

INTRODUCTION: In contrast to needle electromyography (EMG), surface EMG recordings are painless. It is of interest to develop methods to analyze surface EMG for diagnostic purposes. METHODS: Surface EMG interference pattern (SIP) recordings from the abductor pollicis brevis muscle of healthy subjects and subjects with amyotrophic lateral sclerosis (ALS) were analyzed by measuring root-mean-square (RMS) voltage, mean rectified voltage, form factor (FF), and the clustering index (CI). The FF vs SIP area plot was used for analysis. RESULTS: The SIP FF was increased and abnormal in ALS subjects, especially when SIP area was less than 200 mVms. Power regression showed a faster FF decline with SIP area in ALS patients than in healthy subjects. The CI and FF showed a strong correlation. DISCUSSION: FF is easy to calculate and demonstrates abnormalities in ALS patients.


Assuntos
Potenciais de Ação/fisiologia , Esclerose Amiotrófica Lateral/fisiopatologia , Eletromiografia/métodos , Contração Muscular/fisiologia , Músculo Esquelético/fisiopatologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Eletrodiagnóstico/métodos , Feminino , Mãos/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade
12.
J Clin Neurophysiol ; 37(3): 200-204, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32358245

RESUMO

Critical illness myopathy (CIM) is a primary myopathy associated with increased mortality and morbidity, which frequently develops in severely ill patients. Several risk factors have been suggested for the development of critical illness myopathy. However, neither the exact etiology nor the underlying mechanisms are known in detail. Although for definite diagnosis muscle biopsy is needed, electrophysiological tests are crucial for the diagnosis of probable critical illness myopathy and differential diagnosis. In this review, conventional electrophysiological tests such as nerve conduction studies, needle electromyography, direct muscle stimulation, and repetitive stimulation for diagnosis of critical illness myopathy are summarized. Moreover, studies using the novel method of recording muscle velocity recovery cycles are addressed.


Assuntos
Cuidados Críticos , Estado Terminal , Doenças Musculares/diagnóstico , Doenças Musculares/etiologia , Cuidados Críticos/métodos , Eletromiografia/métodos , Humanos , Fatores de Risco
13.
J Clin Neurophysiol ; 37(3): 208-210, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32358247

RESUMO

Patients with intensive care unit-acquired weakness have an increased risk of prolonged mechanical ventilation, which is a risk factor for prolonged stay and mortality. The most common cause of this problem is weakness of the diaphragm, which can derive from phrenic nerve injury associated with critical neuropathy, or with the complex multiorgan failure/systemic respiratory response syndrome causing muscle fiber lesion. Two conventional neurophysiological techniques are useful to investigate the respiratory muscles, phrenic nerve conduction, and needle electromyography of the accessory respiratory muscles and diaphragm. Phrenic nerve stimulation is a standard noninvasive technique; amplitude of the motor response can be reduced because of muscle fiber inexcitability or axonal loss. Electromyography of the diaphragm is an invasive method but is safe if performed as indicated. It can reveal neurogenic or myopathic motor units. Although these neurophysiological methods have limitations in the investigation of intensive care unit patients with severe respiratory involvement, normal phrenic nerve responses should exclude marked axonal loss and indicate a better prognosis.


Assuntos
Cuidados Críticos/métodos , Diafragma/fisiopatologia , Debilidade Muscular/diagnóstico , Debilidade Muscular/fisiopatologia , Neurofisiologia/métodos , Eletromiografia/métodos , Feminino , Humanos , Unidades de Terapia Intensiva , Nervo Frênico/fisiopatologia
14.
Pain Res Manag ; 2020: 3932476, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32351638

RESUMO

Recent studies showed an evident correlation between the stomatognathic system and the visual system. These results suggest that subjects who are affected by both temporomandibular (TMD) disorders and refractive disorders present with altered control of pericranial musculature tone and higher open-eye electromyographic (EMG) values. The objective of this work was to evaluate the effects of standard vision correction on EMG in subjects suffering from TMD compared with application of the same vision treatments to non-TMD subjects. 40 subjects were enrolled in this study. The test group included 20 myopic subjects and also included patients with TMD. The control group included 20 healthy myopic subjects. All of the participants underwent a complete ocular examination and a sEMG analysis. The results showed that TMD subjects with vision disorders that are corrected with standard glasses present EMG values that are significantly higher than those presented by non-TMD subjects with vision disorders and standard glasses. Infact, in TMD subjects, eye correction did not have a positive effect on the stomatognathic or pericranial musculature.


Assuntos
Músculos Faciais/fisiopatologia , Miopia/complicações , Sistema Estomatognático/fisiopatologia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/fisiopatologia , Adulto , Eletromiografia/métodos , Óculos , Feminino , Humanos , Masculino , Miopia/terapia , Adulto Jovem
15.
J Vis Exp ; (158)2020 04 21.
Artigo em Inglês | MEDLINE | ID: mdl-32391811

RESUMO

Electromyography (EMG) measures the muscle response to electrical stimulation or spontaneous activity of motor units and plays an important role in assessing neuromuscular function. Chronic recording of EMG activity reflecting a muscle's reinnervation status after nerve injury has been limited, due to the invasive nature of traditional EMG recording techniques. In this regard, an implantable system is designed for long-term, in vivo EMG recording and nerve stimulation. It has been applied and tested in a study on reinnervation of laryngeal muscles. This system consists of 1) two bipolar electrode nerve cuffs and leads for stimulating each of two nerves: the recurrent laryngeal nerve (RLN) and internal branch of the superior laryngeal nerve (SLN); 2) two EMG recording electrodes and leads for each of the two laryngeal muscles: posterior cricoarytenoid (PCA) muscle and thyroarytenoid-lateral cricoarytenoid (TA-LCA) muscle complex; and 3) a skin receptacle interfacing all implanted lead terminals to an external recording preamplifier and stimulator using a connection cable. The wire leads are Teflon-coated, multi-filament, type 316 stainless steel. They are coiled and can stretch during body movement of the awake animal to prevent lead breakage and electrode migration. This system is implanted during an aseptic surgery. Afterwards, baseline EMG recordings are performed before the RLN is transected in the second surgery to study muscle reinnervation. Throughout the study, multiple physiological sessions are conducted in the anesthetized animal to obtain evoked and spontaneous EMG activity that reflects the reinnervation status of laryngeal muscles. The system is compact, free of infection over the course of the study, and highly durable. This implantable system can provide a reliable platform for research in which long-term recording or nerve stimulation is required in an anesthetized or freely moving animal.


Assuntos
Eletromiografia/métodos , Monitoração Neuromuscular/métodos , Próteses e Implantes , Animais , Estimulação Elétrica , Eletrodos Implantados , Eletromiografia/instrumentação , Músculos Laríngeos/inervação , Músculos Laríngeos/fisiologia , Monitoração Neuromuscular/instrumentação , Nervo Laríngeo Recorrente/fisiologia
16.
J Electromyogr Kinesiol ; 52: 102421, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32353708

RESUMO

This study included spike trigger averaging (STA) procedures to examine the acceptability of the Precision Decomposition (PD) III derived motor unit action potential (MUAP) trains that met the >90% accuracy criteria from the reconstruct-and-test. MUs met the >90% accuracy criteria from the reconstruct-and-test with STA procedures then applied. Y-intercepts and slopes were calculated for the firing rate- and MUAP amplitude-recruitment threshold relationships. Gaussian noise (1% of the SD of the mean interspike interval) was added to the firing times with the changes in MUAPs quantified. A total of 455 MUs were decomposed with 155 MUs removed as a result of the reconstruct-and-test. Five additional MUs were excluded via the STA criteria. The MUAP waveforms deteriorated with the inclusion of Gaussian noise. There were differences in the derived action potentials amplitudes of higher-threshold MUs between the PD III algorithm and the STA procedure. There was excellent agreement among the slopes and y-intercepts between the relationships that included or excluded MUs that did not meet the STA criteria. There was good agreement between the MUAP amplitude-recruitment threshold relationships derived from the PD III and STA procedure. The addition of the STA procedures did not alter the MU-derived relationships.


Assuntos
Potenciais de Ação , Neurônios Motores/fisiologia , Músculo Esquelético/fisiologia , Adulto , Eletromiografia/métodos , Eletromiografia/normas , Humanos , Masculino , Músculo Esquelético/inervação , Tempo de Reação , Reprodutibilidade dos Testes
17.
J Electromyogr Kinesiol ; 52: 102422, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32413827

RESUMO

High-density surface electromyography (HDEMG) is an electrophysiological technique that can be used to quantify the spatial distribution of activity within muscles. When pain-free individuals perform sustained or repetitive tasks, different regions within a muscle become progressively more active; this is thought to reflect a strategy to redistribute the load to different regions, thus limiting localised muscle fatigue. The use of HDEMG has revealed that when people with musculoskeletal pain perform the same tasks, the distribution of activity within the same muscle is usually different, and the same muscle region tends to be active throughout the whole task without progressive activation of different muscle regions. This potentially results in a focal overload of a muscle region, and may contribute to fatigue, localised muscle pain and potentially pain persistence and/or recurrence over time. Interestingly, not all patients with musculoskeletal pain present with this regional alteration in muscle activation, reflecting the heterogeneity of patient presentations. This article will briefly review the technique of HDEMG followed by a review of studies demonstrating spatial redistribution of muscle activity in asymptomatic people during both isometric and dynamic conditions, including functional tasks. Lastly, the article will provide a review of HDEMG studies with a focus on changes in the behaviour of the lumbar erector spine and upper trapezius in people with spinal pain. These studies have revealed subtle changes in the distribution of muscle activity in people with spinal pain, which may have relevance for onset, persistence or recurrence of symptoms and could become a target of novel therapeutic approaches.


Assuntos
Músculo Esquelético/fisiopatologia , Mialgia/fisiopatologia , Eletromiografia/métodos , Humanos , Contração Muscular , Fadiga Muscular , Mialgia/etiologia
18.
J Electromyogr Kinesiol ; 52: 102425, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32413828

RESUMO

PURPOSE: This study aimed to assess the validity of the first (EMGth1) and second (EMGth2) breakpoints in the EMG signal during skating. SCOPE: Ten well-trained long track speed skaters performed a maximal incremental skating test on a slide board. EMG signals from six lower limb muscles were recorded during the last 15 s of each stage and converted to Root Mean Square for determination EMGth1 and EMGth2 using mathematical (2 and 3 linear regressions) and visual methods. CONCLUSIONS: EMGth1 had a low detection rate (<50%) while EMGth2 could be identified visually in > 80% of cases, in 85% of cases using 2-lines and 63% using 3-lines regression. Quads (VL + VM) and Gluts (GM + GMd) had the highest EMGth2 detection rate for all methods (>70%). EMGth2 from Quads and Gluts detected by the 2-lines and 3-lines regression were not different than the second ventilatory threshold (VT2) (p > 0.05), while the visual method overestimated VT2 (p < 0.01). EMGth2 detected from Quads by the 2-lines regression method presented better correlation with VT2 stage (r = 0.91), lowest bias, and limit of agreement. We conclude that EMG is a valid non-invasive method to detect VT2 during skating when using a mathematical method to determine EMGth2.


Assuntos
Limiar Anaeróbio , Eletromiografia/métodos , Patinação/fisiologia , Adulto , Eletromiografia/normas , Humanos , Masculino , Músculo Esquelético/fisiologia
19.
Br J Anaesth ; 124(6): 712-717, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32228867

RESUMO

BACKGROUND: Train-of-four twitch monitoring can be performed using palpation of thumb movement, or by the use of a more objective quantitative monitor, such as mechanomyography, acceleromyography, or electromyography. The relative performance of palpation and quantitative monitoring for determination of the train-of-four ratio has been studied extensively, but the relative performance of palpation and quantitative monitors for counting train-of-four twitch responses has not been completely described. METHODS: We compared train-of-four counts by palpation to mechanomyography, acceleromyography (Stimpod™), and electromyography (TwitchView Monitor™) in anaesthetised patients using 1691 pairs of measurements obtained from 46 subjects. RESULTS: There was substantial agreement between palpation and electromyography (kappa = 0.80), mechanomyography (kappa = 0.67), or acceleromyography (kappa = 0.63). Electromyography with TwitchView and mechanomyography most closely resembled palpation, whereas acceleromyography with StimPod often underestimated train-of-four count. With palpation as the comparator, acceleromyography was more likely to measure a lower train-of-four count, with 36% of counts less than palpation, and 3% more than palpation. For mechanomyography, 31% of train-of-four counts were greater than palpation, and 9% were less. For electromyography, 15% of train-of-four counts were greater than palpation, and 12% were less. The agreement between acceleromyography and electromyography was fair (kappa = 0.38). For acceleromyography, 39% of train-of-four counts were less than electromyography, and 5% were more. CONCLUSIONS: Acceleromyography with the StimPod frequently underestimated train-of-four count in comparison with electromyography with TwitchView.


Assuntos
Acelerometria/métodos , Miografia/métodos , Palpação/métodos , Adulto , Idoso , Eletromiografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
20.
Muscle Nerve ; 61(6): 754-758, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32246723

RESUMO

BACKGROUND: Ultrasound was used to determine optimal needle insertion parameters and assess the vasculature of paraspinal muscles at C5-T1 spinal levels across patients with different body mass indices (BMIs). METHODS: Thirty patients underwent ultrasound examination of the cervical paraspinal muscles at the C5-T1 levels. Images were analyzed to determine the optimal distance and angle of needle insertion to reach the base of the right lamina. Color and spectral Doppler analysis were used to identify and map paraspinal blood vessels. RESULTS: Mean distances and angles varied from 35.1 mm and 17.27 degrees for the low BMI group at C5 to 65.1 mm and 9.85 degrees for the high BMI group at T1. Paraspinal blood vessel mapping revealed a random distribution of vasculature. CONCLUSIONS: Longer distances and steeper angles of needle insertion are required for patients with higher BMIs. Cervical paraspinal arteries vary in distribution and can be visualized with ultrasound.


Assuntos
Eletromiografia/métodos , Agulhas , Músculos Paraespinais/diagnóstico por imagem , Músculos Paraespinais/fisiologia , Ultrassonografia de Intervenção/métodos , Adulto , Vértebras Cervicais/diagnóstico por imagem , Eletromiografia/instrumentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vértebras Torácicas/diagnóstico por imagem , Adulto Jovem
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